If the ventilator was set at 22 and is charted as such, you do not count the RR 
as part of the SIRS component.
Here's the example from the definition:
"SIRS criteria or a sign of organ dysfunction due to artificial interventions 
should not be used.
Example:
Mechanical ventilator rate set at 24 and respiratory rate is 24, the 
respiratory rate would not be used for SIRS criteria. "
Beth

Beth Knight, BSN, RN, OCN
Clinical Outcomes Specialist
Healthcare Quality
Franciscan Health
Indianapolis, Carmel, Mooresville
Phone: 317-528-1470
elizabeth.kni...@franciscanalliance.org

-----Original Message-----
From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Jeanie Bollinger
Sent: Friday, September 28, 2018 12:11 PM
To: sepsisgroups@lists.sepsisgroups.org
Subject: [Sepsis Groups] Respiratory rate for SIRS on ventilator

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Ventilator is considered as an organ dysfunction by CMS.  However, the SIRS 
criteria to meet the definition occurred one day after intubation and 
ventilation.  RR was 22 on ventilator and was therapeutic for this patient.  Is 
there any consideration for excluding SIRS RR criteria for ventilated patients? 
 This set time zero for CMS 24hours after sepsis was identified and appropriate 
bundle treatment was initiated.  We missed the measure.  Thoughts?

Jeanie Bollinger MSN,RN, ACCNS-AG, CCRN-K
Clinical Nurse Specialist
Acute Medicine
Mission Health
509 Biltmore Avenue
Asheville, NC 28801

Office: 828-213-7171
Cell: 828-400-1194

-----Original Message-----
From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of sepsisgroups-requ...@lists.sepsisgroups.org
Sent: Tuesday, September 25, 2018 2:24 PM
To: sepsisgroups@lists.sepsisgroups.org
Subject: [EXTERNAL] Sepsisgroups Digest, Vol 306, Issue 2

Send Sepsisgroups mailing list submissions to
        sepsisgroups@lists.sepsisgroups.org

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Today's Topics:

   1. Re: Sepsisgroups Digest, Vol 304, Issue 2 (Tara Platt)
   2. Re: Sepsisgroups Digest, Vol 304, Issue 2 (Tara Platt)


----------------------------------------------------------------------

Message: 1
Date: Fri, 21 Sep 2018 11:48:01 +0000
From: Tara Platt <tara.pl...@mylrh.org>
To: "Belfi, Karen" <bel...@mlhs.org>, "Carlson, Brenda L"
        <brenda_carl...@urmc.rochester.edu>,
        "'sepsisgroups@lists.sepsisgroups.org'"
        <sepsisgroups@lists.sepsisgroups.org>
Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 304, Issue 2
Message-ID: <5ae7d0b491654e21847644139ecc3...@mylrh.org>
Content-Type: text/plain; charset="us-ascii"

The inclusion guidelines for abstraction lists "does not want" as acceptable. 
Had the provider not included the patients response than I would agree that 
this would be an outlier. Per provider documentation the patient does not want 
the 30ml/kg.


Tara Platt, RN MSN
Strategic Performance and Quality
863-687-1100 ext. 2560
tara.pl...@mylrh.org + myLRH.org + facebook.com/LakelandRegionalHealth

Together, our Promise is YOUR HEALTH.


-----Original Message-----
From: Belfi, Karen [mailto:bel...@mlhs.org]
Sent: Friday, September 21, 2018 6:42 AM
To: Tara Platt <tara.pl...@mylrh.org>; Carlson, Brenda L 
<brenda_carl...@urmc.rochester.edu>; 'sepsisgroups@lists.sepsisgroups.org' 
<sepsisgroups@lists.sepsisgroups.org>
Subject: RE: Sepsisgroups Digest, Vol 304, Issue 2

I wouldn't consider this an administrative contra based on the documentation, 
as they did not refuse anything.


