Hi Terri; You are correct; the CMS specs seem to establish a “second time zero” as it were. It seems that the “shock clock” for beginning the bundle elements that we used to call the 6 hour bundle - starts at the time that the 30ml/kg bolus is started indicating the time that shock was recognized and treated with the initial fluid bolus. It seems that we now have 6 hours from that shock time zero to comply with the shock elements in the all-or-none bundle.
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] “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: Sepsisgroups [mailto:[email protected]] On Behalf Of Savino, Terri Sent: Friday, May 08, 2015 5:16 PM To: [email protected] Subject: [Sepsis Groups] Fluid resuscitation I was wondering if anyone could clarify what time CMS is looking for fluid administration? It looks like to me they want the time it was hung (appropriate order for fluid resuscitation), but isn't it important to know the time the 30ml/kg are infused, not when they are hung? What time does the surviving sepsis campaign use? Thank you in advance for your response. Terri Terri Savino MSN, RN, CPHQ Core Measure Specialist Quality Improvement Coordinator Trauma Coordinator Middlesex Hospital 28 Crescent St Middletown, CT 06457 office: 860-358-3026 fax: 860-358-4088 www.middlesexhospital.org<http://www.middlesexhospital.org> [http://middlesexhospital.org/wsimages/logo-header.png] This e-mail message may be protected by the attorney client privilege and the work product doctrines. This e-mail may also be protected by section 19a-17b of the CT General Statutes. If you have received this message in error, please notify Middlesex Health System by sending a reply email to the sender or calling the Middlesex Hospital Privacy Office Hotline at 860-358-4630 and then delete this email and all attachments. The information contained in this email and any attached files from Middlesex Health System are confidential under federal and state law and are intended only for the person to whom they are addressed. If you are not the intended recipient, you are hereby notified that any inappropriate use or reproduction of the information is strictly prohibited and may subject you to civil or criminal penalties.
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