Dear Sondra, I am a PGY-1 Pharmacy Practice Resident at a community hospital in south Florida. I am in the early phases of revising our current sepsis bundle, as well as possibly implenting a sepsis team and sepsis screening tool.Would you (and anyone else that reads this) mind sharing your sepsis bundle and/or screening tool with me so that I can get an idea of what other institutions are doing and the best way to go about this project I have taken on. Thanks so much for your help. My email address is below.
Kristen Hillebrand, PharmD. PGY-1 Pharmacy Practice Resident Indian River Medical Center 1000 36th Street Vero Beach, Fl 32960 P: 772 567 4311 x 5419 F: 772 563 4429 [email protected] www.irmc.cc ________________________________________ From: [email protected] [[email protected]] on behalf of [email protected] [[email protected]] Sent: Monday, September 10, 2012 9:40 AM To: [email protected] Subject: Sepsisgroups Digest, Vol 24, Issue 3 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: Monitoring sepsis care (Sondra Mesnard) 2. Re: Monitoring sepsis care (Jeffrey R Hanlon RN) 3. Re: Physician Buy-in (Jennifer Thoe) ---------------------------------------------------------------------- Message: 1 Date: Fri, 7 Sep 2012 13:09:53 -0400 From: Sondra Mesnard <[email protected]> To: "Dr.Mohan Ranganathan" <[email protected]> Cc: "[email protected]" <[email protected]> Subject: Re: [Sepsis Groups] Monitoring sepsis care Message-ID: <CAFd=sp_s+gqbfknjdibxm6odggnigl3cywn6raa1qzafple...@mail.gmail.com> Content-Type: text/plain; charset="iso-8859-1" Dr Mohan Ranganathan, I am an RN at Saint Joseph Mercy, and I am the sepsis champion for the CCU. We monitor all sepsis patient with a lactic acid log. Any patient that had a lactic acid drawn in the hospitial , shows up in the log and is audit. This has helped our health system to identify patient's that would of been mised without the use of the lactic acid log. I also monitor a sepsis screening tool that nurses use to screen patients for sepsis, bundle sheet for severe sepsis for early goal therepy and cam-icu data. I highly recommend a ICU physcian, ICU nurse and other medical staff to form and join a sepsis team at the hospital that you work at. Have those team members trained with sepsis, treatment and protocols. Then the train staff can serve as a resource for others. The sepsis team that I am on, meets once a month. We review sepsis cases and things that was not done per protocol, we take back to that individual or group. We use this as an opportunity to discover knowledge deficit issues related to sepsis and provide education. I hope this information is helpful. Thank you, Sondra > Dear all, > > Does any one know how to audit/monitor the care given to sepsis patients. > > My hospital is asking us to monitor and report back the sepsis care. > Presently we do not have any system to do this. We take info. given by > outreach nurses (who are all ICU trained) to capture sepsis patients > currently. This does not capture all the sepsis patients in the hospital > since some patients are not that unwell to require outreach nursing care. > > I thought of asking all of you, especially people from UK if you have any > system/way to capture all the sepsis patients in your hospital. I remember > Ron Daniels replied something along this line in another e-mail few months > ago. > > I would be grateful for your reply. > > Many thanks in advance > Mohan > > Dr Mohan Ranganathan > Consultant Anaesthetist > Lead for sepsis > George Eliot Hospital NHS Trust > Nuneaton > UK > > _______________________________________________ > Sepsisgroups mailing list > [email protected] > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org > > -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20120907/083af32e/attachment-0001.htm> ------------------------------ Message: 2 Date: Fri, 7 Sep 2012 21:40:29 -0400 (EDT) From: Jeffrey R Hanlon RN <[email protected]> To: [email protected], [email protected], [email protected] Cc: [email protected] Subject: Re: [Sepsis Groups] Monitoring sepsis care Message-ID: <[email protected]> Content-Type: text/plain; charset="us-ascii" My first question would be, do you have a sepsis coordinator? One nurse responsible for data collection and monitoring bundle compliance etc. If the answer is no, you need to look into this. Next, your IT department needs to be on board assisting the sepsis coordinator with the data collection. Without their assistance your coordinator will drown in paperwork. They can develop the tools necessary to pull the required data. The sepsis coordinator will need to develop the data points required and IT can pull this information. A Sepsis Steering Committee, that meets regularly involving all departments will be of benefit so that all remain