Karen Belfi, RN, MSN
Quality Outcomes Coordinator
Lankenau Medical Center
(484)476-8092

-----Original Message-----
From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Tara Platt
Sent: Monday, September 17, 2018 2:17 PM
To: Carlson, Brenda L; 'sepsisgroups@lists.sepsisgroups.org'
Subject: [EXTERNAL] Re: [Sepsis Groups] Sepsisgroups Digest, Vol 304, Issue 2

This message originated from outside MLHS systems. Any attachments or links 
should be carefully considered before proceeding. Please contact the Help Desk 
at 484-596-4357 with any questions or forward a questionable email to 
helpd...@mlhs.org

******************************************************************************************************************************************************************************************************************
Would this not be considered an administrative contraindication to care due to 
the patient and daughter agreeing to gentle hydration and not a 30ml/kg bolus?

Tara Platt, RN MSN
Strategic Performance and Quality
863-687-1100 ext. 2560
tara.pl...@mylrh.org + myLRH.org + facebook.com/LakelandRegionalHealth

Together, our Promise is YOUR HEALTH.


-----Original Message-----
From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Carlson, Brenda L
Sent: Thursday, September 13, 2018 10:39 AM
To: 'sepsisgroups@lists.sepsisgroups.org' <sepsisgroups@lists.sepsisgroups.org>
Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 304, Issue 2

Perhaps CMS would have accepted this as an appropriate exclusion if the 
provider had included wording such as "CHF with pulmonary edema and concerns 
for fluid overload" or "ESRD on HD with anasarca and concerns for fluid 
overload". The provider didn't clearly state why there was a concern for fluid 
overload.

Brenda L. Carlson MS, BSN, RN
Assistant Quality Officer
Office of Clinical Practice Evaluation
University of Rochester Medical Center
265 Crittenden Blvd., Saunders Research Building, 3.205
585-273-4721
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Thank you!




-----Original Message-----
From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of sepsisgroups-requ...@lists.sepsisgroups.org
Sent: Wednesday, September 12, 2018 4:06 PM
To: sepsisgroups@lists.sepsisgroups.org
Subject: Sepsisgroups Digest, Vol 304, Issue 2

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Contents of Sepsisgroups digest..."


Today's Topics:

   1. 30mL/Kg Bolus Exemptions (Culver, Danette)
   2. Re: Blood cultures false positive (Vickie Robertson)


----------------------------------------------------------------------

Message: 1
Date: Wed, 12 Sep 2018 13:35:59 -0400
From: "Culver, Danette" <danette.cul...@nortonhealthcare.org>
To: "Sepsisgroups@lists.sepsisgroups.org"
<Sepsisgroups@lists.sepsisgroups.org>
Subject: [Sepsis Groups] 30mL/Kg Bolus Exemptions
Message-ID:
<6fe413f8a5447e4498be19afc648a354015120393...@nhc0902.nhc.network.local>

Content-Type: text/plain; charset="us-ascii"

All,

We recently queried CMS for accepting the following documentation as refusal to 
30ml/kg bolus and they stated it did not meet the criteria. Can anyone provide 
a rationale as to why this documentation doesn't suffice? My providers prefer 
taking a more positive approach that is more inclusive of the patient, not the 
negative tone of 'patient refuses.' Any advice is greatly appreciated as well.

The following was documented by one of my MDs - "Patient meets criteria for 
30ml/kg bolus, there is concern for fluid overload and cardiogenic shock. The 
plan was discussed with patient and patient's daughter who agreed to modified 
plan of care to include gentle hydration and vasopressors, not a 30ml/kg bolus."

Thanks so much,
Danette

Danette Culver, MSN, APRN, ACNS-BC, CCRN-K, RN-BC Clinical Nurse Specialist, 
Sepsis Coordinator Norton Healthcare, Louisville KY
O: 502.629.4058
C: 812.881.0080

A Clinical Nurse Specialist (CNS) is a Master's prepared Advance Practice Nurse 
whose function is to improve outcomes in patient care. The CNS is a clinical 
practice expert, an educator, a researcher, and a consultant who influences the 
three spheres of practice: patient care, nursing, and systems. - National 
Association of Clinical Nurse Specialists

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------------------------------

Message: 2
Date: Mon, 10 Sep 2018 22:34:53 +0000
From: Vickie Robertson <vickie.robert...@unity-health.org>
To: jenny clarke <j...@live.com>
Cc: "sepsisgroups@lists.sepsisgroups.org"
<sepsisgroups@lists.sepsisgroups.org>
Subject: Re: [Sepsis Groups] Blood cultures false positive
Message-ID:
<6923e551074843beae913bb73c05c...@mail.uh.unity-health.org>
Content-Type: text/plain; charset="iso-8859-1"

