Wow! I so appreciate this information and how things have gone for you in 
regards to implementing the new system. We also, are using a "homegrown" system 
and hoping it will all that we expect. What do you think about me visiting when 
you implement your system? We are hoping to do the same in March..

Thank you again for the information and looking forward to hearing your 
additional results.

Lisa

Lisa M. Lucas MSN RN ACNS-BC
Sepsis/4W Medical Unit - Clinical Nurse Specialist
100 Michigan Street NE
Grand Rapids, MI 49503
616.391.1276 Office
616.479.4504 Pager
[email protected]<mailto:[email protected]>
[cid:[email protected]]

A Clinical Nurse Specialist (CNS) is a Master's prepared Advance Practice 
Registered Nurse whose function is to improve outcomes in patient care.
The CNS is an expert in clinical practice, patient educator, researcher and  
consultant influencing the three spheres of practice: patient care, nursing and 
systems.

This e-mail message contains information which may be confidential and or 
legally privileged under patient privacy and/or other laws. Unless you are the 
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From: Fuller, Raeann [mailto:[email protected]]
Sent: Wednesday, December 05, 2012 4:33 PM
To: Lucas, Lisa M.; [email protected]
Subject: RE: Sepsis Alert


Good Afternoon,



We are about to be the trial site for our healthcare system.  In previewing the 
product I am excited about it's capability.  We currently have Sepsis Alert 
process with a paper Early Sepsis Recognition Tool.  All patients, Emergency 
Department and Inpatient Units, have been educated with a one hour didactic 
class on sepsis pathophysiology and the Surviving Sepsis Campaign standards.  
Additionally our ICU Charge Nurse will respond to any call for patient who 
screens positive, regardless of location.  If the patient meets criteria the 
patient is admitted to the ICU after consultation with the Intensivist.  This 
process will not change with the Cerner Lighhouse product.  We are trying to 
capture the patients earlier and with the PowerPlan standardize the care to the 
guidelines of the Surviving Sepsis standards.  This will include an antibiotic 
Advisor with recommended therapy for the ED as well as maintenance once 
admitted to the inpatient unit.



One issue we have been unable to resolve is the Cerner ED documentation system 
(FirstNet) does not allow orders to cross over to the inpatient side of care so 
the Sepsis PowerPlan must be reordered after admission.  For us this will not 
be an issue as our Intensivists are in house 24 hours a day.  I can see this 
being an issue for others without this resource.



Another challenge was the collaboration with Cerner to get the process and 
PowerPlans to meet our expectations.  They have their own foundation, but it 
will need to be adapted to each facility expectations and workflows.  Our next 
step will be to create our orientation program for all physicians and nurses, 
with special emphasis on the ED and ICU.  We are expecting to go live February 
1 for our institution with a possible roll out to the other 9 hospitals after 
March 31.  I will have more insight to actual function after our trial begins.


Raeann M. Fuller RN, CCRN
ICU Nurse Manager
Advocate Condell Medical Center
Office:  847-990-5484
Fax:  847-367-0010
________________________________
From: 
[email protected]<mailto:[email protected]>
 [[email protected]] on behalf of 
[email protected]<mailto:[email protected]> 
[[email protected]]
Sent: Tuesday, December 04, 2012 9:29 PM
To: 
[email protected]<mailto:[email protected]>
Subject: [Sepsis Groups] Sepsis Alert
Hello.
I am new to your list serve and learning more about Sepsis every day reading 
these posts. Was wondering if anyone is using Cerner Lighthouse Sepsis tool in 
their facility? If so, would love to know if you have had any growing pains or 
what you did to prepare your staff for this new system wide Sepsis alert.

Thanks in advance,
Lisa

Lisa M. Lucas MSN RN ACNS-BC
Sepsis/4W Medical Unit - Clinical Nurse Specialist
100 Michigan Street NE
Grand Rapids, MI 49503
616.391.1276 Office
616.479.4504 Pager
[email protected]<mailto:[email protected]>
[cid:[email protected]]

A Clinical Nurse Specialist (CNS) is a Master's prepared Advance Practice 
Registered Nurse whose function is to improve outcomes in patient care.
The CNS is an expert in clinical practice, patient educator, researcher and  
consultant influencing the three spheres of practice: patient care, nursing and 
systems.

This e-mail message contains information which may be confidential and or 
legally privileged under patient privacy and/or other laws. Unless you are the 
intended recipient (or have been authorized to receive on behalf of the 
intended recipient), please do not use, copy, print or disclose to anyone this 
message or any information contained in this message or from any attachments 
that were sent with this message. If you have received this message in error, 
please advise the sender by e-mail, and delete the message and any of its 
attachments. If you have any questions or concerns, please contact 
[email protected]<mailto:[email protected]>

From: 
[email protected]<mailto:[email protected]>
 [mailto:[email protected]] On Behalf Of Lori Harmon
Sent: Tuesday, November 27, 2012 8:10 AM
To: 
[email protected]<mailto:[email protected]>
Subject: [Sepsis Groups] Sepsis Tweet Chat Today

Colleagues,

Please seee attachment for information on an AHRQ sepsis innovation chat today.


Lori

Lori A. Harmon, RRT, MBA
Manager, Quality Implementation Programs
Society of Critical Care Medicine
500 Midway Drive
Mount Prospect, IL 60056
+1-847-493-6403
Fax: +1-847-493-6428

This e-mail, and any attachments thereto, is intended only for use by the 
addressee(s) named herein and may contain legally privileged and/or 
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(or the person responsible for delivering this document to the intended 
recipient), you are hereby notified that any dissemination, distribution, 
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