We had the same issue, and yes, we changed orders to read "If systolic <90 OR MAP <65" initiate vasopressors. Can't say that it's worked as yet, because providers have to use the order set rather than winging it.
Thank you, Betsy "We must become the change we wish to see in the world." ~Mahatma Gandhi -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Friday, April 20, 2018 1:06 PM To: [email protected] Subject: Sepsisgroups Digest, Vol 286, Issue 4 *** Warning: This email originated from outside of Overlake Hospital Medical Center. Do not click links or open attachments unless you recognize the sender and are expecting the message. Report suspicious emails to Overlake Helpdesk at x5278 *** Send Sepsisgroups mailing list submissions to [email protected] To subscribe or unsubscribe via the World Wide Web, visit http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org or, via email, send a message with subject or body 'help' to [email protected] You can reach the person managing the list at [email protected] When replying, please edit your Subject line so it is more specific than "Re: Contents of Sepsisgroups digest..." Today's Topics: 1. Vasopressor administration (Tara Miller) ---------------------------------------------------------------------- Message: 1 Date: Thu, 19 Apr 2018 14:39:29 +0000 From: Tara Miller <[email protected]> To: "'[email protected]'" <[email protected]> Subject: [Sepsis Groups] Vasopressor administration Message-ID: <601307CBE6540A45A4B1CBBA5DD570368E489BD9@JANDC500-MBN02.InfirmaryHealth.local> Content-Type: text/plain; charset="us-ascii" Is anyone having issues with patients who have persistent hypotension after fluids defined as SBP < 90, but they still have a MAP of > or equal to 65 and no vasopressors being ordered? My facility's vasopressor orders read to initiate when the MAP is < 65. We have had two patients who did not meet that criteria until after the 6 hour window was up for vasopressors. Are other facility's changing their practice to start pressors for SBP < 90? Thanks. Tara R Miller, RN Team Leader, Quality Management Mobile Infirmary Medical Center Office: 435-5109 Cell: 605-8270 [IH_Logo_20170609] Confidentiality Notice: This electronic message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of this electronic message and/or any attachments is strictly prohibited. This quality assurance document is for the use of Infirmary Health and is prepared and maintained pursuant to Section 22-21-8 of the 1975 Code of Alabama. Prepared in an anticipation of litigation. -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20180419/02c8defc/attachment-0001.html> -------------- next part -------------- A non-text attachment was scrubbed... Name: image001.jpg Type: image/jpeg Size: 4487 bytes Desc: image001.jpg URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20180419/02c8defc/attachment-0001.jpg> ------------------------------ Subject: Digest Footer _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org ------------------------------ End of Sepsisgroups Digest, Vol 286, Issue 4 ******************************************** DISCLAIMER: This message is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the dissemination, distribution or copying of this information is strictly prohibited. If you received this message in error, please notify the sender then delete this message. _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
