Hi, Pamela. A lactate greater than 2 could indicate sepsis if the other parameters are also met (suspected infection and 2/4 SIRS).
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:sepsisgroups-boun...@lists.sepsisgroups.org] On Behalf Of sepsisgroups-requ...@lists.sepsisgroups.org Sent: Wednesday, August 09, 2017 4:13 PM To: sepsisgroups@lists.sepsisgroups.org Subject: Sepsisgroups Digest, Vol 257, Issue 6 Send Sepsisgroups mailing list submissions to sepsisgroups@lists.sepsisgroups.org 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=KCIXthGLECAXGe70XxOHzYou6TYHsSn5Uzwl1OaAFe8&s=BllvKHfANBP7n303ajrD0Hod1r-LxWZcpvCTx_CK0-c&e= or, via email, send a message with subject or body 'help' to sepsisgroups-requ...@lists.sepsisgroups.org You can reach the person managing the list at sepsisgroups-ow...@lists.sepsisgroups.org When replying, please edit your Subject line so it is more specific than "Re: Contents of Sepsisgroups digest..." Today's Topics: 1. Re: Lab times (Pamela Green) 2. Evaluation for Severe Sepsis Screening Tool HMH revised (Pamela Green) ---------------------------------------------------------------------- Message: 1 Date: Tue, 8 Aug 2017 17:30:00 +0000 From: Pamela Green <pa...@howardmemorial.com> To: "sepsisgroups@lists.sepsisgroups.org" <sepsisgroups@lists.sepsisgroups.org> Subject: Re: [Sepsis Groups] Lab times Message-ID: <cb8b1d4c6616c649be06e4604857ee86419...@hmhexchange.howardmemorial.com> Content-Type: text/plain; charset="koi8-r" We have been utilizing our Sepsis Protocol for the last Month and have been screening and intervening on several patients. There is one Level that we need clarification for. Our Protocol says any Lactate Level ?2 is considered to indicate sepsis, but our lab range is Normal for 0.4- 2.0. Would like to know how everyone is using this? Thanks Pam From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On Behalf Of Belfi, Karen Sent: Thursday, August 03, 2017 12:27 PM To: sepsisgroups@lists.sepsisgroups.org Subject: [Sepsis Groups] Lab times Hi, we are confused about something here. On our lab report in our EMR, it lists a time. It's the draw time, not report time, though it doesn't say draw time. We just know it is. Can we use that for severe sepsis criteria since it doesn't specify draw time? Thank you. Karen Belfi, RN, MSN Quality Outcomes Coordinator Lankenau Medical Center (484)476-8092 -------------- next part -------------- An HTML attachment was scrubbed... URL: <https://urldefense.proofpoint.com/v2/url?u=http-3A__lists.sepsisgroups.org_pipermail_sepsisgroups-2Dsepsisgroups.org_attachments_20170808_261afb5d_attachment-2D0001.htm&d=DQICAg&c=4sF48jRmVAe_CH-k9mXYXEGfSnM3bY53YSKuLUQRxhA&r=FQX0EdGt2z5AU0WET6IGnDY7hW-OH5oVWIrKTppItnPTAfNZCRPOOCAWFJtHw_aG&m=KCIXthGLECAXGe70XxOHzYou6TYHsSn5Uzwl1OaAFe8&s=sEMyX52IhaZdJyCpUxk42rRi1ckh45jLmuL8CdMCjNU&e= > ------------------------------ Message: 2 Date: Wed, 9 Aug 2017 13:37:41 +0000 From: Pamela Green <pa...@howardmemorial.com> To: "sepsisgroups@lists.sepsisgroups.org" <sepsisgroups@lists.sepsisgroups.org> Cc: HMH Directors <hmhdirect...@howardmemorial.com> Subject: [Sepsis Groups] Evaluation for Severe Sepsis Screening Tool HMH revised Message-ID: <cb8b1d4c6616c649be06e4604857ee86419...@hmhexchange.howardmemorial.com> Content-Type: text/plain; charset="us-ascii" After meeting with HIM and coding yesterday it was brought to my attention that the Lab normal range high is 2. Our screening form had only the > 4 mmol/L under #3. Criteria for Severe Sepsis. So I went back to the original form the actual value is supposed to be >2 . The edited form had the wrong value of >4. So I have made that change on the screening form as indicated. I also, have a question out to the Sepsis Groups to understand how other facilities are using this measurement. Please make copies for your dept. and make changes to your existing forms thanks. Pam -------------- next part -------------- An HTML attachment was scrubbed... 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