>From what I've read, the first one, that says "sepsis focus exam completed" is 
>sufficient, even without the vitals above being listed.

Karen Belfi, RN, MSN
Quality Outcomes Coordinator
Lankenau Medical Center
(484)476-8092

From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Rutherford, Richard
Sent: Friday, June 09, 2017 12:18 PM
To: [email protected]
Cc: Vasquez, Ashley
Subject: [EXTERNAL] [Sepsis Groups] Sepsis Focused Reexamination


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________________________________

Hello All,



We are struggling with compliance with the focused sepsis reexamination and 
struggling with the interpretation of the rule changes in v5.2.  I would 
appreciate advice on the minimal acceptable documentation to pass this element 
for septic shock patients.  We would like the standardize this documentation 
for our providers.  Would the following be acceptable?



VS  BP 120/60  HR 110  RR 18  T 98.6

Sepsis Focused Exam Completed.



Or do the individual components need to be documented:



VS  BP 120/60  HR 110  RR 18  T 98.6

Capillary refill evaluation complete

Peripheral pulse examination complete

Skin examination complete



Or do the actual results need to be recorded



VS  BP 120/60  HR 110  RR 18  T 98.6

Capillary refill evaluation complete:  Cap refill 2 seconds

Peripheral pulse examination complete:  radial pulses strong and symmetric

Skin examination complete:  skin pink warm dry



Thank you,



Rick Rutherford, M.D.



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