Ryan, Out sepsis alert algorithm is as follows; New + screen for (simple) sepsis gets call to attending/team for notification and serial lactates (and other applicable labs) New + screen for severe sepsis gets call to RRT (ICU RN and ICU RCP) . This team reviews sepsis screen with RN. If correct, sepsis alert is called and additional personnel respond: SEPSIS ALERT Responders: Intensivist/eICU: Either live or on phone - Provides orders, notify primary MD/hospitalist of treatment plan Lab: Draw labs (Blood culture and serum lactate if no arterial) RT: Oxygen, ABG (with lactate – most rapid) IV Therapy: IV access first for rapid fluid (and possible PICC line) On alert: Pharmacy: Processes abx orders Nursing supervisor: Facilitates transfer if necessary, provides support as needed
Thanks, Mary Ann Daly, RN BSN CCRN DC Regional Clinical Initiative Lead-Sepsis and ICU Liberation (ABCDE) Gordon and Betty Moore Foundation Grant Sutter Health Sacramento Sierra Region E-mail: [email protected]<mailto:[email protected]> Blackberry: 916.200.5604 Office: 916.614.6370 You never change things by fighting the existing reality. To change something, build a new model that makes the existing model obsolete. R. Buckminster Fuller From: [email protected] [mailto:[email protected]] On Behalf Of Luginbuhl, Ryan S. Sent: Friday, February 22, 2013 12:14 PM To: [email protected] Subject: [Sepsis Groups] Sepsis Alert help Hello, The sepsis initiative I’m leading is going to pursue a “sepsis alert” model starting in the ED first then moving it out the floors. I was wondering if any other facilities could explain their Sepsis Alert process. What’s worked well? Are you running into any problems with this type of program? I really appreciate your feedback! Ryan Luginbuhl Six Sigma Black Belt | Process Improvement OSF Saint Francis Medical Center "Serving With the Greatest Care and Love" ==================== The information in this message is confidential and may be legally privileged. Access to this message by anyone other than the addressee is not authorized. If you are not the intended recipient, or an agent of the intended recipient, any disclosure, copying, or distribution of the message or any action or omission taken by you in reliance on it, is prohibited and may be unlawful. If you have received this message in error, please contact the sender immediately and permanently delete the original e-mail, attachment(s), and any copies. ====================
_______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
