I'm very curious to understand END time for fluids as well, as this is needed to determine persistent hypotension. Must there be documentation from the nurse stating an end time, or can we calculate the time of when the fluids were finished by how they were ordered.
Example: Fluids ordered at 1000 as "administer 2500 mL bolus over 2 hours". Nurse scans the fluids at 1015. Can we use 1215 as the end time, or does the nurse have to document this? Also, what if the order is written as administer a 2500 mL bolus, but with no time frame but the term bolus is used in the order? Thank you, Katerina Rhynes - RN, BSN Sepsis Coordinator Wesley Medical Center Quality Department 550 N. Hillside Wichita, KS 67214 Phone: 316.962.7007 Fax: 316.962.7467 Email: [email protected]<mailto:[email protected]> From: Sepsisgroups [mailto:[email protected]] On Behalf Of Carter, Anne Sent: Friday, October 16, 2015 11:49 AM To: [email protected] Subject: [EXTERNAL] [Sepsis Groups] unsecure: fluids and time infused One of our fallouts has been giving fluids within the 3 hour time frame. Not that the order is not put in, but it is difficult to abstract the completion time. According to one of our CMS webinars, we can base the conclusion of infusion of 30 mL/kg of crystalloids from the LIPs order as long as there is a duration in the order and a start time by the nurse. (i.e. NS 0.9% 1500cc over 1 hour). I am just looking for confirmation that this is an acceptable practice because no one else I'm talking too seems to know this. Thanks for your help, don't know what I'd do without this listserv!! Anne Carter MS, RN, ACNS-BC, CEN Outcomes Coordinator Riverview Medical Center Red Bank, NJ 07724 [email protected]<mailto:[email protected]>
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