Good afternoon, I agree - its confusing. However, the spec manual does define it as "one" on page 1-199 , under the "severe sepsis present" element.
Here is where I got the spec manual - I just printed version 5.3: https://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FQnetTier4&cid=1228776143120 I hope this helps! Laura Soares MSN RN Sepsis & Stroke Program Coordinator 559.788.6067 Office 559.280.2036 Cell "Teamwork is the ability to work together toward a common vision--the ability to direct individual accomplishments toward organizational objectives. It is the fuel that allows common people to attain uncommon results"- Andrew Carnegie 465 W. Putnam Ave Porterville, CA 93257 DISCLAIMER: The information contained in this email transmission is confidential and intended for the addressee only. If the reader of this message is not the addressee or addressee's agent, you are hereby advised that any dissemination, distribution or copying of the information is strictly prohibited. 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Sepsis Listserve question (Duane, Molly) ---------------------------------------------------------------------- Message: 1 Date: Thu, 1 Mar 2018 11:29:48 -0500 From: "Duane, Molly" <[email protected]> To: "'[email protected]'" <[email protected]> Subject: [Sepsis Groups] Sepsis Listserve question Message-ID: <[email protected]> Content-Type: text/plain; charset="us-ascii" Good Morning, I was wondering if anyone could explain the difference between 'Initial Hypotension' (that requires documentation of two BP's) and 'Hypotension as evidence of organ dysfunction' that only requires one BP reading. If the hypotension is used as organ dysfunction criteria for Severe Sepsis and it is the initial hypotension, why aren't two BP's required? I listened to the webinar yesterday on v5.3a updates for 2018 and still don't understand. (They are on slides 30 and 34 from the presentation). Thanks, Molly Molly Duane RN, BSN, CCRN Sepsis Program Coordinator Detroit Receiving Hospital Harper-Hutzel Hospital Mobile: 248-709-6218 DRH: 313-966-8087 HUH: 313-745-4340 Email: [email protected]<mailto:[email protected]> This message (including any attachments) is confidential and intended solely for the use of the individual or entity to whom it is addressed, and is protected by law. If you are not the intended recipient, please delete the message (including any attachments) and notify the originator that you received the message in error. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited. Any views expressed in this message are those of the individual sender, except where the sender specifies and with authority, states them to be the views of Tenet Healthcare Corporation. -------------- next part -------------- An HTML attachment was scrubbed... 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