We are having issues with providing the full 30mL/kg volume for septic shock in 
patients with either End Stage Renal Disease (ESRD) or CHF.
Does anyone have a strategy that worked for you that convinced providers the 
patient still needs the volume in the presence of septic shock?
Or is it known if there is any movement by CMS to allow for exceptions for 
patients with these comorbidities?

Thank you,
Betsy
Betsy Pesek MN, BSN, RN, CPHQ |
Clinical Outcomes Specialist| Quality
direct: 425.688.5935 |
[email protected]|


"One's mind, once stretched by a new idea, never regains its original 
dimensions."
~Oliver Wendell Holmes Sr.




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