I was wondering if anyone had literature or recommendations on how to advocate for a Sepsis Coordinator for a Sepsis program. Do recommendations exist for a person per X number of patients? Our facility has 500 beds and approx 24000 inpatient admissions per year. We are a quaternary regional transfer center with transplant and advanced cardiac therapy services. We have about 30 admissions for severe sepsis/septic shock to our MICU team monthly. Any suggestion or business proposals would be appreciated. Thanks Fiona
________________________________________ From: Sepsisgroups <[email protected]> on behalf of [email protected] <[email protected]> Sent: Wednesday, January 27, 2016 2:08:07 PM To: [email protected] Subject: Sepsisgroups Digest, Vol 189, Issue 7 THIS EMAIL IS FROM AN EXTERNAL SENDER! DO NOT click links or provide your User ID or Password if the sender is unknown. Send Sepsisgroups mailing list submissions to [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] You can reach the person managing the list at [email protected] When replying, please edit your Subject line so it is more specific than "Re: Contents of Sepsisgroups digest..." Today's Topics: 1. Re: crystalloid fluid administration ([email protected]) 2. Re: Septic Shock Presentation Time (Townsend, Sean, M.D.) ---------------------------------------------------------------------- Message: 1 Date: Tue, 26 Jan 2016 14:38:03 +0000 From: <[email protected]> To: <[email protected]> Subject: Re: [Sepsis Groups] crystalloid fluid administration Message-ID: <b937f26613d6324ca00e6e3e0b43a0262a0bc...@fwdcwpmsghcmd4a.hca.corpad.net> Content-Type: text/plain; charset="us-ascii" Re: Crystalloid fluids & the Fear of Fluid: I was uncomfortable with the crystalloid fluid administration that lacks a "reason for not administering" option. However, now that I better understand the risk of hypoperfusion in septic shock, I can see the rationale: Single organ failure is more treatable than multiple organ failure and death; dialysis, diuresis, and intubation are better options than continuing a state of hypoperfusion to all organ systems. Physicians and nurses at my facility were advised of the following options: order Lasix with the bolus (similar to our practice in blood administration for CHF patients), order a bipap on standby, make arrangements for emergency dialysis if needed, and be prepared to intubate if required. If the fluid bolus is not given, the patient will suffer multiple organ failure due to hypoperfusion and shock. Further, a patient with a low EF and septic shock has a poor predicted outcome already. We have to stop thinking that the fluids are killing people, and take action while th e fluids might still help preserve their organ systems. Regards, Gayle Porter, RN BSN -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20160126/9a8233cf/attachment.html> ------------------------------ Message: 2 Date: Mon, 25 Jan 2016 13:11:57 -0800 From: "Townsend, Sean, M.D." <[email protected]> To: "Belfi, Karen" <[email protected]> Cc: "[email protected]" <[email protected]> Subject: Re: [Sepsis Groups] Septic Shock Presentation Time Message-ID: <[email protected]> Content-Type: text/plain; charset="utf-8" I don't see criteria met at 10:47. MD say so is not enough. On Jan 25, 2016, at 1:02 PM, Belfi, Karen <[email protected]<mailto:[email protected]>> wrote: 10:47 would be septic shock time. It?s the earliest time criteria is met. Karen Belfi, RN, MSN Quality Outcomes Coordinator Lankenau Medical Center 484-476-8092 Pager: 5240 <image001.png> From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected]<mailto:[email protected]> Sent: Wednesday, January 20, 2016 9:15 PM To: [email protected]<mailto:[email protected]> Subject: [Sepsis Groups] Septic Shock Presentation Time Clinical criteria for severe sepsis is met at 1002. Crystalloid bolus completed at 1247. SBP=79 @ 1300. SBP=87 @1330. Initial lactic acid =4.0 resulted at 1126. ED physician note started at 1047 containing documentation of possible septic shock. Would septic shock presentation time be 1047, 1126 or 1300? Karen King, RN MSN Quality Management Core Measures Specialist, Lead Lakeview Regional Medical Center 95 Judge Tanner Boulevard Covington, LA 70433 Office: (985) 867-4467 Cell: (985) 788-0585 Fax: (985) 867-4263 Email: [email protected]<mailto:[email protected]> This email and any files transmitted with it may contain privileged or confidential information and may be read or used only by the intended recipient. If you are not the intended recipient of the email or any of its attachments, please be advised that you have received this email in error and that any use, dissemination, distribution, forwarding, printing, or copying of this email or any attached files is strictly prohibited. If you have received this email in error, please immediately purge it and all attachments and notify the sender by reply email or contact the sender at the number listed. _______________________________________________ Sepsisgroups mailing list [email protected]<mailto:[email protected]> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org ------------------------------ Subject: Digest Footer _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org ------------------------------ End of Sepsisgroups Digest, Vol 189, Issue 7 ******************************************** _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
