Your alert has to be automatic and hard wired. For example, triage nurse and/or computer recognizes 2/4 sirs criteria and prompts initial sepsis screen if source identified..cultures,lact, labs etc. If screen is + for severe sepsis or septic shock a separate team is launched to ED(dubbed our sepsis response team) which is an offshoot of RRT and comprised of ICU charge nurse our ICU midlevel. The role of the srt is to facilitate line placement and immediate ICU admission for pts w lact 4 or more or fluid unresponsive hypotension.
We got some pushback from ED for our insistence on screening all sirs + souce pts. They thought we were over screening. All it took was for a couple pts to slip through the ED and get admitted to floors only to decompensate and end up in ICU. It's also key to have physician and RN champions in ICU in ED and if possible on floors. Ongoing education is key and real time feedback essential. Sent from Rich's iPhone On Feb 22, 2013, at 3:14 PM, "Luginbuhl, Ryan S." <[email protected]> wrote: > 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
_______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
