1.       Procalcitonin: is anyone using this in their sepsis protocol, as a 
routine lab with Sepsis patients or how is it being used in your facility 
overall; ABX stewardship...

2.       If the provider or nurse is unable to obtain blood for initial or 
repeat lab work, lactate, etc..., secondary to shock, etc... are you 
abstracting the cases as meeting the measure or falling out of the measure.  
CMS SEP-1 notes for Abstraction- "if a lactate level is ordered and there is an 
attempt to collect it, but the attempt results in failure to collect the 
specimen (too dehydrated to get a vein) or the specimen was contaminated during 
or after the draw."

Thanks in advance for your response
Robert Hattabaugh MSN, RN, ACNS-BC, CMSRN
Adult Health Clinical Nurse Specialist
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