Mary Ann, this is very progressive work that your team at Sutter Health is 
doing.  I’m trying to work in this type of forward thinking into my client 
sites so that the patient gets the right care at the right time.  Kudos!

Janice Titano RN, MSN/MBA, CEN, CCRN
Director of Clinical Services
EmCare, Inc.
100 Witmer Road, Suite 220
Horsham, PA   19044
215-356-3665
[email protected]

From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Mary Draper
Sent: Friday, May 27, 2016 5:53 PM
To: Barnes-Daly, Mary Ann
Cc: Sullivan, Mary Cook; [email protected]
Subject: Re: [Sepsis Groups] [External] Nursing Lactate Protocol Information

Good to know we are all on the same page!!


Mary Draper RN BSN
QI Coordinator
Quality Management
Office (925) 674-2045<tel:(925)%20674-2045>
Cell (925) 451-8792<tel:(925)%20451-8792>
Fax (925) 674-2373<tel:(925)%20674-2373>
[email protected]<mailto:[email protected]>

On May 27, 2016, at 2:07 PM, Barnes-Daly, Mary Ann 
<[email protected]<mailto:[email protected]>> wrote:
MARY!!!!! Hello Friend;

All Sutter Health hospitals have the opportunity to use a nursing SP for 
initiation of the severe sepsis bundle (1L bolus if hypotension present)
Slightly different for ED and inpatient (RRT uses)
Not all affiliates use either or both , but most do.
And as of July 12, we have automated repeat lactates for any value >1.9.


Thanks,

MARY ANN BARNES-DALY MS 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 Sullivan, Mary Cook
Sent: Wednesday, May 25, 2016 11:32 AM
To: 
[email protected]<mailto:[email protected]>
Subject: [External] [Sepsis Groups] Nursing Lactate Protocol Information

Good Morning,
               For facilities that use a Nursing procedure to collect lactate 
specimens, how does your institution verify or co-sign the order of the 
lactate?  Is anyone using a completely independent nursing standard procedure 
or protocol that providers do not verify or authenticate?

Thank you in advance!

Mary Cook Sullivan RN, MS, CNS
Sepsis Project Manager
Quality Improvement Department
Division of Patient Safety and Quality Services
UCSF Medical Center
350 Parnassus, Suite 706, San Francisco, CA 94117
[email protected]<mailto:[email protected]>
Office: 415 353 3978
Pager: 415 443 3930

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