Yes. SEVERE SEPSIS  plus the documentation of persistent hypotension and/or 
Lactate > 4 automatically = septic shock
Provider documentation is only required if the criteria are NOT met.

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| [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 
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Sent: Wednesday, February 01, 2017 6:14 AM
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Subject: [**External**] [Sepsis Groups] question


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Hello group,

I am being told by our quality department that if a patient is documented with 
severe sepsis and has a lactic acid greater than 4 that it is automatically 
coded as septic shock even though it's not documented. Is this true?

Thanks,
Debbie Chambless
Sepsis Coordinator
Osceola Regional Medical Center
Kissimmee, Fl 34371
407-518-3949
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