Just for clarification purposes-
A patient comes in at 2000 with SIRS criteria + documented pneumonia + lactate level of 5.47 = severe sepsis, however wouldn't this also be the time clock for the septic shock due to the lactate level > 4? I was thinking that both severe sepsis and septic shock time clocks would had started at the same time due to the lactate level. Thanks, CariAnn CariAnn Dahlquist RN Quality Management Altru Health System | Grand Forks, ND 701.780.5339 phone | 701.780.1942 fax | [email protected] ( mailto:[email protected]) >>> "Jennifer L Halligan [SJGH]" <[email protected]> 9/23/2015 1:42 PM >>> > Hi Dr. Townsend, I completely understand now the CMS SEP-1 measure “shock clock” time zero starts when the you have tissue hypoperfusion, evidenced by either initial lactate > 4 or persistent hypotension in the hour after crystalloids fluids given. Am I the only one that was totally mixed up thinking the shock clock started with severe sepsis with hypotension or lactate greater than 4? I feel a little foolish as I posted a few things. I am now cleared up but just wondering if you can help explain if there was/is a difference at all with how the SSC did “shock clock time zero” and how CMS is doing shock clock time zero. Thank you so much for all your hard work! Jennifer Halligan, RN Quality Review Nurse San Joaquin General Hospital Tel: 209-468-7471 Fax: 209-468-7011 ------------------------------------------------------------------------------------------------------------------- CONFIDENTIAL & PRIVILEGED COMMUNICATION This email and any files transmitted with it are confidential, may contain privileged or copyright information, and are intended solely for the use of the intended recipient. If you are not the intended recipient of this email, you are required to notify the sender immediately and delete this email from your system. You may not copy, distribute or use this email or the information contained in it for any purpose other than to notify the sender. We do not guarantee that this material is free from viruses or any other defects although due care has been taken to minimize the risk. Any views expressed in this message are those of the individual sender, except where the sender specifically states them to be the views of Altru Health System. --------------------------------------------------------------------------------------------------------------------- CONFIDENTIAL & PRIVILEGED COMMUNICATION This email and any files transmitted with it are confidential, may contain privileged or copyright information, and are intended solely for the use of the intended recipient. If you are not the intended recipient of this email, you are required to notify the sender immediately and delete this email from your system. You may not copy, distribute or use this email or the information contained in it for any purpose other than to notify the sender. We do not guarantee that this material is free from viruses or any other defects although due care has been taken to minimize the risk. Any views expressed in this message are those of the individual sender, except where the sender specifically states them to be the views of Altru Health System.
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