CMS requires crystalloid - either NS or LRS

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 

-----Original Message-----
From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Mascioli, Charles MD
Sent: Wednesday, May 13, 2015 6:24 PM
To: Savino, Terri; [email protected]
Subject: Re: [Sepsis Groups] Fluid resuscitation

Hello, The sepsis "consultant" stated that we need to use NS or RL......for 
fluid resuscitation,  that "balanced solutions" such as plasmalyte wer not 
approved??? Does anybody know what the actual  CMS  rule is?
Thanks C Mascioli  MD, MMC ,Oak Ridge Tn ________________________________
From: Sepsisgroups [[email protected]] on behalf of 
Savino, Terri [[email protected]]
Sent: Friday, May 08, 2015 8:16 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>

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