Thank you all for your responses. I have queried Surviving Sepsis Campaign and I was informed that they use these for their exclusion criteria:
1. refusal of treatment-CVP line placement, pressors, intubation et cetera 2. Transfers from other hospitals 3. Comfort care within 24 hours of presentation. -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Wednesday, November 05, 2014 1:36 PM To: [email protected] Subject: Sepsisgroups Digest, Vol 132, Issue 3 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. exclusions (Lisa Dumont) 2. Re: Exclusion criteria for Sepsis Protocol (Catherine Stewart) 3. Re: Exclusion criteria for Sepsis Protocol (Troy Marion) ---------------------------------------------------------------------- Message: 1 Date: Tue, 4 Nov 2014 14:32:02 +0000 From: Lisa Dumont <[email protected]> To: "[email protected]" <[email protected]> Subject: [Sepsis Groups] exclusions Message-ID: <3d9bcdca669b2d44805250f18beb3b1471454...@cmhvwexchdb02.southcoast.org> Content-Type: text/plain; charset="us-ascii" Good Morning, I exclude anyone that is d/c to inpatient hospice, any patient that comes in as a comfort measures only, a patient who has died within 24 hrs, and any patient who states they do not want aggressive measures (this must be well documented by the provider). We do count all DNR and limited therapies. Hope this helps you Lisa Dumont MSN, RN Sepsis Coordinator Southcoast Health -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Tuesday, November 04, 2014 9:17 AM To: [email protected] Subject: Sepsisgroups Digest, Vol 132, Issue 2 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. Re: Lactate testing in the field (Mary Jane Stillwagon) 2. Re: Exclusion criteria for Sepsis Protocol (Barnes-Daly, Mary Ann) ---------------------------------------------------------------------- Message: 1 Date: Mon, 3 Nov 2014 14:32:14 +0000 From: Mary Jane Stillwagon <[email protected]> To: "Carlson, Barbara A. (Lincoln, NE)" <[email protected]>, "[email protected]" <[email protected]> Cc: "Hansen, Sean L." <[email protected]>, "Perlman, Anne" <[email protected]>, "Sorensen, Mary" <[email protected]>, "Exstrom, Nancy" <[email protected]> Subject: Re: [Sepsis Groups] Lactate testing in the field Message-ID: <3e0ca6c819044d51a35437ab5ef74...@blupr0501mb1073.namprd05.prod.outlook.com> Content-Type: text/plain; charset="us-ascii" Not Duke Health System at this time. Mary Jane Stillwagon RN, BSN Administrative Director MedSurg, Critical Care, Dialysis and Psychiatry Office 919 668 0406 Pager 919 970 9359 From: Sepsisgroups [mailto:[email protected]] On Behalf Of Carlson, Barbara A. (Lincoln, NE) Sent: Monday, November 03, 2014 7:57 AM To: [email protected] Cc: Hansen, Sean L.; Perlman, Anne; Sorensen, Mary; Exstrom, Nancy Subject: [Sepsis Groups] Lactate testing in the field Good morning. Is anyone's EMS team performing lactic acid levels in the field (point of care testing)? If yes, do you have any lessons learned from a quality or time management perspective you can share? Barbara Carlson RN, BAN, CPHQ Performance Improvement CHI Health St. Elizabeth 555 S 70th St, Lincoln, NE 68510 P 402-219-7332 F 402-219-8992 [email protected]<mailto:[email protected]> CHIhealthStElizabeth.com [cid:[email protected]] This electronic mail and any attached documents are intended solely for the named addressee(s) and contain confidential information. If you are not an addressee, or responsible for delivering this email to an addressee, you have received this email in error and are notified that reading, copying, or disclosing this email is prohibited. If you received this email in error, immediately reply to the sender and delete the message completely from your computer system. -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20141103/20f45f65/attachment-0001.htm> -------------- next part -------------- A non-text attachment was scrubbed... Name: image001.jpg Type: image/jpeg Size: 4268 bytes Desc: image001.jpg URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20141103/20f45f65/attachment-0001.jpg> ------------------------------ Message: 2 Date: Mon, 3 Nov 2014 11:40:30 -0800 From: "Barnes-Daly, Mary Ann" <[email protected]> To: "'Dorosh, Editha'" <[email protected]>, "'[email protected]'" <[email protected]> Subject: Re: [Sepsis Groups] Exclusion criteria for Sepsis Protocol Message-ID: <62b84847cb93ba4fbe626d1b1d6d6e43013809d1e...