We use ≥4 as our critical value which then triggers a call to the RN.
-Candi

Candi Boros, RN, BSN
Sepsis Clinical Coordinator
Alexian Brothers Health System
(847) 252-6406
[email protected]

From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Juanita Fernandes
Sent: Tuesday, October 07, 2014 10:27 AM
To: '[email protected]'
Subject: [Sepsis Groups] Lactate critical value trigger for Sepsis Alert

Hi Everyone,
Our hospital is in the process of going live with an ED Sepsis Alert. We were 
able to get the lab to recognize a critical value for lactate that would 
trigger the lab to call the RN and the RN to notify the provider. My concern is 
that the level we chose was 4 or >. The data that we have collected on our own 
patients so far, even those in septic shock, rarely have a lactate as high as 
4. What are other hospitals using for a lactate to trigger an alert?
Juanita

Juanita Fernandes, RN, BSN, CEN
Emergency Department Nurse Educator
Concord Hospital
250 Pleasant Street
Concord, New Hampshire 03301
(603) 227-7000 ext. 3138
Pager (603) 221-1104


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