Us to. If the field fluids were used in the decision about fluid dosage in the ED, then it must be counted. It's similar to AMI metrics - if the aspirin was given by the medics we don't ask that it be given again...
Joseph Clement RN, MS, CCNS Clinical Nurse Specialist San Francisco General Hospital phone: (415) 206-6174 pager: (415) 327-0220 [email protected] "Barnes-Daly, Mary Ann" <[email protected]> Sent by: [email protected] 04/09/2014 10:43 AM To 'Dian Nuxoll' <[email protected]>, "'[email protected]'" <[email protected]> cc Subject Re: [Sepsis Groups] field resuscitation 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] Assistant: Ruby Dulay 916-887-7086 [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 Facebook and Twitter | www.evergreenhealthcare.org Please note: My e-mail address has changed to [email protected] DISCLAIMER: EvergreenHealth Confidentiality Notice: This email 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, please contact the sender by e-mail and destroy all copies of the original message or you may call EvergreenHealth in Kirkland, WA U.S.A at (425)899-1740. _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
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