Per the specs, "The order must include the type of fluid, the volume of fluid, and a rate or time over which the fluids are to be given. The terms bolus, wide-open, or open are acceptable for a rate or infusion duration." However in this situation, unless you had an end-time documented or a rate that the bolus was administered over, you wouldn't have an end time for the fluids and wouldn't be able to assess for persistent or new hypotension in the 1 hour window following the completion of 30cc/kg. Hope this helps! Pam
Pamela Anderson, BSN, RN Clinical Data Abstractor Center for Clinical Effectiveness Bldg 105-3914 Loyola University Medical Center 2160 S. 1st Avenue Maywood, IL 60153 [email protected]<mailto:[email protected]> 708-203-5246 [Description: cid:[email protected]] CONFIDENTIALITY NOTICE** This email communication and any attachments may contain confidential and privileged PHI for the use of the designated recipients named above. Distribution, reproduction or any other use of this transmission by any party other than the intended recipient is prohibited. If you have received this communication in error, please notify the sender immediately. From: Sepsisgroups <[email protected]> On Behalf Of [email protected] Sent: Tuesday, May 18, 2021 1:54 PM To: [email protected] Subject: [External] [Sepsis Groups] Rate of fluid infusion Warning: This email originated from the Internet! DO NOT CLICK links if the sender is unknown, and NEVER provide your password. I have a question about using the word "bolus" as a rate of infusion for fluids. If the type, amount and start time are present, would the term "bolus" be acceptable for rate and compliant? For example NS 1000 ml bolus started at 1230. Questioning the measure specifics for EMS fluids to be counted toward the total 30ml/kg. Thank-you. Jeanie Bollinger MSN, RN, ACCNS-AG, CCRN-K APRN | Clinical Nurse Specialist-Acute Medicine Mission Health Mission Hospital| Mission Health 509 Biltmore Avenue, Asheville, NC 28801 P 828-213-7171 | M 828-400-1194 Missionhealth.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.
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