pt transfers & sepsis

cmclose@saintfrancis.comcmclose@saintfrancis.com
edited May 2016 in CDI Talk Archive
Wanted to get the group's thoughts on this scenario: pt diagnosed at
outlying facility with pneumonia and admitted for IV Claforan, was
inpatient there for 4 days then transferred to where I work for "higher
level of care" due to worsening cough, not improving as expected. Pt
meets Sepsis criteria with leukocytosis, tachycardia, tachypnea,
elevated CRP and fevers but has been here only 1 day so far. Would you
query for sepsis already since pt was inpatient at other facility or
would you wait for pt to be here for "3 days"?
Thanks!

Claudine Hutchinson RN (CDI)
The Children's Hospital at Saint Francis
chutchinson@saintfrancis.com

Comments

  • ddouthitddouthit
    edited May 2016
    If clinical indicators of sepsis are present then would go ahead and query for sepsis.

    Dorie Douthit RHIT,CCS
    ddouthit@stmarysathens.org


    From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
    Sent: Tuesday, November 26, 2013 9:48 AM
    To: Douthit, Dorie
    Subject: [cdi_talk] pt transfers & sepsis


    Wanted to get the group's thoughts on this scenario: pt diagnosed at outlying facility with pneumonia and admitted for IV Claforan, was inpatient there for 4 days then transferred to where I work for "higher level of care" due to worsening cough, not improving as expected. Pt meets Sepsis criteria with leukocytosis, tachycardia, tachypnea, elevated CRP and fevers but has been here only 1 day so far. Would you query for sepsis already since pt was inpatient at other facility or would you wait for pt to be here for "3 days"?

    Thanks!

    Claudine Hutchinson RN (CDI)

    The Children's Hospital at Saint Francis

    chutchinson@saintfrancis.com
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