on the same page. There are several audit tools that others have developed, which I am sure will be shared. Pulling these entities together will help provide the information needed to those that request it. Jeffrey R Hanlon RN Stamp Out Sepsis ---- Original Message ---- From: Dr.Mohan Ranganathan <[email protected]> To: Ron Elkin <[email protected]>; Dr.Sunil T Pandya <[email protected]> Cc: Sepsisgroups <[email protected]> Sent: Fri, Sep 7, 2012 10:36 am Subject: [Sepsis Groups] Monitoring sepsis care Dear all, Does any one know how to audit/monitor the care given to sepsis patients. My hospital is asking us to monitor and report back the sepsis care. Presently we do not have any system to do this. We take info. given by outreach nurses (who are all ICU trained) to capture sepsis patients currently. This does not capture all the sepsis patients in the hospital since some patients are not that unwell to require outreach nursing care. I thought of asking all of you, especially people from UK if you have any system/way to capture all the sepsis patients in your hospital. I remember Ron Daniels replied something along this line in another e-mail few months ago. I would be grateful for your reply. Many thanks in advance Mohan Dr Mohan Ranganathan Consultant Anaesthetist Lead for sepsis George Eliot Hospital NHS Trust Nuneaton UK _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20120907/b9a343bb/attachment-0001.htm> ------------------------------ Message: 3 Date: Fri, 7 Sep 2012 09:50:12 -0500 From: "Jennifer Thoe" <[email protected]> To: "'[email protected]'" <[email protected]>, "Luginbuhl, Ryan S." <[email protected]> Subject: Re: [Sepsis Groups] Physician Buy-in Message-ID: <[email protected]> Content-Type: text/plain; charset="utf-8" We also struggle with this issue. We have built a very simple database to keep track of meeting the elements of the bundles and use of the order sets by ordering physician at the point of care. Our goal is to give individual / group data feedback as education alone has not seemed to drastically increase our compliance to bundles or use of order sets. We are in the process of entering and tweaking the database to meet our needs. It is very time intensive, but we are hoping it will yield positive outcomes as demonstrated by other initiatives using the same method. Jen Jennifer Thoe, RN, MSN Stroke and Sepsis Care Coordinator Mercy Medical Center-North Iowa 1000 4th Street SW Mason City, IA 50401 Phone: (641) 428-7109 Fax: (641) 428-6383 This message originates from Mercy Medical Center - North Iowa. It may contain privileged information for the individual(s) or entity named above. It is prohibited for anyone else to disclose, copy, distribute or use the contents of this message. If you received this message in error, please delete the message and notify me immediately. >>> "Luginbuhl, Ryan S." <[email protected]> 09/06/2012 8:38 >>> AM >>> Hello, I'm a black belt that's starting a sepsis initiative at our facility. Currently we do have a the sepsis bundle in place according to the best practice guidelines but the order sets are not being utilized by our physicians. My team is made of mostly physicians with a PharmD, and nurses. I'm looking for some insight on how some facilities got physicians to utilize the order sets and got them to buy-in to using the order set. There is recognition of the problem, but seems there's an overwhelming majority that don't use the order sets. Preliminary numbers are showing that around 13% of our discharged sepsis patients were treated with the order set and that only means they used a portion of the order set, not the entire thing. Our mortality has dropped from 33% to 21%, but there's still room for major improvement after the order sets have been in place. I'd appreciate anyone's feedback. Thanks, Ryan Luginbuhl RT(R), BS Six Sigma Black Belt | Process Improvement OSF Saint Francis Medical Center 613 NE Jefferson Street | Peoria, IL | 61603 p 309.624.2245 | c 309.678.4993 | f 309.624.2236 www.osfsaintfrancis.org "Serving With the Greatest Care and Love" ==================== The information in this message is confidential and may be legally privileged. Access to this message by anyone other than the addressee is not authorized. If you are not the intended recipient, or an agent of the intended recipient, any disclosure, copying, or distribution of the message or any action or omission taken by you in reliance on it, is prohibited and may be unlawful. If you have received this message in error, please contact the sender immediately and permanently delete the original e-mail, attachment(s), and any copies. ==================== -------------- next part -------------- An HTML attachment was scrubbed... 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