We have our tool set up so that SIRS comes first, infection second, and organ 
dysfunction third.  We made a conscious decision to switch infection and SIRS 
for the exact same reason you described below.

-Candi

Candi Boros, RN, BSN
Sepsis Clinical Coordinator
Alexian Brothers Health System
(847) 252-6406
[email protected]



From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Carlson, Barbara A. (Lincoln, NE)
Sent: Sunday, July 27, 2014 7:32 AM
To: [email protected]
Cc: Exstrom, Nancy
Subject: [Sepsis Groups] FW: sepsis tool question

Please see question below.

Barbara Carlson RN, BAN, CPHQ
Performance Improvement
St Elizabeth Regional Medical Center
P 402-219-7332
F 402-219-8992

From: Exstrom, Nancy
Sent: Saturday, July 26, 2014 12:41 AM
To: Carlson, Barbara A. (Lincoln, NE)
Subject: sepsis tool question

I would like to ask the surviving sepsis campaign if it would be OK to have the 
SIrS criteria first, Organ criteria 2nd, and Infection criteria 3rd in figuring 
the sepsis tool as the novice nurse sometimes doesn't think big picture of 
suspecting an infection despite sirs and organ function being positive and 
therefore if infection is 1st criteria to answer, they would answer no and it 
is an automatic negative screen but if in reverse order, they make think... the 
patient may have infection?

Nancy Exstrom RN, MSN, CCRN, CSC
Clinical Educator Critical Care Services
555 South 70th
Lincoln, Ne 68510
402-440-5964 (Cell)
402-219-8021 (work)

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