While we've been telling our team this re: volume replacement, I recently saw a question answered on CMS re: this and while it supports that this volume is always required, but the last sentence indicates that the physician's judgment may come into their decision (Question #8) This may allow loopholes in the measure.
Daleen Aragon Penoyer, PhD, RN, CCRP, FCCM Director, Center for Nursing Research Orlando Health myorlandohealth.com facebook.com/orlandohealth youtube.com/orlandohealth [email protected] 1404 Kuhl Ave., MP 161 Orlando, FL 32806 tel: 321.841.5589 fax: 321.841.3530 -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Wednesday, January 20, 2016 3:11 PM To: [email protected] Subject: Sepsisgroups Digest, Vol 188, Issue 3 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: Repeat volume assessment and tissue perfusion CMS requirements (Patricia Posa) ---------------------------------------------------------------------- Message: 1 Date: Thu, 14 Jan 2016 20:49:06 -0500 From: Patricia Posa <[email protected]> To: "Murray, Theresa" <[email protected]> Cc: "[email protected]" <[email protected]>, "Sullivan-Wright, Dawn M." <[email protected]>, "Gieselman, Morris" <[email protected]> Subject: Re: [Sepsis Groups] Repeat volume assessment and tissue perfusion CMS requirements Message-ID: <[email protected]> Content-Type: text/plain; charset=us-ascii Hi Theresa The full 30ml/kg needs to be given. There are no exceptions per CMS guidelines The reassessment can be done anytime after the fluid bolus is completed and 6 hours from time met criteria for septic shock Pat Sent from my iPhone > On Jan 13, 2016, at 1:09 PM, "Murray, Theresa" <[email protected]> wrote: > > At our shop we are talking about the volume resuscitation. Does it have to > be the entire 30ml/kg, or can the clinician treat the hypotension with volume > to the point of normotension especially in a renal or CHF patent and still > get credit for the metric? I have heard different responses. > Thanks in advance for the info > > > > Theresa Murray RN, MSN, CCRN, CCNS > Critical Care Clinical Nurse Specialist Community Health Network > 1500 N. Ritter Ave > Indianapolis Indiana 46219 > 1-317-355-4258 office > 1-317-351-7860 fax > 1-317-904-7212 pager > 1-317-627-9350 Mobile > [email protected] > > Cookeville Regional Medical Center > 931-783-5035 > > > > This email message has been delivered safely and archived online by > Mimecast. For more information please visit http://www.mimecast.com > > _______________________________________________ > Sepsisgroups mailing list > [email protected] > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.o > rg _______________________________________________ > Sepsisgroups mailing list > [email protected] > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.o > rg > > > CONFIDENTIALITY NOTE: This e-mail contains information that may be > privileged, confidential and subject to legal restrictions and penalties > regarding its unauthorized disclosure or other use. You are prohibited from > copying, distributing or otherwise using this information if you are not the > intended recipient or the employee or agent to deliver to the intended > recipient. If you have received this e-mail in error, please notify us > immediately by return e-mail and delete this e-mail and all attachments from > your system. 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