I would love some feedback regarding documentation of sepsis in the Emergency 
Dept.  We have gone to electronic screening in ED  as well as housewide at our 
hospital.  When a patient arrives in ICU/CVICU the critical care nurse has to 
fill out a paper Septic Shock Pathway.  When the pts develop severe sepsis or 
septic shock on the floors we have a form - they fill out (Initial management 
of severe sepsis/septic shock form) that gives them the important next steps to 
take and allows them a place to document what they have done.

Currently our ED does not have to fill out the sepsis pathway and I am 
conflicted about this.  I then have to look through all ED documentation to 
find out fluid bolus times etc. and I really want ownership in the ED.  That 
being said - this is a very busy ED and I don't want to decrease work flow.  
Can you guys tell me what you are doing with the ED setting - they using forms 
like the floors??

Angela Craig APN,MS,CCNS
Clinical Nurse Specialist
Intensive Care Unit
Cookeville Regional Medical Center
931-783-5035

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