I count the entire bundle as a failure it's an all or none measure.  However I 
do separate each component to see how were are doing with each component and  
see where we need to improve.

Carmen Mercado RN, MS, APN-C
Clinical Nurse Specialist, Critical Care
Trinitas Regional Medical Center
908-994-5149  beeper# 625
[email protected]

From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Pamela Green
Sent: Thursday, November 08, 2018 3:35 PM
To: [email protected]
Subject: [Sepsis Groups] Total Bundle compliance

We are having trouble getting consistent 3 and 6 hr documentation of tissue 
perfusion status. So I fail the bundle compliance if there is no documentation 
found at 3 hr and 6 hr. Even though all other components are present. Most 
times the patient is leaving the ER before or at 3 hours and by the time the 
Attending if admitted sees it is outside of 3 hr parameter. I was wondering if 
anyone else counts the entire bundle compliance as fail if the documentation is 
not there at the accurate parameter for Focused re-exam. It's frustrating 
because we don't get credit for what is being done for Bundle compliance for 
these patients. Would appreciate other observations. Thanks Pam

[cid:[email protected]][cid:[email protected]]

Pam Green BSN RN CCRN
Clinical Informatics / Sepsis Team Leader /Coordinator

[cid:[email protected]]

130 Medical Circle
Nashville, Ark. 71852
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Cell-870-703-1360
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