Thank you for all the great feedback on the impact of flu season and if any 
changed their screening.  

The question started with our ED nurses who were concerned about the extra 
blood-work/testing on some of these patients (trying to be fiscally 
responsible).  One patient complained about all the extra testing.  This got 
the discussion going and we wondered what everyone else was doing.  

Sue Beswick RN, MS, CCNS, CCRN
Clinical Nurse Specialist - MSICU
Greenville Hosptial System
University Medical Center
Greenville, SC
Office:  864-455-4884

AACN Theme "Dare To"  What are you going to dare to do this year?


-----Original Message-----
From: [email protected] 
[mailto:[email protected]] On Behalf Of 
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Sent: Saturday, December 15, 2012 9:55 AM
To: [email protected]
Subject: Sepsisgroups Digest, Vol 37, Issue 5

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Today's Topics:

   1. Re: Changing ED sepsis screen during flu season
      (Cormack, Patricia (WS))
   2. flu (PETER B FITTIPALDI)
   3. Electronic Sepsis Alert (Proffitt, Robin)


----------------------------------------------------------------------

Message: 1
Date: Fri, 14 Dec 2012 07:56:03 -0600
From: "Cormack, Patricia (WS)" <[email protected]>
To: "Karin" <[email protected]>,     "Sue Beswick" <[email protected]>
Cc: [email protected]
Subject: Re: [Sepsis Groups] Changing ED sepsis screen during flu
        season
Message-ID:
        <[email protected]>
Content-Type: text/plain; charset="utf-8"

The sepsis screen should not change. If a patient with flu presents with organ 
dysfunction, the treatment should be aggressive. 

Patty Cormack

 

From: [email protected] 
[mailto:[email protected]] On Behalf Of Karin
Sent: Thursday, December 13, 2012 2:07 PM
To: Sue Beswick
Cc: [email protected]
Subject: Re: [Sepsis Groups] Changing ED sepsis screen during flu season

 

Flu kills more people per year than MVCs, so warrant labs and lactate.  
Elevated lactate regardless of cause associated with increased mortality. 

Karin

Sent from my iPhone


On Dec 13, 2012, at 6:28 AM, Sue Beswick <[email protected]> wrote:

        There are some concerns that we will be doing extra/unnecessary testing 
(blood culture, Lactate, etc) with all of the flu patients who have a temp and 
increased heart rate during the flu season.  

         

        Do any of your facilities, modify your sepsis screen in ED for flu?   
Do you look at the known or suspected infection and say probable flu so does 
not meet sepsis screen?

         

        Thanks

        Sue

         

        Sue Beswick RN, MS, CCNS, CCRN

        Clinical Nurse Specialist - MSICU

        Greenville Hosptial System

        University Medical Center

        Greenville, SC

        Office:  864-455-4884

         

        AACN Theme "Dare To"  What are you going to dare to do this year?

         

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Message: 2
Date: Fri, 14 Dec 2012 05:59:58 -0800
From: PETER B FITTIPALDI <[email protected]>
To: [email protected]
Subject: [Sepsis Groups] flu
Message-ID: <[email protected]>
Content-Type: text/plain; charset=us-ascii

i'll never forget the 40 something pt my er sent home with "flu-like" symptoms, 
and when he came back a day or two later, he crashed and could not be saved.  
Peter RN, Santa Rosa .

------------------------------

Message: 3
Date: Fri, 14 Dec 2012 15:00:00 +0000
From: "Proffitt, Robin" <[email protected]>
To: "'[email protected]'"
        <[email protected]>
Subject: [Sepsis Groups] Electronic Sepsis Alert
Message-ID:
        <[email protected]>
Content-Type: text/plain; charset="us-ascii"

Hello, I am looking for hospitals that have developed electronic sepsis alerts. 
My hospital is interested in pursuing this and would like to see what has been 
done successfully out there. Appreciate all feedback!

Robin Proffitt, MSN, MBA, RN, CNRN, CCNS, APN Clinical Nurse Specialist Nursing 
Practice and Quality Johnson City Medical Center Johnson City, Tennessee 37604
423-431-1887 Office
423-610-2033 Pager



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