Further clarification requested:
· This came from the guidelines presented on 7/26/17: If there is physician/APN/PA documentation identifying the patient has obesity (defined as a Body Mass Index >30), the clinician may choose to use Ideal Body Weight (IBW) to determine the 30ml/kg crystalloid fluid volume. If the clinician prefers to use IBW, the clinician must state that IBW will be the weight used to determine the 30 mL/kg as the target ordered volume. I just want to be sure I am understanding this correctly. The highlighted verbiage above is only to be applied to patients with obesity (defined as a Body Mass Index > 30) Correct? Thank you! Diane Diane Coolidge RN Quality Review Specialist Community Hospital Division, Quality & Performance Improvement Phone: 262-257-3419 Fax: 262-257-2620 E-mail: diane.cooli...@froedtert.com<mailto:diane.cooli...@froedtert.com> Froedtert & The Medical College of Wisconsin Community Memorial Hospital W180 N8085 Town Hall Road Menomonee Falls, WI 53051 froedtert<http://www.froedterthealth.org/>.com This document is a confidential peer review document that records the investigations, proceedings and evaluations of Froedtert Hospital and Medical College of Wisconsin for the purpose of reviewing or evaluating the quality of health care and services provided by Froedtert Hospital and Medical College of Wisconsin. Medical College of Wisconsin Medical Staff This document may not be disclosed or released except as specifically provided in Section 146.38(3) of the Wisconsin Statutes. The unauthorized disclosure or release of this document or the information contained in this document may result in civil liability pursuant to Section 146.38(4) of the Wisconsin Statutes From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On Behalf Of Townsend, Sean, M.D. Sent: Tuesday, August 01, 2017 3:50 PM To: Belfi, Karen Cc: Stueland, Jeanne; sepsisgroups@lists.sepsisgroups.org; Nicole Dyess Subject: Re: [Sepsis Groups] [**External**] Re: FLUID REQUIREMENTS True. This places all the documentation requirement on the LIP as you can see. This was our best accommodation for the concern. On Aug 1, 2017, at 1:23 PM, Belfi, Karen <bel...@mlhs.org<mailto:bel...@mlhs.org>> wrote: WARNING: This email originated outside of the Sutter Health email system! DO NOT CLICK links if the sender is unknown and never provide your User ID or Password. Yes, but this doesn’t start until Jan 2018. For now, we can’t use ideal body weight. Karen Belfi, RN, MSN Quality Outcomes Coordinator Lankenau Medical Center (484)476-8092 From: Stueland, Jeanne [mailto:jeanne.stuel...@honorhealth.com] Sent: Monday, July 31, 2017 2:18 PM To: Belfi, Karen; Nicole Dyess; sepsisgroups@lists.sepsisgroups.org<mailto:sepsisgroups@lists.sepsisgroups.org> Subject: [EXTERNAL] RE: 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 helpd...@mlhs.org<mailto:helpd...@mlhs.org> ________________________________ This came from the guidelines presented on 7/26/17: If there is physician/APN/PA documentation identifying the patient has obesity (defined as a Body Mass Index >30), the clinician may choose to use Ideal Body Weight (IBW) to determine the 30ml/kg crystalloid fluid volume. If the clinician prefers to use IBW, the clinician must state that IBW will be the weight used to determine the 30 mL/kg as the target ordered volume. From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On Behalf Of Belfi, Karen Sent: Monday, July 31, 2017 11:01 AM To: Nicole Dyess; sepsisgroups@lists.sepsisgroups.org<mailto:sepsisgroups@lists.sepsisgroups.org> Subject: Re: [Sepsis Groups] FLUID REQUIREMENTS This message came from an external source. Please exercise caution when opening any attachments or clicking on links. 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:sepsisgroups-boun...@lists.sepsisgroups.org] On Behalf Of Nicole Dyess Sent: Saturday, July 29, 2017 12:02 PM To: sepsisgroups@lists.sepsisgroups.org<mailto:sepsisgroups@lists.sepsisgroups.org> 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 helpd...@mlhs.org<mailto:helpd...@mlhs.org> ________________________________ 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 <image001.png> ________________________________ Join HonorHealth in creating a healthier planet. Please print this email only if necessary. 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