http://www.survivingsepsis.org/SiteCollectionDocuments/Time-Zero.pdf
Here is the statement from the SSC on time zero in the ED.  This is what we use 
as our guideline.  Time zero is triage time regardless of the point in time 
during the ED stay they meet all criteria.  This has been controversial to say 
the least.  That being said, if they meet all criteria after they have left the 
ED, we do assign an inpatient time zero based on time of presentation.  Hope 
that helps!

Candi Boros, RN, BSN
Sepsis Clinical Coordinator
Alexian Brothers Medical Center/St. Alexius Medical Center
[email protected]<mailto:[email protected]>


From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Troy Marion
Sent: Thursday, September 18, 2014 3:25 PM
To: [email protected]
Subject: [Sepsis Groups] (no subject)

Severe Sepsis group,

I have an abstraction question.

If a patient initially does not present as a Severe Sepsis upon arrival to the 
ED, but hours later meets the SIRS criteria, do you count the start time for 
the 3 hour bundle as:

1. Time of arrival
or
2. Time pt presented with symptoms - Time of presentation (TOP)

Thank you, Troy
Troy Marion RN MSN CPHQ
Manager Clinical Analytics
Performance Improvement Department
215-612-2682
[email protected]<mailto:[email protected]>
fax 215-612-4463



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