Good Morning, Has anyone established and refined the process for reviewing Inpatient Sepsis? We are struggling with defining 'time zero' for these complex patients. Thanks, Joyce Stout
Joyce Stout,RN, MPA, NE-BC Department of Performance Improvement 215 955-2589 [email protected] -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of Kathryn Tucker Sent: Monday, September 22, 2014 10:17 AM To: [email protected] Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 127, Issue 1 Disclaimer: This is not my clinical area of expertise, but I did some basic research on the resources available. These are not all United States based guidelines, however they may provide a solid foundation for development of a protocol within your own hospital. Some medications and/or treatments discussed in these resources may not conform to US treatment standards. It is interesting that some of the "foreign" resources reference the Surviving Sepsis campaign and materials. http://www.guideline.gov/content.aspx?id=38445 http://www.northerntrust.hscni.net/pdf/Neutropenic_Sepsis_Guideline.pdf http://www.clinmed.rcpjournal.org/content/13/2/185.long http://www.christie.nhs.uk/media/194452/guidelines_for_the_management_of_sepsis.pdf The Patient Comes First. Does this put the Patient First? Kathryn L. Tucker RN BS JD Quality Improvement Coordinator FF Thompson Health Canandaigua, NY 14424 Office 585-919-3880 Cell 585-369-8408 CONFIDENTIALITY NOTICE This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain information that is proprietary, confidential, and exempt from disclosure under applicable law. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient or agent responsible for delivering the message to the intended recipient, or if you have received this communication in error, please notify the sender by return e-mail and destroy all copies of the original message -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Monday, September 22, 2014 9:02 AM To: [email protected] Subject: Sepsisgroups Digest, Vol 127, Issue 1 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. Re: (no subject) (Boros, Candi) 2. Re: Neutropenic Patients (Brochis, Dale.) ---------------------------------------------------------------------- Message: 1 Date: Fri, 19 Sep 2014 14:35:16 +0000 From: "Boros, Candi" <[email protected]> To: Troy Marion <[email protected]>, "[email protected]" <[email protected]> Subject: Re: [Sepsis Groups] (no subject) Message-ID: <ff021604acb4d84893d983d153e94bc5911fe...@tx1p03dag0303.apptixhealth.net> Content-Type: text/plain; charset="us-ascii" http://www.survivingsepsis.org/SiteCollectionDocuments/Time-Zero.pdf Here is the statement from the SSC on time zero in the ED. This is what we use as our guideline. Time zero is triage time regardless of the point in time during the ED stay they meet all criteria. This has been controversial to say the least. That being said, if they meet all criteria after they have left the ED, we do assign an inpatient time zero based on time of presentation. Hope that helps! 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 Troy Marion Sent: Thursday, September 18, 2014 3:25 PM To: [email protected] Subject: [Sepsis Groups] (no subject) Severe Sepsis group, I have an abstraction question. If a patient initially does not present as a Severe Sepsis upon arrival to the ED, but hours later meets the SIRS criteria, do you count the start time for the 3 hour bundle as: 1. Time of arrival or 2. Time pt presented with symptoms - Time of presentation (TOP) Thank you, Troy Troy Marion RN MSN CPHQ Manager Clinical Analytics Performance Improvement Department 215-612-2682 [email protected]<mailto:[email protected]> fax 215-612-4463 CONFIDENTIALITY NOTICE: This email message and any accompanying data or files is confidential and may contain privileged information intended only for the named recipient(s). If you are not the intended recipient(s), you are hereby notified that the dissemination, distribution, and or copying of this message is strictly prohibited. If you receive this message in error, or are not the named recipient(s), please notify the sender at the email address above, delete this email from your computer, and destroy any copies in any form immediately. Receipt by anyone other than the named recipient(s) is not a waiver of any attorney-client, work product, or other applicable privilege. -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20140919/e19042b6/attachment.htm> ------------------------------ Message: 2 Date: Fri, 19 Sep 2014 09:23:29 -0400 From: "Brochis, Dale." <[email protected]> To: "Haugh,Patricia \(Columbia St.Mary's/Milwaukee\)" <[email protected]>,"Jamie McLaughlin" <[email protected]>,"Colt Shope" <[email protected]>, <[email protected]> Subject: Re: [Sepsis Groups] Neutropenic Patients Message-ID: <[email protected]> Content-Type: text/plain; charset="iso-8859-1" This is of interest to the entire listserve. Dale Brochis BA, Lean Health Care Certified, Six Sigma Green Belt Purdue Healthcare TAP Case Management Department Robert Wood Johnson University Hospital at Rahway 865 Stone Street Rahway, NJ 07065 732-499-6217 Office / 732-428-2108 Cell [email protected] <mailto:[email protected]> From: Sepsisgroups [mailto:[email protected]] On Behalf Of Haugh, Patricia (Columbia St.Mary's/Milwaukee) Sent: Thursday, September 18, 2014 4:08 PM To: Jamie McLaughlin; Colt Shope; [email protected] Subject: Re: [Sepsis Groups] Neutropenic Patients I would be interested as well Thank you, Patty Haugh, RN, MSN, CCRN Clinical Nurse Specialist - IMC, Burns & ED Columbia St. Mary's Milwaukee ?Milwaukee, WI 53211 ?? 414-291-1148 ? VOCERA ? 414-291-1995 "Patty How" ? Pager 414-557-9329 ? ? fax 414-291-1422 ?? [email protected] <mailto:[email protected]> From: Sepsisgroups [mailto:[email protected]] On Behalf Of Jamie McLaughlin Sent: Thursday, September 18, 2014 11:10 AM To: Colt Shope; [email protected] Subject: Re: [Sepsis Groups] Neutropenic Patients I would like the info as well. Thanks, Jamie From: Sepsisgroups [mailto:[email protected]] On Behalf Of Colt Shope Sent: Tuesday, September 16, 2014 9:35 AM To: [email protected] Subject: [Sepsis Groups] Neutropenic Patients 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] (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. 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