Sara, Do you have an electronic medical record? If so, look into building a SIRS Screening process into nursing's q4h documentation (assessment & re-assessment process).
If no EMR, then use paper for the same purpose. Either way, nursing must screen in real time and call Rapid response when SIRS positive with suspected infection. Then Rapid should initiate labs, cultures, initial fluid resuscitation, 2 large bore IVs, call MD, etc. Antibx are initiated upon call to MD along with the rest of a standardized orderset. At this point hospitals differ in approach. Most put the pt in ICU and continue with the rest of the initial resuscitation bundle. Some allow a small subset of pts to go to PCU where fluid resuscitation continues until lactate WNL and pt is asymptomatic. Retrospective review is a waste of your time.....perhaps intellectually stimulating but no help to the patient. Sent from my iPhone Please excuse typos Peggy Rice, RN, MBA Assistant CNO Good Samaritan Hospital San Jose, CA (408) 438-0986 cell (408) 559-2329 office On Dec 18, 2012, at 5:14 AM, "Sara Valentine" <[email protected]<mailto:[email protected]>> wrote: Hello, I am interested to learn the process of how anyone’s institution is implementing concurrent monitoring of SS or SSH patients. Currently, my process is to get the patient’s name of suspected sepsis and I screen for the SIRS, infectious source, and the organ dysfunction. Unfortunately, most of my chart reviews are done retrospectively, usually days after initial presentation, thus not allowing appropriate time to help intervene to encourage use of the protocol. There is ongoing education within the facility of the nursing staff, hopefully getting nurses to call a rapid response, which I will respond to and there is a specific Sepsis protocol to follow. But I was curious to see if anyone has a great program that wouldn’t mind sharing how they go about monitoring their patients and interventions. Thanks for your time! Sara Valentine, BSN, RN, CNRN Nurse Educator/Clinical Sepsis Coordinator Medical Center Hospital 500 West 4th Street Odessa, Texas 79761 ph: 432.640.1085 fax:432.640.2885 ________________________________ CONFIDENTIALITY NOTICE: The documents accompanying this email transmission contain confidential information belonging to the sender that is legally privileged. This information is intended only for the use of the individual or entity named above. The authorized recipient of this information is prohibited from disclosing this information to any other party and is required to destroy the information after its stated need has been fulfilled. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of these documents is strictly prohibited. If you have received this email in error, please notify the sender immediately to arrange for return of these documents. _______________________________________________ Sepsisgroups mailing list [email protected]<mailto:[email protected]> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
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