Hello, I would like to ask a question related to the infusion rate of Piperacillin/Tazobactam in patients with severe sepsis and septic shock. I am aware of some studies that indicate reduced clinical failure rates and reduced ICU length of stay when extended infusions of Zosyn are employed. I cannot find any data on the optimal infusion rate of the first dose of Zosyn in patients with severe sepsis or septic shock. My question is should the first dose of Zosyn be infused over 30 minutes with subsequent doses infused at the extended infusion rate? Thank-you.
Jeanie Bollinger MSN,RN,ACCNS-AG, CCRN Sepsis Clinical Nurse Specialist Nursing Department of Excellence Mission Health Asheville, NC Phone: 828-213-5878 Beeper: 828-207-2363 -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Saturday, March 28, 2015 3:08 PM To: [email protected] Subject: Sepsisgroups Digest, Vol 149, Issue 7 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: ProMISE study (Coopersmith, Craig) 2. Re: CMS Quality Measure Submission October 2015 (Joyce Stout) ---------------------------------------------------------------------- Message: 1 Date: Fri, 27 Mar 2015 03:02:31 +0000 From: "Coopersmith, Craig" <[email protected]> To: "'[email protected]'" <[email protected]>, "[email protected]" <[email protected]> Subject: Re: [Sepsis Groups] ProMISE study Message-ID: <444ac11a8afd6c43b47714d2aea272e9010ef0b...@e14mbx14n.enterprise.emory.net> Content-Type: text/plain; charset="us-ascii" Revised statement is available on the SSC website here: http://www.survivingsepsis.org/Guidelines/Pages/default.aspx Craig Coopersmith, MD, FACS, FCCM Professor of Surgery Director, 5E Surgical Intensive Care Unit Associate Director, Emory Critical Care Center Vice Chair for Research, Department of Surgery Emory University School of Medicine Atlanta, GA [email protected] Phone: (404) 727-4273 Fax: (404) 727-3660 President, Society of Critical Care Medicine -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Thursday, March 26, 2015 9:27 AM To: [email protected] Subject: [Sepsis Groups] ProMISE study So the last of the 3 studies designed to test EGDT has been published. (ProMISE). This study along with the ARISE, and ProCESS have concluded that EGDT has no mortality benefit over usual or standard care. Does anyone know if Surviving Sepsis Campaign is going to put out a statement or are there going to be any changes to the guidelines?? I appreciate your input. Chelsea Bibelhauser RN, BSN Sepsis Coordinator Clark Memorial Hospital 1220 Missouri Ave Jeffersonville, IN 47130 812-283-2880 7 minutes online can save your life! Log onto www.clarkmemorial.org and click on HEARTaware. This information is intended only for the use of the individual or entity named above. The authorized recipient of this information is prohibited from disclosing this information to any other party unless required to do so by law or regulation. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken based on the contents of these documents is strictly prohibited by law. If you have received this message in error, please notify the Clark Memorial Hospital Privacy Officer at 812.283.2626. _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org ________________________________ This e-mail message (including any attachments) is for the sole use of the intended recipient(s) and may contain confidential and privileged information. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited. If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments). ------------------------------ Message: 2 Date: Fri, 27 Mar 2015 19:07:55 +0000 From: Joyce Stout <[email protected]> To: Karen Young <[email protected]>, "[email protected]" <[email protected]> Subject: Re: [Sepsis Groups] CMS Quality Measure Submission October 2015 Message-ID: <cy1pr0501mb11954d4e6919c1bafcf84dcef7...@cy1pr0501mb1195.namprd05.prod.outlook.com> Content-Type: text/plain; charset="us-ascii" Hi, We are just starting to use the SSC data base to collect retrospective data. I have not been able to find in the resource guide for the SSC which diagnostic codes should be used. Could anyone please share which codes they are using if they are doing retrospective data collection from administrative data? Thanks very much, Joyce Stout Joyce Stout,RN, MPA, NE-BC Department of Performance Improvement 215 955-2589 [email protected] -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of Karen Young Sent: Thursday, March 26, 2015 3:57 PM To: [email protected] Subject: [Sepsis Groups] CMS Quality Measure Submission October 2015 Yes, we've heard the same, at a Sepsis Symposium this month where one of the CMS measure writers who spoke on the topic indicated the CMS data collection is set to start this October. I've asked FAQs at QNet earlier this month if we could get the specs any sooner than April 1-- the answer was yes, Specs are published on April 1 and no, you can't get them sooner. I anticipate we'll need some build in our electronic record to support the data collection and our reporting needs. The speaker said measures are focused on 3-hour Sepsis bundle compliance and a medical re-evaluation of fluid responsiveness in the 3-6 hour period, which can be done in a number of different ways to meet the standard. Data definitions will be crucial to understanding the measured population, as well as how "present on admission" fits into the picture; those are my preliminary assumptions to be verified when the Spec Manual comes out April 1st. I've alerted my IT department and ED department to expect work to be needed on the EHR; we'll be meeting as soon as the Spec Manual is published. I'm also learning more about coding rules for Severe Sepsis/Septic Shock to prepare. There will probably be value in continuing to collect some additional data points beyond the CMS measures, however that is achieved at one's organization. Karen Young RN CPHQ QI Specialist-Sepsis Valley Medical Center Renton WA 98055 425-228-3440 ext 5963 [email protected] Today's Topics: 1. CMS -Severe Sepsis & Septic Shock Management Bundle (Orth, Claudia) ---------------------------------------------------------------------- Message: 1 Date: Wed, 25 Mar 2015 19:15:09 +0000 From: "Orth, Claudia" <[email protected]> To: "[email protected]" <[email protected]> Subject: [Sepsis Groups] CMS -Severe Sepsis & Septic Shock Management Bundle Message-ID: <b482f481b7b4d745be676ceff55ec9405168e...@mmc-exchmbs03.ad.mhc.net> Content-Type: text/plain; charset="us-ascii" Good Afternoon, I was just informed by a colleague that they were told during a Quantros webinar today, which is the software solution we currently use to submit Core Measures, that the Severe Sepsis and Septic Shock Management Bundle will be required by CMS effective October 1, 2015 discharges and that they are planning to release the spec manual on April 1, 2015. Has anyone else heard about this and what steps are other institutions taking to prepare for this? Also, are you planning, if you currently do so, to continue submitting data to the SSC database and then also using whatever software you currently use to submit the CMS measures? Any thoughts and feedback would be greatly appreciated! Thank you in advance for your time and willingness to share! Respectfully, Claudia Claudia Orth BSN, RN, CCRN-K Regional Sepsis Coordinator Munson Medical Center (231) 935-5692 (Voice) [email protected]<mailto:[email protected]> -------------- next part -------------- An HTML attachment was scrubbed... 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