The repeat lactate lab order is timed for three hours which means the actual 
collect time is somewhere between 3 and 4 hours. 

Jeanie Bollinger MSN, RN, ACCNS-AG, CCRN-K
APRN | Clinical Nurse Specialist-Acute Medicine
Mission Health

Mission Hospital| Mission Health
509 Biltmore Avenue, Asheville, NC 28801
P 828-213-7171 | M 828-400-1194

missionhealth.org
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   1. Re: [External]  lactic acid reflex time (Mary Draper)


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Message: 1
Date: Thu, 13 Jun 2019 16:38:03 +0000
From: Mary Draper <[email protected]>
To: Laura Soares <[email protected]>,
        "'[email protected]'"
        <[email protected]>
Subject: Re: [Sepsis Groups] [External]  lactic acid reflex time
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We use 4 hours. Our intensivists think that any time earlier (i.e. 3 hours) 
isn't enough time to see clinical significance.

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]
[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 Laura Soares
Sent: Thursday, June 06, 2019 1:50 PM
To: '[email protected]' <[email protected]>
Subject: [External] [Sepsis Groups] lactic acid reflex time

________________________________
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,

Currently we reflex any lactic acid that is > 2 to be re-drawn in 2 hrs.

I'm wondering what others' practices are when reflexing the lactic acid - do 
you use a 2 hr timeframe, or 3 hr, or?

Thanks so much!

Laura Soares MSN RN SCRN
Sepsis & Stroke Program Coordinator
559.788.6067 Office
559.280.2036 Cell

"Teamwork is the ability to work together toward a common vision--the ability 
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