I don't see either of the attachments that were mentioned in this thread.  Can 
Angela and Claudia please send to me.  [email protected]

Thanks

Mike Ackerman

-----Original Message-----
From: [email protected] 
[mailto:[email protected]] On Behalf Of 
[email protected]
Sent: Tuesday, June 25, 2013 9:54 PM
To: [email protected]
Subject: Sepsisgroups Digest, Vol 63, Issue 2

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Today's Topics:

   1. Re: Sepsisgroups Digest, Vol 62, Issue 7 (Angela Craig)
   2. Re: ED sepsis screening tool (Orth, Claudia)


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

Message: 1
Date: Tue, 25 Jun 2013 11:56:50 -0500
From: Angela Craig <[email protected]>
To: 'Andrew DeWolf' <[email protected]>,
        "[email protected]"
        <[email protected]>
Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 62, Issue 7
Message-ID:
        
<343E31412FC9094487B54371286ADDA00376D4E27E@D109EXCHMB.crmchealth.hospital>
        
Content-Type: text/plain; charset="windows-1252"

We currently do not have our EMS do a lactate level in the field either.  
Recently we have been noticing it seems we are having hyperelevated lacte 
levels in our emergency department.  One thing to think about - if the EMS 
brings in a patient they may be bringing in blood as well and if we draw a 
lactate on this blood - if it has been drawn some time ago may give us false 
high levels correct??  Anyone having this issue as well?

Angela Craig APN,MS,CCNS
Clinical Nurse Specialist
Intensive Care Unit
Cookeville Regional Medical Center
931-783-5035

________________________________
From: [email protected] 
[mailto:[email protected]] On Behalf Of Andrew DeWolf
Sent: Friday, June 21, 2013 3:23 PM
To: [email protected]
Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 62, Issue 7

Good afternoon:

Working on developing a prehospital EMS based screening system for sepsis and 
severe sepsis, found out that the only  Point of Care Lactate meter FDA 
approved and CLIA waived has been discontinued on the market and in production. 
 There is currently no other FDA Approved/ClIA waived POC Lactate meters.

Has anyone else ran into this issue or problem solved it?  Working in NY and 
with our SEMAC and REMAC's we would need approval to use non FDA approved or 
CLIA Waived devices.

Current plan is to use all of the sepsis screening criteria minus POC lactate 
and educate implement without .

Any thoughts, suggestions, or solutions from the group is appreciated.

Sincerely:

Andrew DeWolf - WCALS
Advanced Practice RSI Paramedic

> From: [email protected]
> Subject: Sepsisgroups Digest, Vol 62, Issue 7
> To: [email protected]
> Date: Fri, 21 Jun 2013 07:37:30 -0700
>
> Send Sepsisgroups mailing list submissions to 
> [email protected]
>
> To subscribe or unsubscribe via the World Wide Web, visit 
> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.o
> rg
>
> or, via email, send a message with subject or body 'help' to 
> [email protected]
>
> You can reach the person managing the list at 
> [email protected]
>
> When replying, please edit your Subject line so it is more specific 
> than "Re: Contents of Sepsisgroups digest..."
>
>
> Today's Topics:
>
> 1. Re: How do you determine the time zero for " not present on arrival 
> patients" (Angela Craig)
>
>
> ----------------------------------------------------------------------
>
> Message: 1
> Date: Wed, 19 Jun 2013 10:01:37 -0500
> From: Angela Craig <[email protected]>
> To: "'Rohrbach, Dawn'" <[email protected]>, 
> "[email protected]"
> <[email protected]>
> Cc: "Estill, Pamela" <[email protected]>
> Subject: Re: [Sepsis Groups] How do you determine the time zero for "
> not present on arrival patients"
> Message-ID:
> <343e31412fc9094487b54371286adda00376d4e...@d109exchmb.crmchealth.hosp
> ital>
>
> Content-Type: text/plain; charset="windows-1252"
>
> I am attaching the pathway we use at CRMC when we have anyone who meets 
> criteria. In the bottom right section of this form I have the Time Zero 
> criteria that we use. I hope this helps!!
>
> Angela Craig APN,MS,CCNS
> Clinical Nurse Specialist
> Intensive Care Unit
> Cookeville Regional Medical Center
> 931-783-5035
>
> ________________________________
> From: [email protected] 
> [mailto:[email protected]] On Behalf Of 
> Rohrbach, Dawn
> Sent: Tuesday, June 11, 2013 3:08 PM
> To: [email protected]
> Cc: Estill, Pamela
> Subject: [Sepsis Groups] How do you determine the time zero for " not present 
> on arrival patients"
>
> Can anyone tell us what you use to determine the time zero for your not 
> present on arrival severe sepsis patients?
>
> Dawn Rohrbach RN/ CCRN
> Assistant Clinical Manager ICU/ STAT RNS Saint Patrick Hospital
> 500 West Broadway
> Missoula , MT. 59802
> [email protected]
> 406 329-2814
> " The single most problem with communication is the illusion that it has 
> taken place"
>
>
>
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Message: 2
Date: Mon, 24 Jun 2013 19:33:28 +0000
From: "Orth, Claudia" <[email protected]>
To: "Hussey, Joann" <[email protected]>,
        "[email protected]"
        <[email protected]>
Subject: Re: [Sepsis Groups] ED sepsis screening tool
Message-ID:
        <b482f481b7b4d745be676ceff55ec9403cc53...@mmc-exchmbs02.ad.mhc.net>
Content-Type: text/plain; charset="us-ascii"

Hi JoAnn,

Here is our electronic screening tool. Feel free to contact me if you have any 
questions.


Claudia Orth, BSN, RN
Sepsis Coordinator
Munson Medical Center
1105 Sixth Street, Traverse City, MI 49684-2386
[email protected]<mailto:[email protected]>
231-935-5692

PLEASE NOTE: The information contained in this electronic mail message is a
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received this communication in error, please notify the sender by reply
transmission and delete the message without copying or disclosing it.



From: [email protected] 
[mailto:[email protected]] On Behalf Of Hussey, Joann
Sent: Friday, June 21, 2013 2:45 PM
To: [email protected]
Subject: [Sepsis Groups] ED sepsis screening tool

Does anyone have an ED sepsis screening tool that could be forwarded?
Thank you,

JoAnn Hussey, RN, BSN
Performance Improvement Coordinator

Robert Wood Johnson University Hospital
732-828-3000 ext. 8210
[email protected]<mailto:[email protected]>



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