I think you can take credit for 1 liter as it was started and the 
administration time of over 1 hour was documented.

Mary Draper RN BSN
Coordinator Quality Improvement
Peer Review Support CV/CT
JMH Quality Management
Office (925) 674-2045
Cell (925) 451-8792
Fax (925) 674-2373
[email protected]<mailto:[email protected]>
[cid:[email protected]]
“O, let us always have a mountain within our soul,  with a peak so high that we 
never quite reach the top…
  For then we will always strive for greater things and will not be content  
with merely climbing hills.”     Ardath Rodale

From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Davis, Diana
Sent: Wednesday, May 09, 2018 12:56 PM
To: [email protected]
Subject: [External] [Sepsis Groups] IV intake for Sepsis

________________________________
Caution: This email originated outside JMH. Do not open attachments or click on 
links if you do not recognize the sender.
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Good afternoon to all-
The pt. for this scenario met Sepsis at 1600. I  have an order for IV fluids 
that reads: at 1630- 0.9%NS 1000/ml IV ; Rate 999ml/hr- The nurse has 
documented  at 1630- NS 1000 0.9% bolus infusing  over 1 hr in Rt. Subclavian. 
The next documentation is at 1739:  follow-up: Infusion continued upon 
admission.  There is no I&O documented how much the pt. received of that IV.    
I have read and re-read the guidelines for IV fluids and still not 100% clear 
if I can count  this IV fluid.  Do I need only the MD order for fluids or do I 
have to actually see the amount of fluids that was infused ?  Can anyone give 
me some guidance?
Thank you,
Diana Davis, Quality Outcomes Coordinator
CMH Regional Health System


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