We had the same issue at a hospital I previously worked for, especially in the 
ED where we were responsible for drawing our own labs.  We found the following 
contributed to the contaminated specimen:
1.  Cultures were being drawn from the IV site which caused them to often be 
contaminated.  (Site cleansed with Chloraprep thoroughly before anything else 
was set up allowing for the proper drying time between cleansing and sticking)
2.   Nurses would draw both sets from the same site (in serviced on 2 sets  = 2 
sites unless extremely hard stick then only 1 set was obtained)
3.  When doing blood cultures, the bottles were often uncapped and left sitting 
at the bedside while finishing setting up to drawn them.
This left them exposed in the room (corrected by when uncapped an alcohol prep 
was placed over the cap until ready to place the blood)

Every month on the BULLETIN BOARD in our breakroom, were the names of all 
nurses along with their contamination percentage, if we had X amount of 
contaminates we had to do an in service with 15 of our Co-workers reviewing the 
proper way to draw a blood culture.


Have a Blessed Day. Philippians 4:13 (NKJV)1 "?I can do all things through 
Christ who strengthens me."
Thank you.

Vickie Robertson, RN, Case Manager
Unity Health | Harris Medical Center
1205 McLain St. | Newport, AR 72112
?P (870) 512-3224 | F (870) 523-0395
https://urldefense.proofpoint.com/v2/url?u=http-3A__www.Unity-2DHealth.org&d=DwICAg&c=4sF48jRmVAe_CH-k9mXYXEGfSnM3bY53YSKuLUQRxhA&r=FQX0EdGt2z5AU0WET6IGnDY7hW-OH5oVWIrKTppItnPTAfNZCRPOOCAWFJtHw_aG&m=7329wV9Z4IOW17kRPGK2wreBn9maXVs3QX8R3uLOo4U&s=B5wLuN-geZL2hNfSg3E-pDx0Lr_yOHfMCcCtpIC1eSc&e=
?


?
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-----Original Message-----
From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of jenny clarke
Sent: Friday, September 7, 2018 1:10 PM
To: Angela Craig <acr...@crmchealth.org>
Cc: sepsisgroups@lists.sepsisgroups.org
Subject: Re: [Sepsis Groups] Blood cultures false positive

That is a great idea. Thanks

Sent from my iPhone

> On Sep 7, 2018, at 1:02 PM, Angela Craig <acr...@crmchealth.org> wrote:
>
> We are working on this exact issue at our hospital.  We are about to go to a 
> process where we will post all names and contamination rates and celebrate 
> those who do well and those who have a 3% or greater contamination rate will 
> have to go to a blood culture refresher class.  Hope that helps.
>
>
>
> Angela Craig APN,MS,CCNS
> ICU Clinical Nurse Specialist
> 1 Medical Center Boulevard, Cookeville, TN 38501
> Phone: 931-783-5035 Fax: 931-783-5039 acr...@crmchealth.org |
> crmchealth.org |Facebook | Twitter Cookeville Regional Medical Center:
> Building Healthier Communities
>
> -----Original Message-----
> From: Sepsisgroups
> [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On Behalf Of
> Bankert, Eve
> Sent: Wednesday, September 05, 2018 11:39 AM
> To: jenny clarke; sepsisgroups@lists.sepsisgroups.org
> Subject: Re: [Sepsis Groups] Blood cultures false positive
>
> *** WARNING: This is an EXTERNAL EMAIL that originated outside of
> CRMC's Email System. Do not click any links or open any attachments
> unless you trust the sender and know the content is safe. ***
>
>
> I would recommend extensive education/training for all personnel collecting 
> blood cultures.  As the microbiology supervisor in a community hospital in NY 
> that had a 10% contamination rate, we used a multidisciplinary approach and 
> brought the rate down to 2% in a year's time.
>
> -----Original Message-----
> From: Sepsisgroups
> [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On Behalf Of
> jenny clarke
> Sent: Tuesday, September 04, 2018 12:42 PM
> To: sepsisgroups@lists.sepsisgroups.org
> Subject: [Sepsis Groups] Blood cultures false positive
>
> Anyone have any help to curb this issue? I have even tried to make it
> sterile process and still running into issues.  Thanks ahead
>
> Sent from my iPhone
> _______________________________________________
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>
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------------------------------

