Absolutely!  SIRS and source = screen...automatic. 

Sent from Rich's iPhone

On Sep 10, 2012, at 12:44 PM, Karin <[email protected]> wrote:

> Does your facility obtain lactates on patients with acute appendicitis or 
> cholecystitis? 
> Karin Molander MD 
> MPHS Burlingame CA
> 
> Sent from my iPhone
> 
> On Sep 7, 2012, at 9:28 AM, "Jessica Harkey" <[email protected]> wrote:
> 
>> Hello there. I also struggle with capturing our sepsis patients outside of 
>> the ICU as well. For purposes of performance data collection I am focusing 
>> on all patients admitted to the ICU with severe sepsis or septic shock. It 
>> is much easier to start with a smaller group, and initially we reported on 
>> only those admitted to the ICU from the Emergency Dept. I also report on ALL 
>> mortalities regardless of point of entry to the hospital. To help me better 
>> find the patients as close to real-time as possible who may be in-house and 
>> will benefit from follow-up, each morning I run a report of lactic acid 
>> results and review the electronic census for each nursing unit to look for 
>> diagnoses/chief complaints of sepsis or other infectious processes, 
>> hypotension, etc. I also receive notification from our concurrent coding 
>> staff as well as monthly reports from decision support of patients 
>> discharged with severe sepsis/septic shock and from that report I pull the 
>> mortalities.
>> Overall until we establish a consistent & solid house-wide screening process 
>> and implement our Sepsis Alert process I expect some patients to fall 
>> through the cracks when it comes to including them in our data collection. 
>> Lots of work ahead!
>> Good luck, I hope I was able to help. 
>> 
>>  
>> Jessica Harkey, RN, BSN, CCRN
>> Sepsis Program Coordinator 
>> San Joaquin Community Hospital
>> 2615 Chester Avenue
>> Bakersfield, CA 93303
>> 661-869-6874
>> [email protected]
>> >>> "Dr.Mohan Ranganathan" <[email protected]> 9/6/2012 6:23 AM >>>
>> 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
>> _______________________________________________
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>> [email protected]
>> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
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