[Sepsis Groups] Sepsis question

[Maggie.Macias]

Hi all,
I was wondering if you are your facility's sepsis coordinator, do you also do 
the Core Measure abstraction? Or is this something that is handled by an 
outside agency or other analysists in your facility?

Maggie Macias, RN
Sepsis Program Coordinator
Valley Regional Medical Center
Brownsville, TX
(956) 350-7179 (O)
maggie.mac...@hcahealthcare.com


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[Sepsis Groups] Question: Rapid response teams

[Maggie.Macias]

Hi all,
I know this question has been asked before, but I am looking to see who 
responds to Code Sepsis calls in other facilities.
In our facility, once the code is initiated lab and an ICU nurse respond to the 
code. In ER, no one responds. The ICU nurse that responds typically has ICU 
patients of their own. I feel like our sepsis scores/outcomes would greatly 
improve if we implemented a Rapid Response nurse or something of that sort on 
all shifts (We do not have an actual RR team). During the weekdays, I will 
respond to codes to offer assistance/support. We are greatly missing out on 
night and weekend coverage though. Please respond with what your facility does 
and the impact it has so that I can help support my idea with other facilities 
practices. Thank you all in advance!

Maggie Macias, RN
Sepsis Program Coordinator
Valley Regional Medical Center
Brownsville, TX
(956) 350-7179 (O)
maggie.mac...@hcahealthcare.com


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Re: [Sepsis Groups] [**External**] Sepsis Alert

[Maggie.Macias]

I have had this occur as well. 

Maggie Macias, RN
Sepsis Program Coordinator
Valley Regional Medical Center
Brownsville, TX 
(956) 350-7179 (O)
maggie.mac...@hcahealthcare.com 


-Original Message-
From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Townsend, Sean, M.D.
Sent: Wednesday, May 17, 2017 12:57 PM
To: Mary Draper 
Cc: sepsisgroups@lists.sepsisgroups.org
Subject: [EXTERNAL] Re: [Sepsis Groups] [**External**] Sepsis Alert

I would agree this is a confounder. You could delete from your local focus 
study, but they will still hit the metric for purposes of SEP-1.  I'm not sure 
how often you see this to justify a change to SEP-1, but if common I'd take a 
look.

On May 17, 2017, at 10:52 AM, Mary Draper  
wrote:

Hi Dr. Townsend, I have been looking through the Severe Sepsis guidelines with 
regards to patient who present in cardiac arrest to the ED. I have not found 
any information specific to this issue.  Most of them have an elevated lactate. 
It is difficult to determine what was the cause of the arrest.  We are 
proposing to our Sepsis committee that we delete these patients from the focus 
study.
What are your thoughts on this subject?
Thanks 

Mary Draper RN BSN
Coordinator Quality Improvement
Peer Review Support CV/CT
Quality Management JMH
Office (925) 674-2045
Cell (925) 451-8792
Fax (925) 674-2373
mary.dra...@johnmuirhealth.com

"O, let us always have a mountain within our soul,  with a peak so high that we 
never quite reach the top...
 For then we will always strive for greater things and will not be content  
with merely climbing hills." Ardath Rodale

-Original Message-
From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Gwen S. Schneider
Sent: Saturday, May 13, 2017 10:20 AM
To: Townsend, Sean, M.D. ; Parker, Erin 

Cc: sepsisgroups@lists.sepsisgroups.org
Subject: Re: [Sepsis Groups] [**External**] Sepsis Alert

Hello,
I am interested in the responses you might receive from your question. We use 
EPIC, and we have for LA a value of >2.0 a call from lab as a critical. I am 
wondering if other hospitals are doing the same. And what does MS have to say 
about it?

Sierra Schneider
Salem Oregon

From: Sepsisgroups [sepsisgroups-boun...@lists.sepsisgroups.org] On Behalf Of 
Townsend, Sean, M.D. [towns...@sutterhealth.org]
Sent: Thursday, May 11, 2017 9:36 PM
To: Parker, Erin
Cc: sepsisgroups@lists.sepsisgroups.org
Subject: Re: [Sepsis Groups] [**External**]  Sepsis Alert

Erin,

I'm sorry you received an inflammatory and obtuse response to your question.  
Such posts have earned the name "troll" or having been "trolled" for  for a 
reason.

Maybe to get a real answer to your question, you could share with us which EHR 
you use?

Sean



On May 5, 2017, at 7:05 AM, Parker, Erin 
> wrote:


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Would any one like to share EHR sepsis alert criteria, and also be willing to 
share how it is working?
Thanks,
Erin

Erin Parker RN, BSN, ACM
Infection Preventionist, Epidemiology
Ascension  |  Genesys
One Genesys Parkway
Grand Blanc, MI 48439
Ascension.org/Michigan
T: 810.606.5093
F: 810-606-5495
M: erin.par...@ascension.org


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[Sepsis Groups] simplified version

[Maggie.Macias]

Hi everyone,
I was wondering if anyone has had a way to somehow simplify the sepsis bundle 
process for the nurses to better understand and prevent fallouts. I was looking 
at maybe changing our perspective to see sepsis as a three-step process. I'm 
thinking by making it simpler for the staff it will increase our percentages. I 
want to break it down like this:
Step 1. Identify (where we look at our SIRS + possible infection/organ 
dysfunction)
Step 2. BLAST
Step 3. Reassess (Recheck VS and repeat Lactic acid)
Does anyone use something similar to this or maybe just anything with a 
simplified approach that you would be willing to share with me?
Thanks!

Maggie Macias, RN
Sepsis Program Coordinator
Valley Regional Medical Center
Brownsville, TX
(956) 350-7179 (O)
maggie.mac...@hcahealthcare.com


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