Hi Sean, Our EPIC Non ICU Severe Sepsis order sets are due to "go live" later today. I am hoping that with the guidance of the order sets (serial lactates, more frequent vital signs monitoring in first few hours), we will successfully be able to manage these patients in a non-ICU setting. Fingers crossed we can have some decent data to see if there is an improvement in outcome within the next few months. Thank you for your continued dedication to the SSC campaign.
Karin Molander Sutter Mills-Peninsula Medical Center On Thu, Mar 14, 2013 at 11:31 PM, Townsend, Sean, M.D. < [email protected]> wrote: > It's been a long time since I've had to ask this question. I used to think > I knew the answer. > > Here it is: do all patients who meet severe sepsis criteria need to be > admitted to the ICU ? > > Examples: > > 1. Pneumonia, fever, tachycardia, INR 1.5. > 2. Cellulitis, leukocytosis, fever, creatinine 2.0. > 3. UTI, leukocytosis, fever, lactate 3.0. > > Where do people put these patients in reality? What mind of monitoring do > they deserve? > > By prevailing bundles, each gets lactate checked, blood cultures, broad > spectrum antibiotics. That's it. Good enough? Good enough for the floor? > Need the ICU? Why? > > Sean > > > Sean R. Townsend, M.D. > Vice President of Quality & Safety > California Pacific Medical Center > 2330 Clay Street, #301 > San Francisco, CA 94115 > email [email protected] > office (415) 600-5770 > fax (415) 600-1541 > _______________________________________________ > Sepsisgroups mailing list > [email protected] > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org >
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