Hi- So in answer to what patient population that we look at and when;
-
We look at all patients regardless of admission location. We pull our initial
list of patients from the Sepsis Risk List in Amalga and our RRT nurses assess
them and check to see if they are meeting the bundle elements.
-These are patients who are currently admitted and
identification/assessment by the RRT nurse should take place in the first 4
hours of admission (POA) or meeting clinical criteria (NPOA)
-Some of the patients in the Amalga Sepsis Risk List will not
be final coded with Severe Sepsis or Septic shock and will not be included in
the final data.
-However, the goal of looking at all of them is to ensure that
they receive best practice care on the front end
-In addition to this, our quality nurse assigned to Sepsis pulls a
report out of Epic for all patients who are final coded with Severe Sepsis and
Septic Shock after discharge.
-This list determines the final sample of patients who are
include in our sepsis reports for mortality and bundle compliance.
Thanks,
Dawn Rohrbach CCRN
Providence St. Patrick Hospital
ACM ICU/ STAT nurses
Missoula, MT.
-----Original Message-----
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Sent: Wednesday, May 08, 2013 1:08 PM
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Subject: Sepsisgroups Digest, Vol 56, Issue 7
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Today's Topics:
1. Sepsis bundle (Lisa Dumont)
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Message: 1
Date: Tue, 7 May 2013 12:47:39 +0000
From: Lisa Dumont <[email protected]>
To: "[email protected]"
<[email protected]>
Subject: [Sepsis Groups] Sepsis bundle
Message-ID:
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Hello,
Currently I look at data across all three sites and in all patient care areas.
We have a system that captures certain data on a monthly basis. In addition, we
also have reports that can be run on a daily or weekly basis. However, there
are still data that needs to be pulled manually. I am in the process of
developing a sepsis bundle beginning in the ED and focusing on 3 and 6 hr
interventions. Do you have one to share?
Thank you
Lisa Dumont MSN, RN
Sepsis Coordinator
South Coast Hospital group
[email protected]
-----Original Message-----
From: [email protected]
[mailto:[email protected]] On Behalf Of
[email protected]
Sent: Monday, May 06, 2013 5:33 PM
To: [email protected]
Subject: Sepsisgroups Digest, Vol 56, Issue 4
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Today's Topics:
1. Re: patient population (Jessica Harkey)
----------------------------------------------------------------------
Message: 1
Date: Mon, 6 May 2013 09:38:31 -0700
From: "Jessica Harkey" <[email protected]>
To: "DAHLQUIST, CARIANN M" <[email protected]>,
[email protected]
Subject: Re: [Sepsis Groups] patient population
Message-ID: <[email protected]>
Content-Type: text/plain; charset="utf-8"
Hi, there. I look at all ICU admissions for sepsis. In addition, I run a
report on lactic acid results every day, and I look at all patients with a
level greater than 2. Then, of course retrospectively I receive a monthly list
from decision support of patients coded with DRGs 870, 871, 872 mostly so that
I can focus on mortalities as it is impossible for one person to review ALL
cases. At this time data collection for bundle performance is from the ED to
ICU severe sepsis/septic shock group.
It is not easy to find the patients in house in real time yet.
Good luck!
Jessica Harkey, RN, BSN, CCRN
Sepsis Program Coordinator
San Joaquin Community Hospital
2615 Chester Avenue
Bakersfield, CA 93303
661-869-6874
[email protected]
>>> "CARIANN M DAHLQUIST" <[email protected]> 5/3/2013 8:30 AM >>>
Hello,
I am curious as to how other facilities are abstracting their sepsis data. Are
you only gathering data from your septic patients in the critical care units or
are you abstracting data from all sepsis patients regardless of admission to
the ICU/SCCU/general medical floors?
We have 1 nurse collecting data currently and are looking at ways to capture
sepsis patients house wide. Attempts have been made to build reports that help
to identify septic patients, however they are not very clean reports yet. I am
inquiring if anyone has any additional ideas that we may try for sepsis
identification house wide.
Thank you,
CariAnn
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