We also have an auto-reflux. We use meditech as our software. The 2nd order comes past on the result timing of the 1st at 3 hours. We have had zero fall outs related to 2nd lactic draws since initiating this in August!
I would be interested in knowing if anyone in the group uses bedside lactic draws (i.e. Istat) ? Looking at our initial results it takes us over an hour to get a results from lab, then delaying our antibiotic and fluid administration (Disclaimer: preference of our ED docs don't want to start these treatments until after lab results) Thanks! Katie Maggie-Do you not have Istats??? CCMC Northwest (HCA Facility ) Has them and prior to my departure our initials and repeats we did not have any issues...may check in with Pam Danser there and see how things are going From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Thursday, February 02, 2017 10:46 AM To: [email protected]; [email protected] Cc: [email protected] Subject: Re: [Sepsis Groups] repeat lactate levels Lori, we have the reflex order here set for 2 hours post the initial lactate level. It has been working well for us. I know originally some wanted to push the reflex back to 4 hours, but I am worried that if we do that we might experience a delay that leads to a fallout. Maggie Macias, RN Sepsis Program Coordinator Valley Regional Medical Center Brownsville, TX (956) 350-7179 (O) [email protected]<mailto:[email protected]> From: Sepsisgroups [mailto:[email protected]] On Behalf Of Bly, Lori Sent: Friday, January 27, 2017 10:51 AM To: [email protected]<mailto:[email protected]> Cc: Verdi, Rachel C. <[email protected]<mailto:[email protected]>> Subject: [EXTERNAL] [Sepsis Groups] repeat lactate levels At our facility we are considering placing a reflex order on initial lactate levels >2.0. Has anyone else initiated this and how is it working? Thank you Lori Bly, RN Quality Management Department ACMH Hospital One Nolte Drive Kittanning, PA 16201 Extension: 8459 email: [email protected]<mailto:[email protected]> Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.
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