Nurse-Driven Fluid Responsiveness Evaluation in Patients With Septic Shock: A Quality Improvement Initiative

Author(s): Yana Dilman, DNP, RN, AGACNP, Claire Bethel, PhD, RN, Navitha Ramesh, MD, Charlene Myers, DNP, RN, BC-ACNP

Contact Hours 1.00

CERP A 1.00

Expires Feb 01, 2027

Topics: Hemodynamics, Quality Improvement

Population: Adult

Role: Staff

Member: Free
NonMember: $10.00

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Activity Summary

Required reading for all learners: Implicit Bias impacts patient outcomes

Fluid responsiveness should be assessed in patients with septic shock because only 50% of patients are fluid responsive. Dynamic measures of fluid responsiveness, like pulse pressure variation measured after a passive leg raise maneuver, are recommended to guide fluid administration in patients with sepsis after initial fluid resuscitation. The purpose of the project was to evaluate outcomes after implementing a nurse-driven fluid responsiveness evaluation using passive leg raise and pulse pressure variation measurement in patients with septic shock.


  • Identify the importance of nurse-driven fluid responsiveness evaluation using dynamic parameters in septic shock.
  • Describe nurse-driven protocol of fluid responsiveness evaluation using pulse pressure variation post leg raise maneuver.
  • Describe the impact of the quality improvement initiative on patient outcomes and nursing practice.

Continuing Education Disclosure Statement

Successful Completion

Learners must attend/view/read the entire activity, read Implicit Bias impacts patient outcomes, and complete the associated evaluation to be awarded the contact hours or CERP. No partial credit will be awarded.


The American Association of Critical-Care Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

Provider approved by the California Board of Registered Nursing, Provider number CEP 1036, for 1.00 contact hours.

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