What I believe they meant is that the physician must order what he or she thinks is best. However, there is no way in the measure currently to allow for this-there is no question asking for "reason for no crystalloid fluids" or "reason for <30 mL/kg fluids". However, they may address this later.
Karen Belfi, RN, MSN Quality Outcomes Coordinator Lankenau Medical Center 484-476-8092 Pager: 5240 -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of Penoyer, Daleen Sent: Wednesday, January 20, 2016 3:16 PM To: [email protected] Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 188, Issue 3 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..." _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
