Once a patient is declared a sepsis alert, the ED completes the 1 hour bundle 
(line, lab, including cultures and ivf’s/antibiotics) and then the patient is 
transported to an open ICU bed and orders are completed up on the floor.  If 
there is no ICU bed, the ED initiates the bundle and completes all elements 
except transducing CVP as there is no CVP monitoring capability in the ED.

Lea Ann


Lea Ann Kellum, MSN, RN, CCRN, CEN
Clinical Educator, Critical Care
Department of Clinical Education and Research
Kennedy University Hospital
Cherry Hill Campus
Office  856-488-6790
Cell     856-298-8785
Email:  [email protected]




From: [email protected] 
[mailto:[email protected]] On Behalf Of 
[email protected]
Sent: Friday, February 21, 2014 7:06 PM
To: DanaMarie Smith
Cc: [email protected]
Subject: Re: [Sepsis Groups] ED to ICU

Our average is 5 hours, and we are trying to make that less also. We found that 
the work up takes the most time.

Hesham A. Hassaballa, MD, FCCP
Program Medical Director
Critical Care
Rush-Copley Medical Center

Assistant Professor of Medicine
Rush University Medical Center

Phone: (331) 454-6572

On Feb 21, 2014, at 4:10 PM, "DanaMarie Smith" 
<[email protected]<mailto:[email protected]>> wrote:
Hi everyone,
 I was wondering what your Hospital policy was for sepsis patients from arrival 
to er to ICU bed time. Our hospital average is 6 hrs and we want to change that 
and make it much less but don't know what the standard is across other 
hospitals. I would appreciate some feedback. Thank you.
                       Dana


Dana Marie Smith RN
Clinical Data Analyst
Quality/Performance Improvement
Phone # 215- 612-4888
Fax # 215-612-4463



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