To whom it may concern, My name is Jennifer Nitroy, and I am an MSICU RN at the VA Palo Alto Health Care System. I am currently enrolled in an Evidence-Based Practice fellowship with an initiative surrounding sepsis (early recognition and EGDT).
My group is at the phase of constructing a screening tool and bundled care for inpatient settings. Much of the literature we have read suggests that screening should be completed on admission, once a shift (Q8 hours) and then with any unexplained changes in patient condition. However, we have not been able to find an explanation for how this frequency was chosen. Do you have any evidence to support or disprove this decision? Some nurses are asking if that is too often. To our group, we feel it is essential to be diligent in our tracking, but we want accurate evidence to support us if we are to institute this plan. Also, we are attempting to implement this process across long term care and rehab settings (as the VA health care system is all encompassing). The literature to date has been sparse if not non-existent on this front. I notice on your homepage, your newest studies will be with patients on medical-surgical and telemetry floors. I will suggest applying for this opportunity with my group members. However, in the meantime, do you have any evidence to support a tailored approach to these less acute patients (or do you recommend immediate transfer to ICU?) In the SSC guidelines it recommends regular screening of patients but does not offer the frequency with which to do so. Any insight you have on the matter would be greatly appreciated. We are passionate in our endeavors and want very much for this process to be a success. Thank you in advance! Regards, Jennifer Nitroy, RN, BSN, CCRN Sent from my iPhone _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