@dcbl105vx.root.sutterhealth.org> Content-Type: text/plain; charset="us-ascii" DNR and DNI are definitely included unless made comfort care Thanks, MARY ANN BARNES-DALY RN BSN CCRN DC | Clinical Performance Improvement Consultant Sutter Health - Clinical Integration Department | 2200 River Plaza Drive, Sacramento, CA 95833 Mobile 916.200.5604| Office 916.286.6717 | [email protected] From: Sepsisgroups [mailto:[email protected]] On Behalf Of Dorosh, Editha Sent: Thursday, October 30, 2014 12:49 PM To: [email protected] Subject: [Sepsis Groups] Exclusion criteria for Sepsis Protocol Please clarify if you use the following exclusion criteria for the 3 hour and 6 hour bundles * DNR, DNI * Comfort Measure * Status post arrest on presentation to ER and expiration within 24 hours post arrest Will truly appreciate any clarification. This message, together with any attachments, is intended only for the use of the individual or entity to which it is addressed. It may contain information that is confidential and prohibited from disclosure. If you are not the intended recipient, you are hereby notified that any dissemination or copying of this message or any attachments is strictly prohibited. If you have received this message in error, please notify the original sender immediately by telephone or by return e-mail and delete this message, along with any attachments, from your computer. Thank you. -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20141103/89d6e8e7/attachment.htm> ------------------------------ Subject: Digest Footer _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org ------------------------------ End of Sepsisgroups Digest, Vol 132, Issue 2 ******************************************** CONFIDENTIALITY NOTICE: This e-mail and any files transmitted with it are confidential and may contain health information protected by law. Any unauthorized use or disclosure is strictly prohibited. If you are not the intended recipient, please notify the sender by return email, delete this email, and destroy any copies. Please note that any views or opinions presented in this e-mail are solely those of the author and do not necessarily represent those of Southcoast. The recipient should check this e-mail and any attachments for the presence of viruses. Southcoast accepts no liability for any damage caused by any virus transmitted by this e-mail. ------------------------------ Message: 2 Date: Tue, 4 Nov 2014 14:18:22 +0000 From: Catherine Stewart <[email protected]> To: "Barnes-Daly, Mary Ann" <[email protected]>, "'Dorosh, Editha'" <[email protected]>, "'[email protected]'" <[email protected]> Subject: Re: [Sepsis Groups] Exclusion criteria for Sepsis Protocol Message-ID: <0237059bf1bcbf43a3fd9631e1ade36b03ed4...@nodcmstmbx07.no.trinity-health.org> Content-Type: text/plain; charset="iso-8859-1" The only patients we exclude are those made Comfort Care within 24 hrs of admission and a transfer from an outside hospital. Everyone else is included. Cathy Stewart RN, BSN, CCRN Clinical Research Nurse Quality Benchmarking & External Reporting St. Joseph Mercy Hospital, Ann Arbor Phone: 734-712-1364 FAX: 734-712-7099 [email protected]<mailto:[email protected]> *As of October 1, 2014, my work email address is [email protected]<mailto:[email protected]>. Please send all future emails to my new address and update your address list. My old email address will remain active until March 2015. This is a confidential professional/peer review and quality improvement document of Saint Joseph Mercy Health System and the Trinity Health system of providers. It is protected from disclosure pursuant to the provisions of MCL 333.20175, 333.21513, MCL 333.21515, MCL 333.16222, MCL 331.531, MCL 331.533, MCL 330.1748, MCL 330.1143a, and other state laws as well as the Federal Patient Safety and Quality Improvement Act, 42 U.S.C. 299b-21-b-26 and other federal laws. Unauthorized disclosure or duplication is absolutely prohibited. ________________________________ From: Sepsisgroups [[email protected]] on behalf of Barnes-Daly, Mary Ann [[email protected]] Sent: Monday, November 03, 2014 2:40 PM To: 'Dorosh, Editha'; '[email protected]' Subject: Re: [Sepsis