Here is what we follow per the CMS standards: Lactate greater than (not equal to) 2.0 and up to 4.0 indicates severe sepsis--> Lactate of 2.0 or less does not indicate severe sepsis. Lactate equal to or greater than 4.0 indicates septic shock.
Mary Shoup Clinical Quality Specialist Tel: (517) 205-1358 Cell: (269) 967-0210 Fax: (517) 841-1322 [email protected]<mailto:[email protected]> [hfah-email-signature-logo2] From: Sepsisgroups [mailto:[email protected]] On Behalf Of Pamela Green Sent: Wednesday, August 09, 2017 9:38 AM To: [email protected] Cc: HMH Directors Subject: [Sepsis Groups] Evaluation for Severe Sepsis Screening Tool HMH revised 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
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