Our bedside nurse conducts a SIRS assessment Q4h. This assessment is automated and part of the assessment routine for all RNs. If positive AND there is a suspected or known infection, we run a Point of Care Test (POCT) lactate using Abbott's iStat machine. This is a standardized order that any trained RN can do. The Rapid Response Nurse (RRN) is called to the bedside for ALL positive SIRS results to assist and facilitate this process. After results are obtained, then we call the MD using SBAR to communicate findings and request full bundle implementation. We do NOT change for flu season.
Sent from my iPhone Please excuse typos Peggy Rice, RN, MBA Assistant CNO Good Samaritan Hospital San Jose, CA (408) 438-0986 cell (408) 559-2329 office On Jan 3, 2013, at 11:52 AM, "Sue Beswick" <[email protected]<mailto:[email protected]>> wrote: Thank you all who responded. It was pretty clear that the majority do not adjust your screen during the flu season. But related to that – exactly what is your screen. Our is that when sepsis criteria is met – the RN gets a CBC with diff, serum lactate (we run on our ABG machine), metabolic pane, the first bld culture, a UA/urine culture and chest X-ray if resp symptoms. We are wondering if just the Lactate might be a good first step to rule out severe sepsis and then treat the flu. Or do you do all the same tests/labs that we do? 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? _______________________________________________ Sepsisgroups mailing list [email protected]<mailto:[email protected]> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
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