We use the initial Triage Vital Signs, Elevated Lactate etc... as Time zero if 
they meet criteria for Severe Sepsis or Septic Shock.  The Criteria for 
Screening is any of those Vitals that screen Sepsis is present or Labs etc.. 
that have a time stamp. If you are waiting until the doctor decides that it is 
final Diagnosis for admit you are already in a late presentation. Our policy is 
nurse driven protocol to initiate Code Sepsis if the patient Screens as at Risk 
of/or having Severe Sepsis/Septic Shock. That is time Zero and starts the 
clock.  The scenario that was used indicates that time from initial triage 
vital signs is outside of 3 hour window.  Are you waiting until the Physician 
final diagnosis of Sepsis documented to initiate EGDT when indicated?

From: Sepsisgroups <[email protected]> On Behalf Of 
Schrecengost, Lisa M.
Sent: Tuesday, June 26, 2018 9:00 AM
To: [email protected]
Subject: [Sepsis Groups] severe sepsis presentation

Hello all.....


Need help!!   We are having issues with figuring out severe sepsis presentation 
times.   We are having discrepancies at our facility understanding what times 
to use, especially when the physician has severe sepsis as the impression and 
there are other times within the note.


We have a patient that comes into the ED.  The note was opened at 16:37 by the 
physician. In the body of the report, it says "Time of sepsis diagnosis is 
19:50". Pulse of 104 at 16:19. Respirations of 24 at 16:19. Lactate 2.9 at 
17:50. He documents in the body of the note "the patient has severe sepsis but 
not septic shock".
Primary impression documented on the ED Physician Report is Pneumonia, 
additional impression is Severe Sepsis. What time should we collect as Time of 
Severe Sepsis?   Do we take the time the note was opened since he has an 
impression of severe sepsis or use the times within the body of the note?


Thanks for your time,
Lisa




Lisa Schrecengost RN BSN
Quality Management
ACMH Hospital
One Nolte Drive
Kittanning, PA 16201
Phone:  724-543-8871
email:  [email protected]<mailto:[email protected]>
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