QUESTION: If the patient doesn’t have documentation of severe sepsis nor septic shock, BUT does meet severe sepsis criteria (EX: Pneumonia, 2 SIRS and Organ dysfunction ARF or LA 2+), you would have to abstract the hypotension and treatment correct? (In the meantime, remember that if the MD documents within 6hrs of TOP that the patient does not have Severe Sepsis or Septic Shock, then you would not abstract this. )
In addition, if prior to TOP Severe Sepsis/Septic Shock or within 24hrs after TOP, the MD documents the hypotension is related to something else NOT an infection/sepsis OR is normal for the patient, then you would not use the hypotensive BP for the element of initial hypotension. ****TOP ?? Time of presentation of severe sepsis? (our Time Zero?) VaShawna Thomas, MSN, RN Sepsis Coordinator Memorial Hospital Jacksonville 3625 University Blvd South Jacksonville, FL 32216 Phone: 904-702-6080 Mobile: 904-864-2725 Fax: 904-702-6381 [cid:[email protected]]
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