My understanding is that if the fluids administered by EMS are captured in your ED documentation then it can be used. There is also a 10% leeway for the volume administered.
Mary Draper RN BSN Coordinator Quality Improvement Peer Review Support CV/CT JMH Quality Management Office (925) 674-2045 Cell (925) 451-8792 Fax (925) 674-2373 [email protected]<mailto:[email protected]> [cid:[email protected]] "O, let us always have a mountain within our soul, with a peak so high that we never quite reach the top... For then we will always strive for greater things and will not be content with merely climbing hills." Ardath Rodale From: Sepsisgroups [mailto:[email protected]] On Behalf Of Jeanie Bollinger Sent: Monday, September 25, 2017 6:26 AM To: [email protected] Subject: [Sepsis Groups] EMS fluids: How to capture Group, We are continuing to not meet the CMS bundle for fluids due to fluids being given prior to admission. Our EMS services work off of state protocols and do not document discrete time fields of start, finish, type of fluid, and rate. We do have a place on our triage form that requires an entry of EMS volume of fluid: zero or amount. If the ED admit MD order states 30ml/kg to include EMA fluids, will this count as passing the measure? Would like to know what other solutions are to meet this piece of the measure. We are doing the right thing in our ED but keep missing the measure. Jeanie Bollinger MSN,RN, ACCNS-AG, CCRN-K Clinical Nurse Specialist Acute Medicine Mission Health 509 Biltmore Avenue Asheville, NC 28801 Office: 828-213-7171 Cell: 828-400-1194 ________________________________ This message and its attachments may contain confidential and/or legally-sensitive information that is intended for the sole use of the addressee(s). Any unauthorized review, use, disclosure, or distribution of the information contained in this message and its attachments is prohibited. If you have received this message or any of its attachments in error, please destroy all originals and copies of the same and notify the sender immediately.
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