Rather brilliant I would say. 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] "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 Shoup, Mary Sent: Friday, April 29, 2016 5:21 AM To: '[email protected]'; [email protected]; [email protected] Subject: [External] Re: [Sepsis Groups] 30ml/kg We encountered a glitch with the calculation in the electronic system when using 30mL/kg that resulted in an inadequate fluid bolus and resulted in an OFI. Subsequently, we changed our organizational process to make the calc 31mL/kg for the fluid bolus. Mary Shoup Clinical Quality Specialist Tel: (517) 205-1358 Cell: (269) 967-0210 Fax: (517) 841-1322 [email protected]<mailto:[email protected]> [cid:[email protected]] From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected]<mailto:[email protected]> Sent: Tuesday, April 26, 2016 6:33 PM To: [email protected]<mailto:[email protected]>; [email protected]<mailto:[email protected]> Subject: Re: [Sepsis Groups] 30ml/kg Yes, it is an opportunity. Anita Siscoe-Hapshie Anita Siscoe-Hapshie, RN, MSN, CCRN Sepsis Coordinator [email protected]<mailto:[email protected]> Citrus Memorial Hospital 502 W. Highlands Blvd. Inverness, FL 34452 Office 352.560.6214 Fax 352.726.9119 Nurses are true [cid:[email protected]] [cid:[email protected]] P please consider the environment before printing this email This email and any files transmitted with it may contain PRIVILEGED or CONFIDENTIAL information and may be read or used only by the intended recipient. If you are not the intended recipient of the email or any of its attachments, please be advised that you have received this email in error and that any use, dissemination, distribution, forwarding, printing, or copying of the email or any attached files is strictly prohibited. If you have received this email in error, please immediately purge it and all attachments and notify the sender by reply email or contact the sender at the number listed. CONFIDENTIAL-This email may contain proprietary information. Not intended for external distribution. From: Sepsisgroups [mailto:[email protected]] On Behalf Of Mary Draper Sent: Tuesday, April 26, 2016 3:54 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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