We have to remind ourselves to do what is best for patients first and worry about CMS guidelines second. Which I am sometimes struggling with because I know by watching the stroke volume the patient just can’t handle anymore fluid but guidelines say give it. Good luck. We all feel the same pressure
Sent from my iPhone On Aug 8, 2018, at 1:46 PM, Mary Draper <[email protected]<mailto:[email protected]>> wrote: I have not run across this issue. Tough scenario. It was probably best for the patient to receive the dialysis first and then be given the antibiotic. From: Sepsisgroups [mailto:[email protected]] On Behalf Of Tara Miller Sent: Tuesday, August 07, 2018 10:52 AM To: '[email protected]<mailto:[email protected]>' <[email protected]<mailto:[email protected]>> Subject: [External] [Sepsis Groups] Antibiotics Admin/ Dialysis ________________________________ Caution: This email originated outside JMH. Do not open attachments or click on links if you do not recognize the sender. ________________________________ Good afternoon. We had a scenario of a patient who was in “septic shock” along with severe hyperkalemia with EKG changes. The patient had to go on emergent hemodialysis in the emergency room. The physician, pharmacist, and nursing staff did not want to give the antibiotics due to having it pulled right back out with dialysis. Once the patient was removed from dialysis machine, the antibiotics was given which was on hour 4. Has anyone else had this same situation? What are you doing about it? Are you just taking the fallout for sepsis or are you administering the antibiotic regardless? Thanks. Tara R Miller, RN, BSN Team Leader, Quality Management Mobile Infirmary Medical Center Office: 435-5109 Cell: 605-8270 <image001.jpg> 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. _______________________________________________ Sepsisgroups mailing list [email protected]<mailto:[email protected]> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
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