In our experience and understanding, the volume DOES make a difference. Example, if you missed the 30mL/kg by 200mL or 10mL, it is still considered to be a "miss".
Hope this helps, Holly Holly Heyer Holly Heyer, RN, BSN | Quality Specialist | Quality Department Beaumont Hospital-Taylor | 10000 Telegraph Road | Taylor, MI 48180 (313).295.5040 (office) | [email protected]<mailto:[email protected]> [cid:[email protected]] [cid:[email protected]]<https://www.facebook.com/BeaumontHospitals>[cid:[email protected]]<https://twitter.com/BeaumontHealth> [cid:[email protected]] <http://blog.beaumont.edu/> [cid:[email protected]] <https://instagram.com/beaumonthealth/> [cid:[email protected]] <https://www.linkedin.com/company/beaumont-health> [cid:[email protected]] <https://www.pinterest.com/beaumonthealth/> [cid:[email protected]] <https://www.youtube.com/channel/UCgNOQP5BvrzQJ_vhRo7VN1Q> This document is CONFIDENTIAL. Its use is for a professional/peer review function which is for the purpose of reducing morbidity and mortality and evaluating and improving the quality of care rendered to patients, and reviewing the necessity and appropriateness of care rendered. Any records, data, and knowledge collected for or by individuals assigned a professional / peer review function are confidential subject to MCLA 331.531, 331.532, 331.533, 333.20175, 333.21513, 333.21515, 330.1143A and 330.1748(9) and other state and federal laws. From: Sepsisgroups [mailto:[email protected]] On Behalf Of Mary Draper Sent: Tuesday, April 26, 2016 3:54 PM To: [email protected] Subject: [Sepsis Groups] 30ml/kg Importance: High Does anyone know if there is any leeway with the calculated volume? For example pt weighs 107 kg which requires 3210ml. Pt only receives 3000. Does this become an opportunity for improvement? Clinically I doubt an extra 210 ml would have made an impact on the patients hemodynamics. Thanks for your feedback. Mary Draper RN BSN Coordinator Quality Improvement Peer Review Support CV/CT Quality Management JMH Office (925) 674-2045 Cell (925) 451-8792 Fax (925) 674-2373 [email protected]<mailto:[email protected]> [cid:[email protected]] "O, let us always have a mountain within our soul, with a peak so high that we never quite reach the top... For then we will always strive for greater things and will not be content with merely climbing hills." Ardath Rodale
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