Ps both: the Survive Sepsis training will be revamped and available in e-learning format by November...
Ron Dr Ron Daniels Chair: UK Sepsis Trust CEO: Global Sepsis Alliance Sent on the move from my iPhone, excuse brevity! On 8 Aug 2013, at 22:28, "Dr.Mohan Ranganathan" <[email protected]> wrote: > > Many thanks Heather for sharing very valuable and useful information. > > It looks like that the whole team is very well motivated. How did you do it? > Do you have some kind of education for staff. I am amazed that you have done > without any team. It is an achievement given that there are lots of things > going on in our set up. > > What is your sepsis 6 bundle compliance? Ours is about 60% for all put > together though for some of the components we have more than 90%. > > BW > > Mohan Ranganathan, MD, DA, FCARCSI, PGA > Consultant Anaesthetist & lead for sepsis > George Eliot Hospital NHS Trust > Nuneaton > UK > > From: Heather McClelland <[email protected]> > To: Dr.Mohan Ranganathan <[email protected]>; Imran Aurangzeb > <[email protected]>; sepsis list serve > <[email protected]> > Sent: Thursday, 8 August 2013 7:13 AM > Subject: RE: [Sepsis Groups] 80%+ bundle compliance > > Mohan, > > Here in Yorkshire we have been implementing the sepsis screening and Sepsis 6 > bundle now for about 2 years. We have much enthusiasm, as they give clear > simple protocols that any member of staff can use and we think we are now > seeing better compliance and a reducing mortality. > Our biggest wins have been to implement and monitor closely the front end > first – ED’s, Medical Assessment Units and Surgical assessment unit, to > improve identification and initiation of Sepsis 6. Introduction of > standardised forms – colourful stickers that are easily identifiable in > patient notes. Continuous monitoring. Clinician involvement – we have had > consultant level involvement across medicine, ED, anaesthetics throughout. > Making things easy for staff – sepsis boxes on each of the ward areas, > standardised antibiotic regimes for sepsis. > > We still have some way to go. We have many challenges with giving large > volumes of fluid, and timeliness of treatment, esp. outside the ED. Not all > our clinical teams are enthusiastic, but we aim to do some targeted > implementation with them. We treat anyone who triggers for sepsis, not just > those with severe sepsis, so the workload is high, but with the aim that we > do not ‘fail to rescue’ those who could end up in severe sepsis. And this is > all without a dedicated sepsis team! Though we would love one. > > Heather McClelland > Nurse Consultant - Emergency Care > Calderdale & Huddersfield NHS Foundation Trust > Tel: 07766905556 > From: [email protected] > [mailto:[email protected]] On Behalf Of Dr.Mohan > Ranganathan > Sent: 07 August 2013 13:50 > To: Imran Aurangzeb; sepsis list serve > Subject: Re: [Sepsis Groups] 80%+ bundle compliance > > > Dear Imran, > > I am impressed with the sepsis bundle compliance of more than 80% that you > were able to achieve within 3 years. I would be very eager to know how this > was achieved since it would be a useful to many of us who were not able to > achieve such a high compliance rate. > > You have said in an earlier e-mail about involving team. But any thing else. > Our sepsis bundle compliance was very patchy without any coordination in the > past. Nor there was any formal audit or feedback. We started formal sepsis > bundle implementation a bit late, little more than a year ago in our > hospital. Now we have a team which overseas the implementation. This involves > a hospital lead for sepsis, a lead nurse for sepsis, educationists, > representative from ER and other departments. There are regular educational > programme about sepsis comprising mostly of formal lecture but also bed side > teaching as and when the opportunity arises. > > For the last month or so, we started feedback to different teams about how > they have done and how it could be done differently next time. Very many > thanks for your feedback form that you have sent to the group which was > excellent. Please forgive me for using this form without your prior > permission (with modifications to suit us) and I assumed that it was ok with > you since you distributed to the group. > > Many thanks to Dr R Daniels, UK who was kind enough to let us use sepsis 6 > and the pathway from his hospital, we have implemented sepsis 6 to start > with. This happened more than a year ago. We do have six hour bundle in the > ICU for sometime even before the formal sepsis bundle implementation as > described above. > > May I ask you and others in this group, if anyone is using sepsis 6 as a > measure of sepsis bundle or using 3 hr & 6 hr bundle as recommended by > surviving sepsis campaign. > > And also I would like to ask you, what is exactly meant by clinician driven > quality? > > Many thanks in advance, > > Mohan Ranganathan, MD, DA, FCARCSI, PGA > _______________________________________________ > Sepsisgroups mailing list > [email protected] > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
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