Good day.  We have updated our sepsis screening practices in our 3 hospitals 
locally to comply with our newly standardized corporate process for sepsis 
care.  We have had an interesting question from one of our local clinical areas 
in adolescent behavioral health that we can't answer.  So, I am turning to you 
for your advice at the recommendation of Stephen L. Davidow, MBA-HCM, APR, Lean 
Health Care Certified, Six Sigma Green Belt in Health Care | Manager, Quality 
Implementation Programs | Society of Critical Care Medicine.



We have a behavioral health/chemical dependency program affiliated with one of 
our hospitals locally that offers inpatient mental health services and acute 
care detox.  We know the adolescent population presents with cutting issues, 
needle marks, and other reasons that might create a potential sepsis situation. 
 What percentage of adolescent behavioral patients across the U.S. actually 
present with or develop sepsis in an inpatient behavioral/mental health 
environment?  We are trying to establish reasonable sepsis screening frequency 
guidelines with them.  We decided to screen our acute care geriatric psych 
population once in every 8 hour shift because of their age, comorbidities, etc. 
 It's the adolescent/children populations we are not sure about.  Does anyone 
have suggestions or research about sepsis incidence, frequency of screening, 
etc. in the behavioral/mental health populations?  It is easier to garner 
support for change when we have the science/research behind the request.

Thank you very much for your assistance.

Evelyn Schnoor, MSN, RN, ACNS-BC
Process Improvement Coord.

[cid:[email protected]]

Methodist | Lutheran | Methodist West | Blank Children's


Iowa Lutheran Hospital
700 E. University Ave., Des Moines, IA   50316
Office: 515-263-5507, FAX: 515-263-5415
Email: [email protected]<mailto:[email protected]>


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