Dr Mohan Ranganathan,
 I  am an RN at Saint Joseph Mercy,  and I am the sepsis champion for the
CCU. We monitor all sepsis patient with a lactic acid log. Any patient that
had a lactic acid drawn  in the hospitial , shows up in the log and is
audit. This has helped our health system to identify patient's that would
of been mised without the use of the lactic acid log.
 I also monitor a sepsis screening tool that nurses use to screen patients
for sepsis, bundle sheet for severe sepsis for early goal therepy and
cam-icu data.
 I highly recommend a ICU physcian, ICU nurse and other medical staff
to form and join a sepsis team at  the hospital that you work at. Have
those team members trained with sepsis, treatment and protocols. Then the
train staff can serve as a resource for others.
  The sepsis team that I am on, meets once a month. We review sepsis cases
and things that was not done per protocol, we take back to that individual
or group. We use this as an opportunity to discover knowledge deficit
issues related to sepsis and provide education.
 I hope this information is helpful.
Thank you,
Sondra

>  Dear all,
>
> Does any one know how to audit/monitor the care given to sepsis patients.
>
> My hospital is asking us to monitor and report back the sepsis care.
> Presently we do not have any system to do this. We take info. given by
> outreach nurses (who are all ICU trained) to capture sepsis patients
> currently. This does not capture all the sepsis patients in the hospital
> since some patients are not that unwell to require outreach nursing care.
>
> I thought of asking all of you, especially people from UK if you have any
> system/way to capture all the sepsis patients in your hospital. I remember
> Ron Daniels replied something along this line in another e-mail few months
> ago.
>
> I would be grateful for your reply.
>
> Many thanks in advance
> Mohan
>
> Dr Mohan Ranganathan
> Consultant Anaesthetist
> Lead for sepsis
> George Eliot Hospital NHS Trust
> Nuneaton
> UK
>
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