This does not happen for the majority of our sepsis cases. Keep in mind that patient needs to meet ALL criteria (infx, two SIRS and organ dysfunction) during/before triage in order to use triage time. There is always little something that shifts the clock so that triage time could not be used.
Also, with just added SEP-1 Additional Notes for Abstraction, Version 5.1 there is new clarification: “if the note (physician’s note) states severe sepsis was present on admission, use the earliest documented admission date/time” Marina Zhukov, RN, BSN Clinical Data Abstractor CHI Franciscan Health From: Sepsisgroups [mailto:[email protected]] On Behalf Of Madrid, Pamela A Sent: Thursday, July 07, 2016 9:45 AM To: Belfi, Karen; Dena Videtic; Murray, Sandra; '[email protected]' Subject: [Sepsis Groups] Time Zero CAUTION: This email is not from a CHI source. Only click links or open attachments you know are safe. ________________________________ 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 [Image removed by sender.]<https://urldefense.proofpoint.com/v2/url?u=http-3A__www.allinahealth.org&d=CwMGaQ&c=ND-Z_FnoJTOCBd6ZraMT0-wJD0GDS_U0VV_Zq7yxAI4&r=GGh2mrxW6S4VizowM4uOpXM4IrC-uvHXVZfDW-8-ibo&m=Ihk3lVpsQcbyYmHT7HYkFUosYI2mfze2sXF1UsxHSRs&s=qILIO8o2F7NKVlpf3IqpZcXO12wTzvi4_KHNkoEx8UU&e=> This message contains information that is confidential and may be privileged. Unless you are the addressee (or authorized to receive for the addressee), you may not use, copy or disclose to anyone the message or any information contained in the message. If you have received the message in error, please advise the sender by reply e-mail and delete the message.
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