It is my understanding a refusal of lab draw, line placement, or med rules them out.
-----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Monday, November 30, 2015 5:20 PM To: [email protected] Subject: Sepsisgroups Digest, Vol 182, Issue 7 Send Sepsisgroups mailing list submissions to [email protected] To subscribe or unsubscribe via the World Wide Web, visit http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org or, via email, send a message with subject or body 'help' to [email protected] You can reach the person managing the list at [email protected] When replying, please edit your Subject line so it is more specific than "Re: Contents of Sepsisgroups digest..." Today's Topics: 1. Re: Administrative contraindications to care (Mary Draper) ---------------------------------------------------------------------- Message: 1 Date: Tue, 24 Nov 2015 11:15:17 -0800 From: Mary Draper <[email protected]> To: 'Andre Vovan' <[email protected]> Cc: "[email protected]" <[email protected]>, Kelli Barrieau <[email protected]> Subject: Re: [Sepsis Groups] Administrative contraindications to care Message-ID: <[email protected]> Content-Type: text/plain; charset="utf-8" Thanks for your input. Mary Draper RN BSN Coordinator Quality Improvement Peer Review Support CV/CT Quality Management Office (925) 674-2045 Cell (925) 451-8792 Fax (925) 674-2373 [email protected]<mailto:[email protected]> ?O, let us always have a mountain within our soul, with a peak so high that we never quite reach the top? For then we will always strive for greater things And will not be content with merely climbing hills.? Ardath Rodale From: Andre Vovan [mailto:[email protected]] Sent: Tuesday, November 24, 2015 9:38 AM To: Mary Draper Cc: Kelli Barrieau; [email protected] Subject: Re: [Sepsis Groups] Administrative contraindications to care It only makes sense that this counts as an exclusion. Andre Vovan MD MBA Chief of Critical Care Hoag Memorial Hospital Prebyterian Andre Vovan, MD, MBA President/CEO Newport Critical Care, Inc On Thu, Nov 19, 2015 at 11:29 AM, Mary Draper <[email protected]<mailto:[email protected]>> wrote: Great question. I have had this same scenario and haven?t been clear on how to address it. Mary Draper RN BSN CCRN Coordinator Quality Improvement Peer Review Support CV/CT Quality Management Office (925) 674-2045<tel:%28925%29%20674-2045> Cell (925) 451-8792<tel:%28925%29%20451-8792> Fax (925) 674-2373<tel:%28925%29%20674-2373> [email protected]<mailto:[email protected]> [cid:[email protected]] ?O, let us always have a mountain within our soul, with a peak so high that we never quite reach the top? For then we will always strive for greater things And will not be content with merely climbing hills.? Ardath Rodale From: Sepsisgroups [mailto:[email protected]<mailto:[email protected]>] On Behalf Of Kelli Barrieau Sent: Wednesday, November 18, 2015 12:55 PM To: [email protected]<mailto:[email protected]> Subject: [Sepsis Groups] Administrative contraindications to care We had a patient in septic shock who refused to have a central line placed. Without the central line, we were not able to give them vasopressors. The provider documented the conversation with the patient and family about refusing the central line and what it would mean but none of those are exclusions as an administrative contraindication to care. Does anyone if refusing any of the care would be a contraindication or is it just IV, antibiotics or blood draws? Thank you, Kelli A Barrieau RN BSN Unit Based Quality Nurse Cooley Dickinson Hospital PO Box 5001, 30 Locust Street Northampton, MA 01060-5001 413-582-2859<tel:413-582-2859> [email protected]<mailto:[email protected]> Cooley-dickinson.org Please note that the information contained in this message and any files transmitted with it are privileged and confidential and are protected from disclosure under the law, including the Health Insurance Portability and Accountability Act (HIPAA). 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