I queried Qnet with this question and they said the order has to state a time frame. As a result, we are adding timeframes to all of our IVF bolus orders in the electronic order builds.
Sheree From: Sepsisgroups [mailto:[email protected]] On Behalf Of Townsend, Sean, M.D. Sent: Wednesday, September 30, 2015 12:55 PM To: 'Cobb, Amy L.'; [email protected] Subject: Re: [Sepsis Groups] Crystalloid fluids I do not believe this is correct. I believe that if the order is written that way an assumption can be made that was how the fluid was delivered, within 2 hours of the start. If on the other hand there is a flow sheet that states it happened faster, that is not a problem. Sean R. Townsend, M.D. Vice President of Quality & Safety California Pacific Medical Center 2330 Clay Street, #301 San Francisco, CA 94115 email [email protected]<mailto:[email protected]> office (415) 600-5770 fax (415) 600-1541 From: Cobb, Amy L. [mailto:[email protected]] Sent: Wednesday, September 30, 2015 4:49 AM To: Townsend, Sean, M.D.; [email protected]<mailto:[email protected]> Subject: [Sepsis Groups] Crystalloid fluids Question: Looking for some clarification on the requirements regarding the crystalloid fluid administration. From the Spec manual it looks like there is a documentation requirement for the time over which the IVFs are to be given in the physician order. For example, the order must be written to say "give 30ml/kg Normal saline IV bolus over next 2hrs". It looks like we cannot accept ("Choose Value 1") if we do not have that time frame even if it shows on the MAR that a bolus was given in an hour. Correct? Thank you! Amy Cobb RN, BSN Sepsis Coordinator/ICU Tracker Research Outcomes Morton Plant Hospital MS #73 300 Pinellas St. Clearwater, FL 33756 727-298-6953 (Desk) 727-462-3638 (Fax) [email protected]<mailto:[email protected]> ________________________________ Confidential: This electronic message and all contents contain information from BayCare Health System which may be privileged, confidential or otherwise protected from disclosure. The information is intended to be for the addressee only. If you are not the addressee, any disclosure, copy, distribution or use of the contents of this message is prohibited. If you have received this electronic message in error, please notify the sender and destroy the original message and all copies.
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