Looking for additional clarification from the email below... Dr. Townsend,
Do you mean the vitals from the OR should be accepted or excluded? I have a case that is severe sepsis because the only organ dysfunction criteria met is the low BP when the patient was placed under anesthesia. There is no documentation from the CRNA, anesthesiologist or surgeon stating that the low BP was due to anesthesia. If I have to include this low BP it is a fallout. Please advise. Respectfully, Karla Cleveland BS RN Sepsis Coordinator Mercy Health Muskegon 1560 E. Sherman Blvd, Ste 334 Muskegon, MI 49444 231.672.2221 231.672.3965 (FAX) [email protected] www.MercyHealth.com -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of Townsend, Sean, M.D. Sent: Friday, February 03, 2017 2:14 AM To: Jeanie Bollinger Cc: [email protected] Subject: [External] Re: [Sepsis Groups] [**External**] Core measure: VS in the OR I think vitals from the OR should be excepted. I'll work on that. On Feb 2, 2017, at 7:47 AM, Jeanie Bollinger <[email protected]<mailto:[email protected]>> wrote: WARNING: This email originated outside of the Sutter Health email system! DO NOT CLICK links if the sender is unknown and never provide your User ID or Password. We have received some fall outs of the Sepsis Measure due to vital signs in the OR being used for time zero. I sent this to QNet and below is the response that I received: Unless there is physician documentation that the low BP or MAP is due to the medications or other condition within the OR, the BP's may be used to meet criteria. The anesthesiologist or CRNA does not document a narrative note as to “why” the BP dropped. Is this a reasonable expectation? The patient is in the OR for source control and is being monitored constantly. Is there consideration for excluding these patients from the measure or at least excluding vital signs recorded in the OR? Jeanie Bollinger MSN,RN,ACCNS-AG, CCRN Clinical Nurse Specialist Acute Medicine Mission Health Asheville, NC Phone:828-213-7171 ________________________________ This message and its attachments may contain confidential and/or legally-sensitive information that is intended for the sole use of the addressee(s). Any unauthorized review, use, disclosure, or distribution of the information contained in this message and its attachments is prohibited. If you have received this message or any of its attachments in error, please destroy all originals and copies of the same and notify the sender immediately. _______________________________________________ Sepsisgroups mailing list [email protected]<mailto:[email protected]> https://na01.safelinks.protection.outlook.com/?url=http%3A%2F%2Flists.sepsisgroups.org%2Flistinfo.cgi%2Fsepsisgroups-sepsisgroups.org&data=02%7C01%7Ctownsesr%40sutterhealth.org%7C8b847006accd4fefa4fb08d44b82c1f7%7Caef453eadaa243e0be62818066e9ff63%7C0%7C0%7C636216472356276265&sdata=KW2wQ2QWUo6m7MclANpWJhmxJMUwtVODVGTgka%2BbMks%3D&reserved=0 _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org Confidentiality Notice: This e-mail, including any attachments is the property of Trinity Health and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email. _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
