Dear Group, I have been reading on this list-serve that many of us are looking for a protocol for severe ICU patients. I am in a situation where our intensivist, our director of the ED and director of the hospitalist service agree that if a septic patient is stable and has a LA > 4, the patients does not have to go to the ICU. I am concerned about this and I would like a solid protocol. Currently, we reduced our mortality significantly and had only 2 mortalities in the last few months in the LA >4 range. I am not sure if they are letting their guard down or have a false sense of security. I would anyone who has a good solid protocol for this type of admission, please email me. Thank you in advance, I will take any advise. Lisa
Lisa Dumont RN MSN Sepsis Coordinator-SHG Saint Luke's Hopsital 101 Page St. New Bedford MA 02740 Phone 508-997-1515 Ext. 5833 [email protected] www.facebook.com/southcoasthealth | @SouthcoastHosp -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Thursday, September 18, 2014 3:53 PM To: [email protected] Subject: Sepsisgroups Digest, Vol 126, Issue 2 Send Sepsisgroups mailing list submissions to [email protected] To subscribe or unsubscribe via the World Wide Web, visit http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org or, via email, send a message with subject or body 'help' to [email protected] You can reach the person managing the list at [email protected] When replying, please edit your Subject line so it is more specific than "Re: Contents of Sepsisgroups digest..." Today's Topics: 1. Neutropenic Patients (Colt Shope) 2. ED to ICU protocol (Brown, Sheree) ---------------------------------------------------------------------- Message: 1 Date: Tue, 16 Sep 2014 13:35:06 +0000 From: Colt Shope <[email protected]> To: "[email protected]" <[email protected]> Subject: [Sepsis Groups] Neutropenic Patients Message-ID: <[email protected]> Content-Type: text/plain; charset="us-ascii" Can anyone send me recent literature on Sepsis Management with Neutropenic patients? I can't seem to find any and my oncology floor has a lot of questions that I'm unsure how to answer. Thank you. Colt F. Shope, RN, BSN Sepsis Coordinator Greenville Health System 701 Grove Road Greenville SC, 29605 [email protected]<mailto:[email protected]> (864) 455-6319 Always Strive for Excellence. ***The information in this communication is intended to be confidential to the individual(s) and/ or Entity to whom it is addressed. It may contain information of a Privileged and/or Confidential nature, which is subject to Federal and/or State privacy regulations. In the event that you are not the intended recipient or the agent of the intended recipient, do not copy or use the information contained within this communication, or allow it to be read, copied or utilized in any manner, by any other person(s). should this communication be received in error, please notify the sender immediately either by response e-mail or by the phone at (864) 455-6319, and permanently delete the original e-mail, attachment(s) and any copies.*** -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20140916/01d625d8/attachment.html> ------------------------------ Message: 2 Date: Wed, 17 Sep 2014 12:23:56 -0400 From: "Brown, Sheree" <[email protected]> To: "'[email protected]'" <[email protected]> Subject: [Sepsis Groups] ED to ICU protocol Message-ID: <ad1f97859f676346bcb78c28e418d718022f33ae9...@exchange1.wafoote.org> Content-Type: text/plain; charset="us-ascii" 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> [cid:[email protected]] ________________________________ This e-mail message and any attachment(s) is intended only for the individual(s) to whom it is addressed and may contain information that is privileged, confidential or proprietary in nature. Any unauthorized disclosure, copying or distribution of this e-mail or the content of this message is prohibited. If you have received this e-mail message in error, please immediately notify the sender at the e-mail address above, permanently delete this e-mail and destroy any copies of this e-mail and attachments in your possession. 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