Feature ArticlesCE Assessing Patients During Septic Shock ResuscitationBridges, Elizabeth PhD, RN, CCNS Author Information Elizabeth Bridges is a clinical nurse researcher at the University of Washington Medical Center, Seattle, and a professor in the University of Washington School of Nursing. Contact author: [email protected]. The author and planners have disclosed no potential conflicts of interest, financial or otherwise. AJN, American Journal of Nursing: October 2017 - Volume 117 - Issue 10 - p 34-40 doi: 10.1097/01.NAJ.0000525851.44945.70 Buy CE Test Metrics AbstractIn Brief In 2015, the Surviving Sepsis Campaign six-hour bundle was updated. The revised version now recommends documenting the reassessment of volume status and tissue perfusion after initial fluid resuscitation through a repeated focused examination. This article addresses the practice and interpretation of two components of this examination in adults: capillary refill time and skin mottling score. It further discusses how to best integrate these noninvasive parameters into the care of patients undergoing resuscitation for septic shock. How to integrate capillary refill time and skin mottling score into the perfusion reassessment after initial fluid resuscitation–as recommended by revisions to the Surviving Sepsis Campaign six-hour bundle. Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.