Hi Everyone!  Just a follow-up question/comment on the time zero discussion.

For determination of time zero for patients who present to the Emergency 
Department, how are you applying this portion of the Notes for Abstraction on 
page 1-232. By this it seems that we should we be using triage time for the 
majority of the severe sepsis and septic shock patients??

Severe Sepsis Time
If severe sepsis is present on arrival to the Emergency Department or severe 
sepsis is identified in triage, the Severe Sepsis Presentation Time is the time 
the patient was triaged in the Emergency Department. If more than one triage 
time is documented (e.g., “Triage started” and “Triage completed”) use the 
later time reflecting triage is completed.


Pam Madrid, RN, MS, CCRN, CCNS
Clinical Nurse Specialist • Critical Care • Mercy Hospital, part of Allina 
Health
Phone: 763-236-8331 • Pager: 612-654-0624 • Fax: 612-236-8304 • 
[email protected]<mailto:[email protected]>
Mail Route 51415 • 4050 Coon Rapids Blvd • Coon Rapids, MN 55434

“Information is random and miscellaneous, but knowledge is orderly and 
cumulative.”  Daniel Boorstin


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