Hi Everyone, I am looking for some vital signs policies that are used in other districts. We are looking to increase the frequency of vitals in our acute care settings. Secondly we are looking toward a Sepsis Screening policy as well. Any information would be appreciated.
Thanks, Stephanie Stephanie O'Neill BScN RN Sepsis Program Nurse Leader 902.574.3556 [email protected] From: Sepsisgroups [mailto:[email protected]] On Behalf Of Wrench Rosanne (NHS CAMBRIDGESHIRE AND PETERBOROUGH CCG) Sent: Tuesday, July 08, 2014 5:57 AM To: [email protected]; [email protected] Subject: Re: [Sepsis Groups] Sepsis policy It is great to see this as I presented a poster at the RCGP ann/l conference last year (Sepsis in the News) and gave a few local short talks but I felt I had not convinced many GP's, so this is very good news! I had to alter the poster at the last minute after seeing Dr Ron Daniels on the BBC - 13/9/13:the day of the the Health & Parliamentary Ombudsman's publication of 10 patients' sepsis stories: http://www.ombudsman.org.uk/__data/assets/pdf_file/0004/22666/FINAL_Sepsis_Report_web.pdf NICE are developing guidance and NEWS was mentioned - I hope this is reciommended as an EWS - the local teaching hosp. uses MEWS which does not give the guidance for use in Primary Care and Ambulance services as NEWS does. It also omits oximetry which is strange - this was one of the deranged parameters in an iGAS Pt of mine who had no resp Sx. I arrange review at 12h for score 0, 4-6h for 1-4, but this is usually phone only - obviously I ensure they have someone competent with them and they can measure rr & pulse. Some have home sphygs but I do not know if they have annual calibration! The arrangement after surgery closure is that they or I contact me/ the OOH service if there is any hint of deterioration. I find the credit card sized Sepsis (dr & Pt) alerts developed by Drs Bye & Daniels are invaluable (available from Sepsis Trust). Since Aug 2012 it has worked very well in avoiding unnecessary emergency ED assessment, except a 3 turned out to be urinary sepsis (in for ?5d) - the patient told me she felt so unwell, so I sent her to ED, and a 6 went to zero in 12h with oral abx. I would have sent her in but she looked too well - a dangerous phrase often seen in fatal cases, but clinical judgement worked with her. I asked Dr Subbe (NEWSDIG, RCP 2012) at the annual RSM mtg and he advised that 3-5 scores can be a difficult area in decision making and this is very useful advice. I am auditing my own use but this winter I have not seen any cases of severe sepsis, just a lot of vaguely unwell Pts - NEWS helps reassure me no end and the greatest use has been in admission avoidance. There is a lot of experience in Wales and I will forward an email. Kind regards Rosanne Rosanne Wrench PhD MB BChir MRCGP Sessional GP ________________________________ From: Sepsisgroups [[email protected]] On Behalf Of Mikhail Jacquie - Practice Manager - C84113 [[email protected]] Sent: 07 July 2014 12:03 To: [email protected]<mailto:[email protected]> Subject: [Sepsis Groups] Sepsis policy Warning: This message contains unverified links which may not be safe. You should only click links if you are sure they are from a trusted source. Hi I would be grateful if you could review the attached policy and advise of its suitability to use in Primary care setting. Kind regards Jacquie Mikhail Practice Manager Major Oak Medical Practice 22 High Street Edwinstowe Notts NG21 9QS 01623 822303 ******************************************************************************************************************** This message may contain confidential information. If you are not the intended recipient please inform the sender that you have received the message in error before deleting it. Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful. Thank you for your co-operation. NHSmail is the secure email and directory service available for all NHS staff in England and Scotland NHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipients NHSmail provides an email address for your career in the NHS and can be accessed anywhere ******************************************************************************************************************** ________________________________ If you have received this e-mail in error or you are not the intended recipient, please: • do not open any attachments; • notify the sender by e-mail or telephone that you have received the message; and • after notifying the sender, delete the e-mail from your system. Thank you.
_______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
