Mary, Can you clarify the 10%. And where to find that in the spec manual? Thanks! -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of Mills, Mary Sent: Tuesday, March 21, 2017 5:28 PM To: [email protected] Subject: [Sepsis Groups] Septic shock question
For CMS , you have to have severe sepsis before you have septic shock. When you say no source identified, are you saying that there is no documentation of a suspected infection within the 6 hr window criteria? If that is the case, then you can't meet all the criteria components for severe sepsis. Is there a reason the white count was so low documented in the note (recent chemo, etc)? If there is and the provider has documented it as such, you can't use that white count as your 2nd SIRS. In terms of just good patient care and reality, yes, this pt clinically is in septic shock. Per the most recent specs manual, a decrease of 10% of the 30mL/kg of crystalloids is acceptable, but that would be 1978.56. Not enough I hope this help :-) Sepsis, she is a nasty little bugger :-) Mary Mills RN, BSN, CPHQ, CPPS Centegra Health System ________________________________________ From: Sepsisgroups [[email protected]] On Behalf Of [email protected] [[email protected]] Sent: Tuesday, March 21, 2017 2:10 PM To: [email protected] Subject: Sepsisgroups Digest, Vol 239, Issue 1 Send Sepsisgroups mailing list submissions to [email protected] To subscribe or unsubscribe via the World Wide Web, visit http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org or, via email, send a message with subject or body 'help' to [email protected] You can reach the person managing the list at [email protected] When replying, please edit your Subject line so it is more specific than "Re: Contents of Sepsisgroups digest..." Today's Topics: 1. Septic shock question (Davis, Diana) ---------------------------------------------------------------------- Message: 1 Date: Mon, 20 Mar 2017 17:58:40 +0000 From: "Davis, Diana" <[email protected]> To: "'[email protected]'" <[email protected]> Subject: [Sepsis Groups] Septic shock question Message-ID: <bn6pr13mb0947c73172d6a1fa8e0a6bc8a2...@bn6pr13mb0947.namprd13.prod.outlook.com> Content-Type: text/plain; charset="utf-8" Septic shock To everyone: Hoping to get some clarification re: potential septic shock pt. 1207- B/P- 84/57 P- 135. Lactate at 1430- 4.8- lactate at 1810- 4.3 WBC- 0.1 at 1621 Pt. weight- 73.28 Kg- pt received 1500cc NS - will fallout for this No source identified Will this patient meet septic shock due to lactate level? We cannot come to conclusion 100%- so looking for help from everyone. I say yes. Thank you. Diana Davis, Quality Outcomes Coordinator CMH Regional Health System 937-382-9315 Diana Davis, Quality Outcomes Coordinator CMH Regional Health System 937-382-9315 Disclaimer The information transmitted via this e-mail is intended only for the person or entity to which it is addressed and may contain confidential and/or proprietary information. Any use, review, retransmission, dissemination or other use of, or pursuing of any action in reliance upon this information by persons or entities other than the intended recipient is strictly prohibited. If you are the recipient of this e-mail transmission in error, please reply to the sender and delete the material from any computer. Thank you This email has been scanned for viruses and malware, and may have been automatically archived by Mimecast Ltd, an innovator in Software as a Service (SaaS) for business. Providing a safer and more useful place for your human generated data. Specializing in; Security, archiving and compliance. To find out more visit the Mimecast website. -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20170320/aa5a8f6a/attachment.html> ------------------------------ Subject: Digest Footer _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org ------------------------------ End of Sepsisgroups Digest, Vol 239, Issue 1 ******************************************** This transmission may contain information that is privileged, confidential, or exempt from disclosure under applicable law. If you are not the intended recipient, consider yourself notified that any disclosure, copying, distribution, use, or reliance on this transmission is STRICTLY PROHIBITED. Please destroy this transmission in any format and notify the sender, if you received this transmission in error. Thank you. _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
