Our Sepsis protocol at HMH uses "Initiate Vasopressors for persistent Hypotension <90 syst or MAP<65 after initial Fluid Resuscitation of 30 ml/kg". Either measure meets the Bundle compliance Goals of therapy. Pam From: Sepsisgroups [mailto:[email protected]] On Behalf Of Tara Miller Sent: Thursday, April 19, 2018 9:39 AM To: '[email protected]' <[email protected]> Subject: [Sepsis Groups] Vasopressor administration
Pam Green BSN RN CCRN Clinical Informatics [cid:[email protected]] 130 Medical Circle Nashville, Ark. 71852 Work-870-845-4400 (ext. 8918) Cell-870-703-1360 Email: [email protected]<mailto:[email protected]> www.howardmemorial.com<http://www.howardmemorial.com/> Improving the Health of the Communities We Serve HIPAA PRIVACY NOTICE: The information contained in or attached to this email may be private, may contain Protected Health Information covered under the Health Insurance Portability and Accountability Act of 1996 (PL 104-191) and must be protected in accordance with its provisions. The information contained in or attached to this email may be personal and sensitive and you are obligated to maintain it in a safe, secure and confidential manner. Further disclosure without express written consent is prohibited. If you are not the intended recipient, be advised that any unauthorized use, disclosure, copying, distribution, or the taking of any action in reliance on the contents of this information is strictly prohibited. If you have received this email in error, please immediately notify the sender via telephone or return email and delete the email immediately. 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.
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