Sean - thank you for the response - I agree this is huge. So much so, that I couldn't quite believe my eyes and wanted a confirmation [😊] We were concerned about spending time struggling to get compliance for a complicated piece of documentation; this change allows us to focus more on the clinical care with the documentation more easily following.
I'm also very relieved to see that plasmalyte will count towards the 30ml/kg. We were failing a lot of cases due to plasmalyte given after 1-2 L NS. Was always curious why it wasn't included before, and am happy that it's now a non-issue. Thanks also to the many others who have chimed in on this thread - all are very helpful. I'm very grateful for this resource. Joe Joseph Clement, MS, RN, CCNS Clinical Nurse Specialist San Francisco General Hospital ph: 628 206-6174 pg: 415 327-0220 office: H5841 ________________________________ From: Townsend, Sean, M.D. <[email protected]> Sent: Wednesday, August 24, 2016 3:51 PM To: Clement, Joseph (DPH) Cc: [email protected] Subject: Re: [External] [Sepsis Groups] SEP-1 Specification Manual for January 2017 Discharges You are correct in your reading. The LIP can now attest to the reperfusion assessment without giving greater detail. What is more, nursing documentation and a nursing exam can be the basis of that attestation. The only requirement is that the one exam item LIP has to do as part of that attestation is a cardiopulmonary exam. This is huge. I hope you appreciate the change. Our goal wasn't to make people document but rather to conduct an exam and satisfy themselves that the patient was perfusing adequately. As regards antibiotic acceptable delay the provider has to state a delay of 45 minutes or longer would have transpired. Sean On Aug 24, 2016, at 1:49 PM, Clement, Joseph (DPH) <[email protected]<mailto:[email protected]>> wrote: Hello, I'm reviewing the updated specification manual 5.2 for SEP-1, that will go into effect 1/1/17, and I have a few questions - I wonder if others are further along than me. https://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FQnetTier3&cid=1228775749207<https://na01.safelinks.protection.outlook.com/?url=https%3a%2f%2fwww.qualitynet.org%2fdcs%2fContentServer%3fc%3dPage%26pagename%3dQnetPublic%252FPage%252FQnetTier3%26cid%3d1228775749207&data=01%7c01%7ctownsesr%40sutterhealth.org%7c9dad663bd1fe4129e4c108d3cc602cd1%7caef453eadaa243e0be62818066e9ff63%7c0&sdata=Lfj7WQvlpCs3T%2b0LsrjWZtrnfLyK42X5rtVyK7r924w%3d> [] The manual says that MD attestation of reassessment, VS review, skin assessment, cardiopulmonary exam, and peripheral pulse exams are acceptable. It also says that "performing, or attesting to performing a physical examination, perfusion (re-perfusion) assessment, or sepsis (severe sepsis or septic shock) focused exam is acceptable." At the risk of asking an obvious question, I just want to make sure I am getting this right. If the MD signs something that says "I attest to having performed a severe sepsis re-perfusion exam at XX:XX", then this would meet the measure requirement? [] I see that a new element was added "Blood Culture Collection Acceptable Delay" - but I'm not clear from the manual what constitutes an acceptable delay. Am I missing something? Can anybody clarify? Thanks in advance! Joe Joseph Clement, MS, RN, CCNS Clinical Nurse Specialist San Francisco General Hospital ph: 628 206-6174 pg: 415 327-0220 office: H5841 _______________________________________________ Sepsisgroups mailing list [email protected]<mailto:[email protected]> https://na01.safelinks.protection.outlook.com/?url=http%3a%2f%2flists.sepsisgroups.org%2flistinfo.cgi%2fsepsisgroups-sepsisgroups.org&data=01%7c01%7ctownsesr%40sutterhealth.org%7c9dad663bd1fe4129e4c108d3cc602cd1%7caef453eadaa243e0be62818066e9ff63%7c0&sdata=BlT2F7r747RhCs%2b9%2bHngzIRsVDD7dev%2bIjCfd%2fn1mSU%3d
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