Groups] Exclusion criteria for Sepsis Protocol DNR and DNI are definitely included unless made comfort care Thanks, MARY ANN BARNES-DALY RN BSN CCRN DC | Clinical Performance Improvement Consultant Sutter Health - Clinical Integration Department | 2200 River Plaza Drive, Sacramento, CA 95833 Mobile 916.200.5604| Office 916.286.6717 | [email protected] From: Sepsisgroups [mailto:[email protected]] On Behalf Of Dorosh, Editha Sent: Thursday, October 30, 2014 12:49 PM To: [email protected] Subject: [Sepsis Groups] Exclusion criteria for Sepsis Protocol Please clarify if you use the following exclusion criteria for the 3 hour and 6 hour bundles * DNR, DNI * Comfort Measure * Status post arrest on presentation to ER and expiration within 24 hours post arrest Will truly appreciate any clarification. This message, together with any attachments, is intended only for the use of the individual or entity to which it is addressed. It may contain information that is confidential and prohibited from disclosure. If you are not the intended recipient, you are hereby notified that any dissemination or copying of this message or any attachments is strictly prohibited. If you have received this message in error, please notify the original sender immediately by telephone or by return e-mail and delete this message, along with any attachments, from your computer. Thank you. ?? -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20141104/430fb629/attachment.htm> ------------------------------ Message: 3 Date: Tue, 04 Nov 2014 09:32:18 -0500 From: "Troy Marion" <[email protected]> To: "'[email protected]'" <[email protected]>, "Editha' 'Dorosh" <[email protected]>, "Mary Ann Barnes-Daly" <[email protected]> Subject: Re: [Sepsis Groups] Exclusion criteria for Sepsis Protocol Message-ID: <[email protected]> Content-Type: text/plain; charset="utf-8" We are excluding the following: Palliative care/comfort measures only in ED Trauma Suicide STK alert Cardiac arrest/STEMI alert signed AMA in ED Thank you, Troy Troy Marion RN MSN CPHQ Manager Clinical Analytics Performance Improvement Department 215-612-2682 [email protected] fax 215-612-4463 >>> "Barnes-Daly, Mary Ann" <[email protected]> 11/3/2014 2:40 PM >>> DNR and DNI are definitely included unless made comfort care Thanks, MARY ANN BARNES-DALY RN BSN CCRN DC |Clinical Performance Improvement Consultant Sutter Health - Clinical Integration Department | 2200 River Plaza Drive, Sacramento, CA 95833 Mobile 916.200.5604|Office 916.286.6717 | [email protected] From:Sepsisgroups [mailto:[email protected]] On Behalf Of Dorosh, Editha Sent: Thursday, October 30, 2014 12:49 PM To: [email protected] Subject: [Sepsis Groups] Exclusion criteria for Sepsis Protocol Please clarify if you use the following exclusion criteria for the 3 hour and 6 hour bundles ? DNR, DNI ? Comfort Measure ? Status post arrest on presentation to ER and expiration within 24 hours post arrest Will truly appreciate any clarification. This message, together with any attachments, is intended only for the use of the individual or entity to which it is addressed. It may contain information that is confidential and prohibited from disclosure. If you are not the intended recipient, you are hereby notified that any dissemination or copying of this message or any attachments is strictly prohibited. If you have received this message in error, please notify the original sender immediately by telephone or by return e-mail and delete this message, along with any attachments, from your computer. Thank you. ?? This message and any attachments contain information that may be confidential and privileged. If you have received this in error and are not the intended recipient, you may not use, copy or disclose this message or its contents to anyone. If you have received this message in error, please advise the sender by reply e-mail, and delete or destroy this message and its attachments. -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20141104/7ad59b5a/attachment.htm> ------------------------------ Subject: Digest Footer _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org ------------------------------ End of Sepsisgroups Digest, Vol 132, Issue 3 ******************************************** _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
