In some of our EMS groups, we have taught them to screen for severe sepsis, and 
if hypotension is present, they begin a fluid bolus.
We count this fluid.  Assuming that the ride is not 3 hours, it is in close 
enough proximity to time zero to be counted

Thanks,
Mary Ann Barnes-Daly, RN BSN CCRN DC
Regional Clinical Initiative Lead-Sepsis and ICU Liberation (ABCDE)
Gordon and Betty Moore Foundation Grant
Sutter Health Sacramento- Sierra Region
Mobile: 916.200.5604   Office: 916.887.7084
E-mail: [email protected]<mailto:[email protected]>
Assistant: Ruby Dulay  916-887-7086
[email protected]

[cid:[email protected]]‎
You never change things by fighting the existing reality. To change something, 
build a new model that makes the existing model obsolete.
R. Buckminster Fuller


From: [email protected] 
[mailto:[email protected]] On Behalf Of Dian Nuxoll
Sent: Tuesday, April 08, 2014 11:57 AM
To: '[email protected]'
Subject: [Sepsis Groups] field resuscitation

Do you count field fluid resuscitation in your 3 hr bundle? Time zero is when 
they hit the door, so do you only count fluid starting as they hit the door?

Dian Nuxoll, RN, BSN Clinical Quality Analyst – Quality Management
425.899.2359  I  EvergreenHealth MS-62, 12040 NE 128th St., Kirkland, WA 98034
Follow EvergreenHealth on 
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[cid:[email protected]]
Please note: My e-mail address has changed to 
[email protected]<mailto:[email protected]>


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