My understanding, is the focused exam has to come from a physician, PA, or NP.
Did anyone else understand it that way?
Erin K. Parker RN, BSN, ACM | Infection Control | Sepsis Coordinator
Genesys Regional Medical Center | One Genesys Parkway | Grand Blanc, MI 48439
Phone: 810.606.5093| Fax: 810-606-5495 |
[email protected]<mailto:[email protected]> |
www.genesys.org<http://www.genesys.org/>
From: Sepsisgroups [mailto:[email protected]] On
Behalf Of [email protected]
Sent: Wednesday, May 27, 2015 3:25 PM
To: [email protected]
Subject: [Sepsis Groups] CMS Guidelines
So, I've read through the new CMS Guidelines and it states that a repeat
assessment must be completed within 6 hrs with either a focused exam (including
VS, cardiopulmonary exam, cap refill, peripheral pulse eval and skin exam) or
any two of the four: CVP, SV02, bedside cardiovascular ultrasound, passive leg
raise or fluid challenge.
At our hospital, we have the "shift evaluation" and "shift re-evaluation." If
the nurse documents the "shift re-evaluation" they are basically saying nothing
has changed since the last evaluation. I'm wondering if that will suffice, or
if they actually have to do another complete head-to-toe assessment. Any
thoughts??
Thanks,
Debbie
Debbie Chambless, MSN, RN, ARNP-C
Sepsis Coordinator
Osceola Regional Medical Center
Kissimmee, Fl 34741
Office: 407-518-3949
Cell: 772-807-0525
~~Recognizing sepsis as a global enemy. Hoping for global unity in finding a
solution~~
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