We have a lactic acid that will reflex to 3 hours after the initial 
draw.....for example:  If draw a lactic at 1120 am and it is > 2.0 the computer 
system will automatically re-order one for 1420.  Now if we complete all the 
fluids prior to the 1420 lab draw then we just redraw it early.  It has really 
helped us not missing our repeat lactic.

Pam Stelzman, RN-C, MSN, CEN
Clinical Educator
Blount Memorial Hospital
office: (865) 980-4991
work cellphone: (865) 722-2791

[cid:daae9d88-6fa9-47e9-8b76-572a0e242ec3]
________________________________
From: Sepsisgroups <[email protected]> on behalf of 
Jessica Harkey <[email protected]>
Sent: Monday, June 21, 2021 1:20 PM
To: '[email protected]' <[email protected]>
Subject: [EXTERNAL EMAIL] [Sepsis Groups] nurse driven lactates



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________________________________

Hello. Have any of you implemented nurse-driven lactate evaluation based on 
sepsis screen results in your organization? If so, how do you support this? 
Standing orders, vs protocols vs standardized procedures?





Thank you,



Jessica Harkey, MSN, RN, ACCNS-AG

Manager, Sepsis Quality

Quality, Safety and Risk

2500 Grant Road, Mountain View, CA 94040

650-988-7968 Office

661-330-2396 Cell

[email protected]<mailto:[email protected]>

elcaminohealth.org<www.elcaminohospital.org>

[cid:[email protected]]

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