Claudia,

Do you use epic?  I can send you an image of our conditional lactate order.  We 
just went live with it last week.  The single problem I have with it is that as 
part of our nursing protocol - ALL boxes in our nursing protocol set are 
automatically "checked" off.  In other words....the conditional (or second 
lactate)  is automatically checked off PRIOR to the initial results - so the RN 
must do two things.....she must remember to first check off the second lactate 
order - then when she has her initial lactate resulted at 2 or greater....THEN 
they must go back into the order and click the second order.
You probably need to "see" the order set for this to make sense.


Amy E. Curley MSN APN-RN CEN
Sepsis Surveillance - Clinical Specialist -Center for Nursing Excellence (CNE)
[email protected]<mailto:[email protected]>
phone  603.650.6049  |  fax  603.650.8085 Pager 5693

[cid:[email protected]]



From: Orth, Claudia [mailto:[email protected]]
Sent: Thursday, April 28, 2016 12:10 PM
To: Amy E. Curley; [email protected]
Subject: RE: Reflex Lactates

We are planning to implement a conditional Lactate rule in the next month. We 
are planning to monitor very closely once rolled out, as there is definite 
push-back and concerns from some providers.

~Claudia
Claudia Orth BSN, RN, CCRN-K
Regional Sepsis Coordinator
Clinical Quality
Munson Medical Center
1105 Sixth Street
Traverse City, MI 49684-2386
(231) 935-5692 (Voice)
(231) 318-0394 (Pager)
[email protected]<mailto:[email protected]>

From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Amy E. Curley
Sent: Monday, April 11, 2016 3:48 PM
To: 
[email protected]<mailto:[email protected]>
Subject: [Sepsis Groups] Reflex Lactates

We have approved a nurse driven protocol that is called a "conditional" order 
in Epic where a new order will be generated for a lactate of 2 or greater.
We have chosen to do this 3 hours after initial result.   The literature does 
not support a "hard" re-draw time, and CMS asks for it to be under 6 hours, we 
just divided it in the middle.
Secondly, we have mild push back from providers, but mostly because the MD's 
remain unaware of the CMS requirements.  OR they "already know they are sick" 
and the lactate will not change course of therapy.

Confidential:  Protected under New Hampshire's Quality Assurance (QA) statutes 
(RSA 151:13a and RSA 329:29a). Documents should not be disseminated outside of 
the Dartmouth-Hitchcock QA structure.  All QA documents are to be maintained in 
secured and segregated QA files (this applies to both electronic and paper 
storage).




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