In the planning stages, 
Idea is for badge card for SNFs and EMS. With SIRS (rr >20, p> 90, T >38 or 
<36.) that they can "see". + no uop for 8 hours, glucose > 120, altered mental 
status. ( May add risk factors here: age >, liver dz, kidney dz, diabetes, 
immunocompromised) If two met and present or presumed infxn, then + sepsis 
screen
Ivf, blood cultures, CBC, lactate transfer to higher level of care if need be.  
EMS notify + sepsis screen w ring down to receiving hospital (in Britain they 
do POC lactates on rigs!).  
More research done overseas...

Karin Molander MD
Mills-Peninsula hospital 
Burlingame, CA

Sent from my iPhone

> On Mar 31, 2014, at 10:27 AM, "Kane, Ellen - SJHMC" 
> <[email protected]> wrote:
> 
> Is anyone working on a protocol for early recognition of sepsis for patients 
> in skilled nursing homes in their area?
>  
> Ellen Kane, RN, MSN, CPHQ
> Quality Specialist
> Quality Department
> 
> Dignity Health
> St. Joseph's Hospital and Medical Center
> 350 West Thomas Road
> Phoenix, AZ 85013
> 602-406-4939 (O)
> 602-746-0725 (P)
> 602-406-4115 (F)
> 
> [email protected]
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