We have something very similar. A sepsis alert brings our intensivist to the
bedside for evaluation. It also brings a phlebotomist and respiratory
therapist to the bedside to ensure labs and treatments are completed in a
timely manner. The ED RN continues to care for the patient in the ED and
initiates 3hr bundle elements, but transfer to the ICU is expedited and patient
is handed off with bedside report. 6 hour elements are almost exclusively
performed in the ICU. Our alert is triggered when patient meets: infection +
SIRS and 1) any hypotension; 2) lactic acid ≥4; and/or 3) 2 or more new organ
dysfunction.
Candi Boros, RN, BSN
Sepsis Clinical Coordinator
Alexian Brothers Medical Center/St. Alexius Medical Center
[email protected]<mailto:[email protected]>
From: Sepsisgroups [mailto:[email protected]] On
Behalf Of Seckel, Maureen
Sent: Thursday, September 18, 2014 11:33 AM
To: Brown, Sheree; '[email protected]'
Subject: Re: [Sepsis Groups] ED to ICU protocol
Sheree,
We have a protocol that the ED initiates an ICU/Sepsis Alert. A team (critical
care physician assistant and an ICU RN) goes down to the ED to assume care of
the patient, notifies the intensivists, and moves the patient to an ICU bed
when available.
Maureen A. Seckel, APN, ACNS-BC, CCNS, CCRN
CNS Medical Pulmonary Critical Care
Sepsis Coordinator
Christiana Care Health System
4755 Ogletown-Stanton Road
3E29
Newark, DE 19718
Office 302 733-6023
[flame2]
From: Sepsisgroups [mailto:[email protected]] On
Behalf Of Brown, Sheree
Sent: Wednesday, September 17, 2014 12:24 PM
To: '[email protected]'
Subject: [Sepsis Groups] ED to ICU protocol
We are developing a protocol for all of our severe sepsis patients with either
hypotension or lactate >4 to go expeditiously to the ICU for initial
resuscitation...similar to the way we get acute MIs on their way to the cath
lab in a hurry. We are trying to reduce ED length of stay and urgent
transfers to ICU within several hours of admission to non-ICU units.
Does anyone have a similar protocol that you could share? or guidelines
related to sepsis ICU admission criteria?
Thanks,
Sheree
--
Sheree Brown MSN, RN, CNL
Manager, Performance Excellence
Phone: 517 788-4800 ext. 4209
Pager: 517 534-0127
Fax: 517 788-4715
[email protected]<allegiancehealth.org>
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