Lisa, 

The severe sepsis presentation time can be a confusing data element. I would 
use the earliest time that the patient met the criteria for severe sepsis which 
would be the lactate result time of 17:50 (already met infection in the note 
opened at 16:37 and the 2/4 SIRS at 16:19). 

Brenda

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   1. severe sepsis presentation (Schrecengost, Lisa M.)


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Message: 1
Date: Tue, 26 Jun 2018 14:00:26 +0000
From: "Schrecengost, Lisa M." <[email protected]>
To: "[email protected]"
        <[email protected]>
Subject: [Sepsis Groups] severe sepsis presentation
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        <[email protected]>
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Hello all.....


Need help!!   We are having issues with figuring out severe sepsis presentation 
times.   We are having discrepancies at our facility understanding what times 
to use, especially when the physician has severe sepsis as the impression and 
there are other times within the note.


We have a patient that comes into the ED.  The note was opened at 16:37 by the 
physician. In the body of the report, it says "Time of sepsis diagnosis is 
19:50". Pulse of 104 at 16:19. Respirations of 24 at 16:19. Lactate 2.9 at 
17:50. He documents in the body of the note "the patient has severe sepsis but 
not septic shock".
Primary impression documented on the ED Physician Report is Pneumonia, 
additional impression is Severe Sepsis. What time should we collect as Time of 
Severe Sepsis?   Do we take the time the note was opened since he has an 
impression of severe sepsis or use the times within the body of the note?


Thanks for your time,
Lisa




Lisa Schrecengost RN BSN
Quality Management
ACMH Hospital
One Nolte Drive
Kittanning, PA 16201
Phone:  724-543-8871
email:  [email protected]
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