Subject: Digest Footer

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------------------------------

End of Sepsisgroups Digest, Vol 304, Issue 2
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------------------------------

Message: 2
Date: Fri, 21 Sep 2018 11:56:21 +0000
From: Tara Platt <tara.pl...@mylrh.org>
To: "Belfi, Karen" <bel...@mlhs.org>, "Carlson, Brenda L"
        <brenda_carl...@urmc.rochester.edu>,
        "'sepsisgroups@lists.sepsisgroups.org'"
        <sepsisgroups@lists.sepsisgroups.org>
Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 304, Issue 2
Message-ID: <63c32a5458c14f879ebff7c8ec6b1...@mylrh.org>
Content-Type: text/plain; charset="us-ascii"

"Pt agreed to modified plan of care...not a 30ml/kg bolus"

I agree it definitely needs to go to Qnet. I was just trying to offer a 
different perspective on it.


Tara Platt, RN MSN
Strategic Performance and Quality
863-687-1100 ext. 2560
tara.pl...@mylrh.org + myLRH.org + facebook.com/LakelandRegionalHealth

Together, our Promise is YOUR HEALTH.







-----Original Message-----
From: Belfi, Karen [mailto:bel...@mlhs.org]
Sent: Friday, September 21, 2018 7:51 AM
To: Tara Platt <tara.pl...@mylrh.org>; Carlson, Brenda L 
<brenda_carl...@urmc.rochester.edu>; 'sepsisgroups@lists.sepsisgroups.org' 
<sepsisgroups@lists.sepsisgroups.org>
Subject: RE: Sepsisgroups Digest, Vol 304, Issue 2

"Patient meets criteria for 30ml/kg bolus, there is concern for fluid overload 
and cardiogenic shock. The plan was discussed with patient and patient's 
daughter who agreed to modified plan of care to include gentle hydration and 
vasopressors, not a 30ml/kg bolus."
This should go to Qnet, but with this documentation it doesn't say "does not 
want", unless there is further clarification I missed. It just says they agree 
with the physician's recommendation.
If this is sent to Qnet, please share the reply with us.
Thanks!


Karen Belfi, RN, MSN
Quality Outcomes Coordinator
Lankenau Medical Center
(484)476-8092


-----Original Message-----
From: Tara Platt [mailto:tara.pl...@mylrh.org]
Sent: Friday, September 21, 2018 7:48 AM
To: Belfi, Karen; Carlson, Brenda L; 'sepsisgroups@lists.sepsisgroups.org'
Subject: [EXTERNAL] RE: Sepsisgroups Digest, Vol 304, Issue 2

This message originated from outside MLHS systems. Any attachments or links 
should be carefully considered before proceeding. Please contact the Help Desk 
at 484-596-4357 with any questions or forward a questionable email to 
helpd...@mlhs.org

******************************************************************************************************************************************************************************************************************
The inclusion guidelines for abstraction lists "does not want" as acceptable. 
Had the provider not included the patients response than I would agree that 
this would be an outlier. Per provider documentation the patient does not want 
the 30ml/kg.


Tara Platt, RN MSN
Strategic Performance and Quality
863-687-1100 ext. 2560
tara.pl...@mylrh.org + myLRH.org + facebook.com/LakelandRegionalHealth

Together, our Promise is YOUR HEALTH.


-----Original Message-----
From: Belfi, Karen [mailto:bel...@mlhs.org]
Sent: Friday, September 21, 2018 6:42 AM
To: Tara Platt <tara.pl...@mylrh.org>; Carlson, Brenda L 
<brenda_carl...@urmc.rochester.edu>; 'sepsisgroups@lists.sepsisgroups.org' 
<sepsisgroups@lists.sepsisgroups.org>
Subject: RE: Sepsisgroups Digest, Vol 304, Issue 2

I wouldn't consider this an administrative contra based on the documentation, 
as they did not refuse anything.


