I would agree. My concerns is the patients that weigh 90-100kg. Those currently are the ones we are sometimes missing the mark. We are making a change in our Epic orders to have the prompt for 30ml/kg and some of the ED physicians are already doing that on their own. Thanks again all for the great 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 From: Barnes-Daly, Mary Ann [mailto:[email protected]] Sent: Wednesday, April 27, 2016 8:28 AM To: Mary Draper <[email protected]>; '[email protected]' <[email protected]> Subject: RE: [External] [Sepsis Groups] 30ml/kg My understanding of the measure is that you should likely round up to 3500 to be sure to meet the mark; the challenge with almost but not quite is that it leaves the interpretation open - then who gets to decided that it is close enough? Thanks, MARY ANN BARNES-DALY MS-L RN CCRN DC | Clinical Performance Improvement Consultant Quality & Clinical Effectiveness Team | Office of Patient Experience Sutter Health -2200 River Plaza Drive, Sacramento, CA 95833 Mobile 916.200.5604| Office 916.286.6717 | [email protected]<mailto:[email protected]> "You never change things by fighting the existing reality. To change something, build a new model that makes the existing model obsolete." ~R. Buckminster Fuller From: Sepsisgroups [mailto:[email protected]] On Behalf Of Mary Draper Sent: Tuesday, April 26, 2016 12:54 PM To: [email protected]<mailto:[email protected]> Subject: [External] [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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