Hello,
We are currently developing our sepsis continuum.  In Cases of Septic Shock 
concerning the components
Perform  Volume Status Assess
*Measure CVP
*Measure SCV o2
*Bedside CV US
*Dynamic Assess of Fluid Response w/leg raise or fluid challenge
And
Perform Tissue Perfusion Assessment
*Document: Vitals, CP Exam, Periph Pulses, Cap Refill, Skin Exam

We have seen notations that only two of the Volume Status Assess  or the Tissue 
Assessments  are required.  Can you please clarify from the clinical as well as 
the abstraction side the requirements?

Tom Brady
Director, Informatics and Quality Metric Reporting
Blue Mountain Health System
Gnaden Huetten Memorial/Palmerton Hospital
211 North Twelfth Street
Lehighton, PA 18235
PH 610-826-1390

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