Our facility has been using a sepsis alert process since November 2011. We currently use a paper Early Sepsis Recognition tool. Once the patient is screened and identified as severe sepsis the RN calls our ICU Charge Nurse who goes to the patient reviews the record and assesses the patient. The Charge RN will notify the ICU Intensivist of the patient's current status and location ( we cover the ED and all inpatient units). If movement to the ICU is appropriate we will expedite that process, if fluid orders or other diagnostics are necessary those would be ordered. The ED physician and the Intensivist will collaborate on ED patients. Should any patient not screen for severe sepsis but be positive for SIRS, the patient is re-screened in 2 hours.
The ICU Charge Nurse also assesses compliance with the 6 hour bundle and completes an algorithm and log book evaluated by our Quality Department. We measure ED compliance, ICU compliance, and overall compliance to each bundle component. We track non risk adjusted mortality as well as risk adjusted mortality utilizing the APACHE score. We are going to an electronic alert system within our EMR on March 21. I am willing to share our process and outcomes if interested. Life is a journey! Sent from my iPad On 24 Feb 2013, at 08:57, "Luginbuhl, Ryan S." <[email protected]<mailto:[email protected]>> wrote: Hello, The sepsis initiative I’m leading is going to pursue a “sepsis alert” model starting in the ED first then moving it out the floors. I was wondering if any other facilities could explain their Sepsis Alert process. What’s worked well? Are you running into any problems with this type of program? I really appreciate your feedback! Ryan Luginbuhl Six Sigma Black Belt | Process Improvement OSF Saint Francis Medical Center "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. ==================== _______________________________________________ Sepsisgroups mailing list [email protected]<mailto:[email protected]> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org 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 confidential information. If you are not the intended recipient of this e-mail (or the person responsible for delivering this document to the intended recipient), you are hereby notified that any dissemination, distribution, printing or copying of this e-mail, and any attachments thereto, is strictly prohibited. If you have received this e-mail in error, please respond to the individual sending the message and permanently delete the original and any copy of any e-mail and any printout thereof.
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