Karen Belfi, RN, MSN
Quality Outcomes Coordinator
Lankenau Medical Center
(484)476-8092

-----Original Message-----
From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Tara Platt
Sent: Monday, September 17, 2018 2:17 PM
To: Carlson, Brenda L; 'sepsisgroups@lists.sepsisgroups.org'
Subject: [EXTERNAL] Re: [Sepsis Groups] Sepsisgroups Digest, Vol 304, Issue 2

This message originated from outside MLHS systems. Any attachments or links 
should be carefully considered before proceeding. Please contact the Help Desk 
at 484-596-4357 with any questions or forward a questionable email to 
helpd...@mlhs.org

******************************************************************************************************************************************************************************************************************
Would this not be considered an administrative contraindication to care due to 
the patient and daughter agreeing to gentle hydration and not a 30ml/kg bolus?

Tara Platt, RN MSN
Strategic Performance and Quality
863-687-1100 ext. 2560
tara.pl...@mylrh.org + myLRH.org + facebook.com/LakelandRegionalHealth

Together, our Promise is YOUR HEALTH.


-----Original Message-----
From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Carlson, Brenda L
Sent: Thursday, September 13, 2018 10:39 AM
To: 'sepsisgroups@lists.sepsisgroups.org' <sepsisgroups@lists.sepsisgroups.org>
Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 304, Issue 2

Perhaps CMS would have accepted this as an appropriate exclusion if the 
provider had included wording such as "CHF with pulmonary edema and concerns 
for fluid overload" or "ESRD on HD with anasarca and concerns for fluid 
overload". The provider didn't clearly state why there was a concern for fluid 
overload.

Brenda L. Carlson MS, BSN, RN
Assistant Quality Officer
Office of Clinical Practice Evaluation
University of Rochester Medical Center
265 Crittenden Blvd., Saunders Research Building, 3.205
585-273-4721
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-----Original Message-----
From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of sepsisgroups-requ...@lists.sepsisgroups.org
Sent: Wednesday, September 12, 2018 4:06 PM
To: sepsisgroups@lists.sepsisgroups.org
Subject: Sepsisgroups Digest, Vol 304, Issue 2

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Today's Topics:

   1. 30mL/Kg Bolus Exemptions (Culver, Danette)
   2. Re: Blood cultures false positive (Vickie Robertson)


----------------------------------------------------------------------

Message: 1
Date: Wed, 12 Sep 2018 13:35:59 -0400
From: "Culver, Danette" <danette.cul...@nortonhealthcare.org>
To: "Sepsisgroups@lists.sepsisgroups.org"
<Sepsisgroups@lists.sepsisgroups.org>
Subject: [Sepsis Groups] 30mL/Kg Bolus Exemptions
Message-ID:
<6fe413f8a5447e4498be19afc648a354015120393...@nhc0902.nhc.network.local>

Content-Type: text/plain; charset="us-ascii"

All,

We recently queried CMS for accepting the following documentation as refusal to 
30ml/kg bolus and they stated it did not meet the criteria. Can anyone provide 
a rationale as to why this documentation doesn't suffice? My providers prefer 
taking a more positive approach that is more inclusive of the patient, not the 
negative tone of 'patient refuses.' Any advice is greatly appreciated as well.

The following was documented by one of my MDs - "Patient meets criteria for 
30ml/kg bolus, there is concern for fluid overload and cardiogenic shock. The 
plan was discussed with patient and patient's daughter who agreed to modified 
plan of care to include gentle hydration and vasopressors, not a 30ml/kg bolus."

