Beginning in 2018 Ideal Body Weight can be used to calculate IVF boluses for patients who have a BMI of 30 or over. Please see the new 5.3 CMS Specifications Manual which is effective for 1Q2018 and 2Q2018 discharges.
For the remainder of 2017 I agree with Karen Belfi's response: " Use the patient's actual weight. Use estimated weight only if actual weight is not available to determine the volume of crystalloid fluids the patient should receive. Do not use ideal weight." Brenda L. Carlson MS, BSN, RN Assistant Quality Officer Office of Clinical Practice Evaluation University of Rochester Medical Center 265 Crittenden Blvd., Saunders Research Building, 3.205 585-273-4721 This message may contain information which is confidential and privileged. Unless you are the addressee (or authorized to receive for the addressee), you may not use, copy or disclose to anyone the message or any information contained in the message (including attachments). If you have received the message in error, please advise sender by reply email, and delete the message. Thank you! -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Monday, July 31, 2017 2:06 PM To: [email protected] Subject: Sepsisgroups Digest, Vol 256, Issue 2 Send Sepsisgroups mailing list submissions to [email protected] To subscribe or unsubscribe via the World Wide Web, visit https://urldefense.proofpoint.com/v2/url?u=http-3A__lists.sepsisgroups.org_listinfo.cgi_sepsisgroups-2Dsepsisgroups.org&d=DQICAg&c=4sF48jRmVAe_CH-k9mXYXEGfSnM3bY53YSKuLUQRxhA&r=FQX0EdGt2z5AU0WET6IGnDY7hW-OH5oVWIrKTppItnPTAfNZCRPOOCAWFJtHw_aG&m=RcyrF7tc97QxbpkSoWmIvMHsBRkzEcIdHZARPvFqJ_4&s=dOsJnKy45LhiNESWlT0wkQ7hfty5JR7vsG8pxFcNgUQ&e= 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. Re: FLUID REQUIREMENTS (Belfi, Karen) ---------------------------------------------------------------------- Message: 1 Date: Mon, 31 Jul 2017 14:01:11 -0400 From: "Belfi, Karen" <[email protected]> To: Nicole Dyess <[email protected]>, "[email protected]" <[email protected]> Subject: Re: [Sepsis Groups] FLUID REQUIREMENTS Message-ID: <[email protected]> Content-Type: text/plain; charset="us-ascii" The guidelines state not to use ideal body weight. Use the patient's actual weight. Use estimated weight only if actual weight is not available to determine the volume of crystalloid fluids the patient should receive. Do not use ideal weight. Karen Belfi, RN, MSN Quality Outcomes Coordinator Lankenau Medical Center (484)476-8092 From: Sepsisgroups [mailto:[email protected]] On Behalf Of Nicole Dyess Sent: Saturday, July 29, 2017 12:02 PM To: [email protected] Subject: [EXTERNAL] [Sepsis Groups] FLUID REQUIREMENTS This message originated from outside MLHS systems. Any attachments or links should be carefully considered before proceeding. Please contact the Help Desk at 484-596-4357 with any questions or forward a questionable email to [email protected]<mailto:[email protected]> ________________________________ For the 30ml/kg fluid requirement, is anyone using IBW for your obese patients? I have found conflicting statements on if this will satisfy the requirement. If you do use IBW, can you send me your reference that supports using it. Thanks! Nicole Dyess, PharmD Antimicrobial Stewardship Team Leader Conway Regional Health System 2302 College Ave, Conway, AR 72034 (501) 513-5152 (501) 450-2368 Fax [cid:[email protected]] -------------- next part -------------- An HTML attachment was scrubbed... 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