Get Pathway Shock

Completing the Pathway Shock form is crucial for documenting severe sepsis and septic shock in a clinical setting. This guide provides clear and detailed steps to assist users in filling out the form accurately and efficiently online.

Follow the steps to complete the Pathway Shock form effectively.

1. Click ‘Get Form’ button to obtain the Pathway Shock form and open it in the designated editor.
2. Fill in the room number, CVICU/ICU admission date, and time at the top of the form.
3. Document the severe sepsis or septic shock diagnosis, including the date and time at 'Time Zero.'
4. Indicate the location from which the patient was transferred by marking the appropriate box. Options include ER, other in-house transfer, or outside facility/direct admit.
5. Identify where the patient was first recognized as having severe sepsis or septic shock, and check the corresponding box (ED, floor, or CVICU).
6. State whether the patient is considered vasopressor unresponsive by checking the appropriate section after fluid resuscitation is completed.
7. Fill in the discharge date and time from CVICU/ICU.
8. Record the patient’s hospital discharge status by selecting either 'Alive' or 'Expired' and entering the relevant date.
9. Complete the sepsis daily goals by providing the required metrics for therapy, blood glucose, urine output, and initial lab tests as specified.
10. Document the times for blood cultures and other required labs, including additional cultures as necessary.
11. Finalise the form by reviewing all entries for accuracy, then save the changes. Users can choose to download, print, or share the completed form.

Start completing your Pathway Shock form online today for accurate and effective documentation.