Re: [Sepsis Groups] Cerner and St. John's Sepsis Alert

[Anita.SiscoeHapshie]

We just received Disease Specific certification from the Joint Commission. One 
are that we need to work on (OFI) was with patient satisfaction survey. Does 
anyone have one they are willing to share?


Anita Siscoe-Hapshie

Anita Siscoe-Hapshie, RN, MSN, CCRN
Sepsis Coordinator
anita.siscoehaps...@hcahealthcare.com<mailto:anita.siscoehaps...@hcahealthcare.com>
Citrus Memorial Hospital
502 W. Highlands Blvd.
Inverness, FL 34452
Office 352.560.6214
Fax 352.726.9119

Nurses are true
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From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Sims, Chadrick L
Sent: Wednesday, September 14, 2016 4:23 PM
To: 'sepsisgroups@lists.sepsisgroups.org' 
Subject: [EXTERNAL] Re: [Sepsis Groups] Cerner and St. John's Sepsis Alert

Hey Alexis, we use the St. John's Sepsis Alert here at the University of 
Tennessee Medical Center.

We require the nurse to contact their Clinical Nurse Specialist or Clinical 
Nurse Educator immediately when an alert has fired. The nurse and specialist 
will decide whether or not to notify a provider.  (our policy is to always 
notify a provider unless an erroneous value was accidentally entered or if the 
patient should have had a "snooze" for the alert). We do not allow any actions 
to be done just from an alert being fired, but we are a large teaching 
facility: our "alert-to-orders" times are short because of easy accessibility 
of providers.

I am required to track all alerts and actions performed due to the alert 
(highly recommend this!).

Chadrick Sims, BSN, RN, CFRN, SCRN
Sepsis and Rescue Coordinator
UT Medical Center

cs...@mc.utmck.edu<mailto:cs...@mc.utmck.edu>

Office: (865)305-6497
Cell: (865)705-9996
Fax: (865) 305-6544

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Re: [Sepsis Groups] Cerner and St. John's Sepsis Alert

[Medina, Rebeka - SJPVH - 001]

Yes, we use Cerner and the Sepsis alert.  The expectation is that the nurses 
notify the doctor within 30 minutes of receiving the alert 100% of the time.  
One thing to watch for is that the alert links to a generic clinician notify 
form, so the nurse needs to document why the physician was notified in the 
comments field ("Sepsis alert received" is sufficient) otherwise it reads that 
the doctor was notified but we don't if it was for pain meds, or lab results, 
or something else.

From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Alexis Moore
Sent: Monday, September 12, 2016 7:26 AM
To: sepsisgroups@lists.sepsisgroups.org
Subject: [Sepsis Groups] Cerner and St. John's Sepsis Alert


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My facility will be changing our EMR to Cerner in April. Does your facility use 
Cerner and the St. John's Sepsis Alert? What is the nursing procedure/protocol 
when an alert is triggered? I am trying to get ahead of the game and work on 
initiating nurse driven protocols. Any insight would be greatly appreciated!

Thank you,

Alexis Moore BSN, RN
Clinical Sepsis Coordinator
Medical Center Hospital
Office (432) 640-3425
Fax (432) 640-2885

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Re: [Sepsis Groups] Cerner and St. John's Sepsis Alert

[Seckel, Maureen M]

Hi,

We have used Cerner since 2013 and have edited the algorithm to meet our needs. 
 The process is a discern alert for nursing that messages the information 
needed to call the provider within 30 minutes.  The RN documents that call in a 
critical value form that fires from the alert.  We have an auto-order for vital 
signs and lactates also.  The providers get an alert up to 24 hours after when 
they open a chart or write orders.  Our providers don't have the correct 
relationship with the patient in order to fire directly to them in a timely 
manner.
If the patient meets criteria for septic shock (criteria directly on the 
alert), the process is to call 911 Sepsis Code and the RRT responds.

Maureen A. Seckel, APRN, ACNS-BC, CCNS, CCRN, FCCM
Lead CNS Medical Pulmonary Critical Care
Sepsis Coordinator
Christiana Care Health System
4755 Ogletown-Stanton Road
3E29
Newark, DE 19718
Office 302 733-6023
msec...@christianacare.org
[cid:image001.png@01D20D89.14C87D90]

From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Alexis Moore
Sent: Monday, September 12, 2016 10:26 AM
To: sepsisgroups@lists.sepsisgroups.org
Subject: [Sepsis Groups] Cerner and St. John's Sepsis Alert

My facility will be changing our EMR to Cerner in April. Does your facility use 
Cerner and the St. John's Sepsis Alert? What is the nursing procedure/protocol 
when an alert is triggered? I am trying to get ahead of the game and work on 
initiating nurse driven protocols. Any insight would be greatly appreciated!

Thank you,

Alexis Moore BSN, RN
Clinical Sepsis Coordinator
Medical Center Hospital
Office (432) 640-3425
Fax (432) 640-2885

CONFIDENTIALITY NOTICE: The documents accompanying this email transmission 
contain confidential information belonging to the sender that is legally 
privileged. This information is intended only for the use of the individual or 
entity named above. The authorized recipient of this information is prohibited 
from disclosing this information to any other party without permission of 
original user and is required to destroy the information after its stated need 
has been fulfilled. If you are not the intended recipient, you are hereby 
notified that any disclosure, copying, distribution, or action taken in 
reliance on the contents of these documents is strictly prohibited. If you have 
received this email in error, please notify the sender immediately to arrange 
for return of these documents.
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Re: [Sepsis Groups] Cerner and St. John's Sepsis Alert

[Sims, Chadrick L]

Hey Alexis, we use the St. John's Sepsis Alert here at the University of 
Tennessee Medical Center.

We require the nurse to contact their Clinical Nurse Specialist or Clinical 
Nurse Educator immediately when an alert has fired. The nurse and specialist 
will decide whether or not to notify a provider.  (our policy is to always 
notify a provider unless an erroneous value was accidentally entered or if the 
patient should have had a "snooze" for the alert). We do not allow any actions 
to be done just from an alert being fired, but we are a large teaching 
facility: our "alert-to-orders" times are short because of easy accessibility 
of providers.

I am required to track all alerts and actions performed due to the alert 
(highly recommend this!).

Chadrick Sims, BSN, RN, CFRN, SCRN
Sepsis and Rescue Coordinator
UT Medical Center

cs...@mc.utmck.edu

Office: (865)305-6497
Cell: (865)705-9996
Fax: (865) 305-6544

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