Thanks so much,
Danette

Danette Culver, MSN, APRN, ACNS-BC, CCRN-K, RN-BC Clinical Nurse Specialist, 
Sepsis Coordinator Norton Healthcare, Louisville KY
O: 502.629.4058
C: 812.881.0080

A Clinical Nurse Specialist (CNS) is a Master's prepared Advance Practice Nurse 
whose function is to improve outcomes in patient care. The CNS is a clinical 
practice expert, an educator, a researcher, and a consultant who influences the 
three spheres of practice: patient care, nursing, and systems. - National 
Association of Clinical Nurse Specialists

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------------------------------

Message: 2
Date: Mon, 10 Sep 2018 22:34:53 +0000
From: Vickie Robertson <vickie.robert...@unity-health.org>
To: jenny clarke <j...@live.com>
Cc: "sepsisgroups@lists.sepsisgroups.org"
<sepsisgroups@lists.sepsisgroups.org>
Subject: Re: [Sepsis Groups] Blood cultures false positive
Message-ID:
<6923e551074843beae913bb73c05c...@mail.uh.unity-health.org>
Content-Type: text/plain; charset="iso-8859-1"

We had the same issue at a hospital I previously worked for, especially in the 
ED where we were responsible for drawing our own labs.  We found the following 
contributed to the contaminated specimen:
1.  Cultures were being drawn from the IV site which caused them to often be 
contaminated.  (Site cleansed with Chloraprep thoroughly before anything else 
was set up allowing for the proper drying time between cleansing and sticking)
2.   Nurses would draw both sets from the same site (in serviced on 2 sets  = 2 
sites unless extremely hard stick then only 1 set was obtained)
3.  When doing blood cultures, the bottles were often uncapped and left sitting 
at the bedside while finishing setting up to drawn them.
This left them exposed in the room (corrected by when uncapped an alcohol prep 
was placed over the cap until ready to place the blood)

Every month on the BULLETIN BOARD in our breakroom, were the names of all 
nurses along with their contamination percentage, if we had X amount of 
contaminates we had to do an in service with 15 of our Co-workers reviewing the 
proper way to draw a blood culture.


Have a Blessed Day. Philippians 4:13 (NKJV)1 "?I can do all things through 
Christ who strengthens me."
Thank you.

Vickie Robertson, RN, Case Manager
Unity Health | Harris Medical Center
1205 McLain St. | Newport, AR 72112
?P (870) 512-3224 | F (870) 523-0395
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?


?
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-----Original Message-----
From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of jenny clarke
Sent: Friday, September 7, 2018 1:10 PM
To: Angela Craig <acr...@crmchealth.org>
Cc: sepsisgroups@lists.sepsisgroups.org
Subject: Re: [Sepsis Groups] Blood cultures false positive

That is a great idea. Thanks

Sent from my iPhone

> On Sep 7, 2018, at 1:02 PM, Angela Craig <acr...@crmchealth.org> wrote:
>
> We are working on this exact issue at our hospital.  We are about to go to a 
> process where we will post all names and contamination rates and celebrate 
> those who do well and those who have a 3% or greater contamination rate will 
> have to go to a blood culture refresher class.  Hope that helps.
>
>
>
> Angela Craig APN,MS,CCNS
> ICU Clinical Nurse Specialist
> 1 Medical Center Boulevard, Cookeville, TN 38501
> Phone: 931-783-5035 Fax: 931-783-5039 acr...@crmchealth.org |
> crmchealth.org |Facebook | Twitter Cookeville Regional Medical Center:
> Building Healthier Communities
>
> -----Original Message-----
> From: Sepsisgroups
> [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On Behalf Of
> Bankert, Eve
> Sent: Wednesday, September 05, 2018 11:39 AM
> To: jenny clarke; sepsisgroups@lists.sepsisgroups.org
> Subject: Re: [Sepsis Groups] Blood cultures false positive
>
> *** WARNING: This is an EXTERNAL EMAIL that originated outside of
> CRMC's Email System. Do not click any links or open any attachments
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>
>
> I would recommend extensive education/training for all personnel collecting 
> blood cultures.  As the microbiology supervisor in a community hospital in NY 
> that had a 10% contamination rate, we used a multidisciplinary approach and 
> brought the rate down to 2% in a year's time.
>
> -----Original Message-----
> From: Sepsisgroups
> [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On Behalf Of
> jenny clarke
> Sent: Tuesday, September 04, 2018 12:42 PM
> To: sepsisgroups@lists.sepsisgroups.org
> Subject: [Sepsis Groups] Blood cultures false positive
>
> Anyone have any help to curb this issue? I have even tried to make it
> sterile process and still running into issues.  Thanks ahead
>
> Sent from my iPhone
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Subject: Digest Footer

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Subject: Digest Footer

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