2 sets of cultures is good, prudent care
My understanding is that 1 set is required to meet CMS core measure criteria

Thanks,

MARY ANN BARNES-DALY RN BSN CCRN DC  | Clinical Performance Improvement 
Consultant
Sutter Health - Office of Patient Experience | 2200 River Plaza Drive, 
Sacramento, CA 95833
Mobile 916.200.5604| Office 916.286.6717  | [email protected]

"You never change things by fighting the existing reality. To change something, 
build a new model that makes the existing model obsolete."         ~R. 
Buckminster Fuller

From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Heyer, Holly
Sent: Wednesday, November 04, 2015 8:29 AM
To: '[email protected]'
Subject: Re: [Sepsis Groups] Rivers article regarding sepsis fluid bolus for 
CHF, ESRD

Does anybody know about blood cultures, and if we need to have (2) sets of 
blood cultures for the patient with sepsis/severe sepsis/septic shock?

In the past, 2 cultures were required.  In the data dictionary and the 
Specification Manual from CMS, it is not clear to me if there still needs to be 
(2) cultures or just one?



Holly Heyer RN, BSN
QA Specialist
Quality Department
Beaumont Hospital - Taylor
(formerly Oakwood Hospital-Taylor)
Ext. 55040 (office)
[email protected]<mailto:[email protected]>

[cid:[email protected]]






From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Grimes, Lori
Sent: Monday, November 02, 2015 10:10 AM
To: 
[email protected]<mailto:[email protected]>
Subject: [Sepsis Groups] Rivers article regarding sepsis fluid bolus for CHF, 
ESRD

Dr. Townsend,

I attended the Oct. 6th Quality Reporting Center Webinar titled "The Clinician 
Perspective on Sepsis Care: The Early Management Bundle for Severe 
Sepsis/Septic Shock II." There was a question regarding exclusions for sepsis 
fluid bolus for CHF or ESRD patients (on page 6 of the transcript). You 
referenced a study (or studies) by Dr. Rivers in your response. I have been 
trying to locate the article to share with some of our Providers who are 
hesitant to administer 30ml/kg in this patient population, but have not been 
successful in identifying any specific studies. Could you share the study 
titles please?

Thanks,

Lori Grimes
RN Quality Specialist
Providence St. Patrick Hospital
406-329-5734
[email protected]<mailto:[email protected]>


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