If they document present on arrival does that change it to the triage 
time?


Jennifer Rowe, RN, BSN 
Director of Critical Care Services 
Odessa Regional Medical Center
Odessa, Texas 79760
Office: 432-582-8856
Mobile: 432-238-5654
Email: [email protected]

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From:   Claire Sirois-Melvin <[email protected]>
To:     "[email protected]" 
<[email protected]>
Date:   08/04/2016 07:42 AM
Subject:        [Sepsis Groups] Repeat Lactate
Sent by:        "Sepsisgroups" 
<[email protected]>



Hello,
 
We are having challenges at some of our facilities with meeting bundle 
compliance due to timing of repeat lactates. The issue is often that even 
though we are drawing more than 1 Lactate, the second lactate is actually 
becoming our ?Initial Lactate? due to timing of Severe Sepsis. According 
to Technical Specifications,  the ?initial Lactate?  is the one drawn 
closest to time 0. 
For example, 
 
Patient comes in with a cough, fever,  and an elevated HR at 1420, MD 
orders lactate and Blood Culture which are drawn at 1430. Lactate results 
come back at 3.0 at 1515. MD orders fluids and antibiotics at 1530, but 
does not document  infection until 1700 (? pneumonia in admission order.) 
Repeat Lactate ordered and drawn at 1830 with result of 2.2 ... In this 
scenario, the Severe Sepsis time zero is 1700. Based on abstraction 
guidelines, this makes the second Lactate at 1830 the ?initial Lactate? 
since it is the one drawn closest to time 0. Providers do not order 
another lactate to be drawn until the next morning since the value is 
trending downward. This case fails due to no repeat Lactate within 6 hrs 
of SST zero.
 
This is frustrating for providers since the care is appropriate, and just 
the timing of documentation throws off the timing of initial lactate.
 
Is anyone having similar challenges or does anyone have a 
process/recommendation in place for such scenerios. 
 
Any information you can share would be greatly appreciated. Thank you in 
advance!
 
Claire
 
Claire Sirois-Melvin RN, BSN
Quality Measure Resource Specialist - Steward Healthcare
824 Oak Street, Brockton, MA 02301
Email: [email protected]
 

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