Dear Madison, Lori's suggestion for the webinar review is a great one. We used that information and correspondence with the author to amend our screening tool to include OB specific criteria.
We performed sepsis screening using our routine screen in 600+ pregnant patients and found a positive SIRS in 11% of a random sample of non-septic patients in that group. We amended our sepsis screen for pregnant patients: WBC >15,000, MHR > 100bpm for gestational age > 20wks, FHR > 160 for gestational age > 20 weeks and temp >100.4 and are trialing its use. Daleen Daleen Aragon Penoyer, PhD, RN, CCRP, FCCM Director, Center for Nursing Research Orlando Health myorlandohealth.com facebook.com/orlandohealth youtube.com/orlandohealth [email protected] 1404 Kuhl Ave., MP 161 Orlando, FL 32806 tel: 321.841.5589 fax: 321.841.3530 -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Friday, February 20, 2015 3:08 PM To: [email protected] Subject: Sepsisgroups Digest, Vol 144, Issue 1 Send Sepsisgroups mailing list submissions to [email protected]<mailto:[email protected]> To subscribe or unsubscribe via the World Wide Web, visit http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org or, via email, send a message with subject or body 'help' to [email protected]<mailto:[email protected]> You can reach the person managing the list at [email protected]<mailto:[email protected]> When replying, please edit your Subject line so it is more specific than "Re: Contents of Sepsisgroups digest..." Today's Topics: 1. CVP readings ([email protected]<mailto:[email protected]>) 2. Sepsis OB Screen (Madison Vahle) 3. Re: Sepsis OB Screen (Lori Harmon) ---------------------------------------------------------------------- Message: 1 Date: Thu, 19 Feb 2015 21:05:55 -0600 From: <[email protected]<mailto:[email protected]>> To: <[email protected]<mailto:[email protected]>> Subject: [Sepsis Groups] CVP readings Message-ID: <dc880770946428478d905084e1d1196e55c8fe1...@fwdcwpmsgcms01.hca.corpad.net<mailto:dc880770946428478d905084e1d1196e55c8fe1...@fwdcwpmsgcms01.hca.corpad.net>> Content-Type: text/plain; charset="us-ascii" Hello everyone: I am the education coordinator in a small community hospital. I am putting together an education plan for our hospital on the surviving sepsis campaign. Our providers tend to place femoral central lines, and I cannot find any evidence to support using the CVP reading from a femoral central line verses subclavian or internal jugular placed central line to use as a guide for fluid resuscitation in sepsis. If you have any information you have on this topic would be greatly appreciated. Thank you very much! Karen Hackenberg, RN, MS, CCRN Education Coordinator Los Alamos Medical Center 3917 West Road Los Alamos, NM 87544 505-661-9131 -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20150219/9a552381/attachment.html> ------------------------------ Message: 2 Date: Wed, 18 Feb 2015 15:54:54 -0600 From: "Madison Vahle" <[email protected]<mailto:[email protected]>> To: <[email protected]<mailto:[email protected]>> Subject: [Sepsis Groups] Sepsis OB Screen Message-ID: <83f8499329de584db5a11af75bb7129a05e58...@ctm-exchange01.cmh.local<mailto:83f8499329de584db5a11af75bb7129a05e58...@ctm-exchange01.cmh.local>> Content-Type: text/plain; charset="us-ascii" My background is in the ER, SICU/CVICU - OB land is completely foreign to me. I am rolling out our sepsis program and do not have the first clue as to how to effectively screen an OB patient. I cannot find any information either yet many published articles mention the underdiagnoses in this population. Would this be done post-partum or on admission during labor? Surely, it's not in labor and delivery. But, I may be wrong--- again-very foreign. Any information on this would be fantastic. Thank you, Madison Vahle BSN, RN, SANE Clinical Educator CITIZENS MEMORIAL HOSPITAL 1500 North Oakland Bolivar, Missouri 65613-3099 Phone: 417-328-7957 Mobile: 417-414-1800 Email: [email protected]<mailto:[email protected]> _________________________________________ -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20150218/4199d261/attachment-0001.htm> ------------------------------ Message: 3 Date: Fri, 20 Feb 2015 08:41:45 -0600 From: Lori Harmon <[email protected]<mailto:[email protected]>> To: 'Madison Vahle' <[email protected]<mailto:[email protected]>>, "[email protected]<mailto:[email protected]>" <[email protected]<mailto:[email protected]>> Subject: Re: [Sepsis Groups] Sepsis OB Screen Message-ID: <[email protected]<mailto:[email protected]>> Content-Type: text/plain; charset="us-ascii" Hi Madison, There is a webcast on the SSC site that might be helpful to you: Sepsis in Maternal Healthcare Settings<http://sccmmedia.sccm.org/video/OnDemand/SurvivingSepsis/SSC-Maternal-Healthcare.mp4> . Our colleagues recorded it and the teaching slides are also there for downloading. On behalf of the Surviving Sepsis Campaign: Lori Lori A. Harmon, RRT, MBA| Director, Quality| Society of Critical Care Medicine 500 Midway Drive, Mount Prospect, IL 60056-5811 USA t: +1 847.493.6403 | f: +1 847.493.6428 | www.sccm.org<http://www.sccm.org> www.facebook.com/SCCM1<http://www.facebook.com/SCCM1<http://www.facebook.com/SCCM1%3chttp:/www.facebook.com/SCCM1>> | www.twitter.com/SCCM<http://www.twitter.com/SCCM<http://www.twitter.com/SCCM%3chttp:/www.twitter.com/SCCM>> | www.youtube.com/SCCM500<http://www.youtube.com/SCCM500<http://www.youtube.com/SCCM500%3chttp:/www.youtube.com/SCCM500>> From: Sepsisgroups [mailto:[email protected]] On Behalf Of Madison Vahle Sent: Wednesday, February 18, 2015 3:55 PM To: [email protected]<mailto:[email protected]> Subject: [Sepsis Groups] Sepsis OB Screen My background is in the ER, SICU/CVICU - OB land is completely foreign to me. I am rolling out our sepsis program and do not have the first clue as to how to effectively screen an OB patient. I cannot find any information either yet many published articles mention the underdiagnoses in this population. Would this be done post-partum or on admission during labor? Surely, it's not in labor and delivery. But, I may be wrong--- again-very foreign. Any information on this would be fantastic. Thank you, Madison Vahle BSN, RN, SANE Clinical Educator CITIZENS MEMORIAL HOSPITAL 1500 North Oakland Bolivar, Missouri 65613-3099 Phone: 417-328-7957 Mobile: 417-414-1800 Email: [email protected]<mailto:[email protected]<mailto:[email protected]%3cmailto:[email protected]>> [http://ctm-web/hosted/CMHCard.PNG]<http://www.citizensmemorial.com> The information contained in this e-mail, including any attachments, is legally privileged and confidential. If you are not the intended recipient, you are hereby notified that any use or dissemination of this message is strictly prohibited. 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