I agree completely with Heather’s stance. A sepsis coordinator is a quality improvement expert, and builds a robust process that relies on evidence to deliver optimum care. This inherently is embedded in culture change, and shouldn’t rely on or be owned by an individual. The coordinator must be someone who can educate, engage and move metrics with the goal of sustainability with frontline staff. The process needs to work independently of practitioner and shouldn’t need to be micromanaged on a 24/7 basis.
I work full-time (37.5 hours/wk) and am responsible for a 7 site organization. Most of the work lies at the ‘front end’, educating and rolling out screening tools, order sets, etc. Monthly chart audits for outcome data are essential to monitor performance and tweak with PDSA cycles if necessary. I report to the director of Quality, Patient Safety and Risk Management, all of us that report to this portfolio are quality improvement/Lean experts. My background is Critical Care (ED/ICU)Nursing as well. Kathleen Willis Regional Sepsis Coordinator Niagara Health System 905-378-4647 ext. 44211 [email protected]<mailto:[email protected]> From: [email protected] [mailto:[email protected]] On Behalf Of Dr.Mohan Ranganathan Sent: March 17, 2013 5:41 PM To: [email protected]; [email protected]; [email protected] Subject: Re: [Sepsis Groups] Lead nurse for sepsis Dear all, Many thanks to Leah, Heather, Jim, Yisel, Jessika, George Kramer, Jacqui Jones and Kathleen Willis, for the overwhelming response in relation to my request for JD for lead nurse for sepsis. I am in the process of going through all of them. I am hoping my hospital accepts the suggestion for a lead nurse. You all have said that having a lead nurse improves the sepsis six compliance in your audits. What is the evidence apart from the audits taking place in the set up where in which there are lead nurses. Do we have any publication supporting this idea of presence of a lead nurse improve the sepsis six delivery and the outcome from sepsis? Sorry to question the existing practice in some hospitals. At least from the replies that I got so far, it looks like it is more prevalent in US & Canada as I got only two replies so far from UK. If the presence does really improve the outcome, how many nurses to be there and what grade should they be? Presence of only one person with 37.5 hrs per week which is a fully time (at least in UK) will not cover 24/7. To cover 24/7 lot more nurses would be needed. My other questions, whom should they report to? Should they report to matron or higher level? Should they report to the lead consultant for sepsis? ________________________________ From: "[email protected]<mailto:[email protected]>" <[email protected]<mailto:[email protected]>> To: [email protected]<mailto:[email protected]>; [email protected]<mailto:[email protected]>; [email protected]<mailto:[email protected]> Sent: Thursday, 14 March 2013 1:15 PM Subject: RE: [Sepsis Groups] Lead nurse for sepsis Mohan, Please see attached… hopefully, this will help. I’m happy to assist if you have should need anything else. mg Leah "Michelle" Garrison, RN Facility Sepsis Coordinator Coliseum Medical Center [email protected]<mailto:[email protected]> Office: 478-765-4164 Cell: 478-256-9848 "It is not our condition, but the caliber of our soul, that makes us happy" ~Voltaire~ This email and any files transmitted with it may contain PRIVILEGED or CONFIDENTIAL information and may be read or used only by the intended recipient. If you are not the intended recipient of the email or any of its attachments, please be advised that you have received this email in error and that any use, dissemination, distribution, forwarding, printing, or copying of this email or any attached files is strictly prohibited. If you have received this email in error, please immediately purge it and all attachments and notify the sender by reply email. From: [email protected]<mailto:[email protected]> [mailto:[email protected]] On Behalf Of Heather McClelland Sent: Thursday, March 14, 2013 4:23 AM To: Dr.Mohan Ranganathan; [email protected]<mailto:[email protected]> Subject: Re: [Sepsis Groups] Lead nurse for sepsis Mohan, I would suggest maybe they lead the quality improvement work to deliver a reliable, auditable and sustainable culture of care for sepsis patients. They will need to work closely with the consultant body to embed a different way of working and to ensure clinical engagement for this group, from the ED's (casualty's a TV programme isn't it??) to complex care to ICU. There is a risk with any of these focussed roles that all the ownership of the issue lies with that individual so it is imperative that they have organisational support to implement best practice. Heather McClelland Nurse Consultant - Emergency Care Calderdale & Huddersfield NHS Foundation Trust. ________________________________ From: [email protected]<mailto:[email protected]> on behalf of Dr.Mohan Ranganathan Sent: Mon 11/03/2013 20:58 To: [email protected]<mailto:[email protected]> Subject: [Sepsis Groups] Lead nurse for sepsis Dear all, May I know if someone is working as a lead nurse for sepsis. If so, I would be grateful if you can let me have the job plan/job description. We do have 24/7 outreach nurses in our hospital. They are senior nurses from intensive care delivering complex care in the the hospital wards. They are often busy with many things apart from sepsis care. This leads to delay in implementing sepsis six. To facilitate care given to sepsis patients, my hospital is looking at employing a lead nurse for sepsis. I thought the role would be to facilitate the care given to patients with sepsis in the wards/casualty, education and audit. Is there anything else that could be included? Many thanks in advance, BW Mohan Mohan Ranganathan Consultant Anaesthetist Lead for sepsis George Eliot Hospital NHS Trust Nuneaton UK Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.
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