We have nurse driven Acute Sepsis Bundle orders approved by our Medical 
Executive Committee. Our RRT nurse can have lab draw blood cultures, run a POC 
lactate level, and start the fluid bolus. The only thing needed is antibiotics 
from the MD.

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
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From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Burger, Carolyn
Sent: Friday, May 20, 2016 2:05 PM
To: 'DHILLON, ROOPINDER' <[email protected]>; 
[email protected]
Subject: [EXTERNAL] Re: [Sepsis Groups] Sepsis-Fluid Resuscitation

Yes, struggling with this as well.  More for in patient setting than ER.

Carolyn Burger, RN, BS
Clinical Performance Coordinator
Performance Support
269-983-8896
[email protected]<mailto:[email protected]>

[healthy-heart[1]]



From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of DHILLON, ROOPINDER
Sent: Tuesday, May 17, 2016 11:35 AM
To: 
[email protected]<mailto:[email protected]>
Subject: [Sepsis Groups] Sepsis-Fluid Resuscitation


Hi,

Is anyone facing physician pushbacks with Fluid Resuscitation of a 
sepsis/severe sepsis patient with CHF or Renal dysfunction? How are you 
educating physicians regarding this? Any strategies for persuading physicians 
to continue with fluid resuscitation in such patients.



Thank you,
Roopa Dhillon MBBS, MBA
Clinical Quality Analyst I
Quality Improvement/Clinical Outcomes
University Hospitals Elyria Medical Centre
630 East River
Elyria, Ohio  44035
T 440-329-4959 F 440-329-5971
Roopinder.Dhillon@UHhospitals<mailto:Roopinder.Dhillon@UHhospitals> .org
Quality Assurance/Peer Review Privileged Pursuant to Ohio Rev. Code secs. 
2305.24, 2305.25, 2305.251, 2305.252 and 2305.253
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