Debbie- Take another look I believe it spells out the physician must complete the focused exam, so nursing re-evaluation would not meet the metric.
-Mary Jo Mary Jo Kelly, MN, RN, ACNS-BC, CCNS, CCRN Sepsis Coordinator/Clinical Nurse Specialist Box 359733 325-Ninth Ave Seattle, WA 98104 Office- 206-744-4876 Pager 206-416-1162 [email protected] This message, and any attachments to it, is protected by coordinated quality improvement/peer review confidentiality under RCW 70.41.200/4.24.250/ 43.70.510. Privileged, confidential, patient identifiable information also may be contained in this message. This information is meant only for the use of the intended recipients. If you are not the intended recipient, or if the message has been addressed to you in error, do not read, disclose, reproduce, distribute, disseminate or otherwise use this transmission. Instead, please notify the sender by reply email, and then destroy all copies of the message and any attachments. From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Wednesday, May 27, 2015 12:25 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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