At my hospital we have the repeat lactate as part of our sepsis protocol. It is spelled out in our policy that nurses are to redraw an elevated lactate. It is an automatic reflex order with our lab as well. We have not had an issue.
Angela Craig APN,MS,CCNS Clinical Nurse Specialist Intensive Care Unit Cookeville Regional Medical Center 931-783-5035 From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On Behalf Of Rutherford, Richard Sent: Monday, January 08, 2018 4:54 PM To: sepsisgroups@lists.sepsisgroups.org Subject: [Sepsis Groups] Automated Lactate Orders Hello All, We are having a debate in our organization about whether automatic lactate orders violate nursing standard of practice. Currently if a patient in ED or on floor screens in for sepsis, the nurse follows hospital protocol and orders a lactate which is then routed to the attending physician for cosignature (after drawn). We also have an automated order to repeat lactate at 4 hours for admitted patients with an initial lactate>2. I believe our initial lactate order in ER is covered by Standardized Nursing Procedures. We are having more debate around the initial lactate ordered on inpatients and the automated second lactate on all patients with lactate>2 without a prior physician order. I am interested in knowing if other hospitals use our approach, and if so is nursing leadership feeling comfortable that nursing standards of practice are not being violated. Thanks, Rick Rutherford This email message has been delivered safely and archived online by Mimecast. For more information please visit http://www.mimecast.com
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