We worked out a process with our lab. The sick patients need an ABG anyway - so we draw with extended panel. The patients with less severe symptoms, the ED RN or Tech adds an ABG syringe to their venous lab draws and RT runs it on the ABG analyzer in ED. We did testing to assure the process works well, that the tourniquet doesn't impact values, etc. The process works quite well.
Sue Sue Beswick RN, MS, CCNS, CCRN Clinical Nurse Specialist - MSICU Greenville Health System 701 Grove Road l Greenville, SC 29605 Office: 864-455-4884 -----Original Message----- From: [email protected] [mailto:[email protected]] On Behalf Of [email protected] Sent: Wednesday, April 16, 2014 3:08 PM To: [email protected] Subject: Sepsisgroups Digest, Vol 105, Issue 1 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.org 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. Point of care lactate testing (Boros, Candi) 2. Re: field resuscitation (Joseph Clement) ---------------------------------------------------------------------- Message: 1 Date: Tue, 15 Apr 2014 15:52:58 +0000 From: "Boros, Candi" <[email protected]> To: "[email protected]" <[email protected]> Cc: "Pfeifer, Carol" <[email protected]>, "Johns, Christine" <[email protected]> Subject: [Sepsis Groups] Point of care lactate testing Message-ID: <ff021604acb4d84893d983d153e94bc55d3e4...@tx1p03dag0303.apptixhealth.net> Content-Type: text/plain; charset="us-ascii" Good Morning, Can anyone share their experience with point of care lactate testing? We are currently evaluating our processes and examining the pros and cons associated with various techniques (venous draw to lab vs ABG vs POC). Thank you! -Candi Candi Boros, RN, BSN Sepsis Clinical Coordinator Alexian Brothers Health System [email protected] CONFIDENTIALITY NOTICE: This email message and any accompanying data or files is confidential and may contain privileged information intended only for the named recipient(s). If you are not the intended recipient(s), you are hereby notified that the dissemination, distribution, and or copying of this message is strictly prohibited. If you receive this message in error, or are not the named recipient(s), please notify the sender at the email address above, delete this email from your computer, and destroy any copies in any form immediately. Receipt by anyone other than the named recipient(s) is not a waiver of any attorney-client, work product, or other applicable privilege. -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20140415/43ebb1d5/attachment.html> ------------------------------ Message: 2 Date: Tue, 15 Apr 2014 15:21:38 -0700 From: Joseph Clement <[email protected]> To: "Barnes-Daly, Mary Ann" <[email protected]> Cc: [email protected], 'Dian Nuxoll' <[email protected]>, "'[email protected]'" <[email protected]> Subject: Re: [Sepsis Groups] field resuscitation Message-ID: <ofab1a19d7.3059b9e0-on88257cbb.007aaebc-88257cbb.007ad...@sfgov.org> Content-Type: text/plain; charset="windows-1256" 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 -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20140415/1b937561/attachment-0001.htm> -------------- next part -------------- A non-text attachment was scrubbed... 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