Hello everyone, I have been making the case for what level of care our patient should go to by tracking how long it takes the patient to be upgraded to an ICU after admission. We have a good size percentage that are upgraded to ICU within 24hrs of admission. I can also show that while we do have a population that never needed ICU we also have a population that spent many hours in the ED. One of my next steps if I can get the time would be to look at the characteristics of those upgraded to see if there's a red flag in common and to see if those who spent a long time in the ED were the ones who never needed ICU.
It is fairly labor intensive at this point because I have to pull most of this data from the charts but we are working on some reports that will improve the process. Thanks! Amy Lucas On Wed, Sep 24, 2014 at 7:54 AM, Boyd, Melissa <[email protected] > wrote: > Good morning! > > We have had the same issues. Our intensivists are very reluctant to admit > to ICU based solely on an elevated lactate >4. Together we have tried to > work on a better way to narrow these patients down. We are currently > admitting to the ICU if the patient has 2 or more SIRS criteria, a lactate > >2 and 1 organ dysfunction criteria. Haven't been using this long enough > to see results, but we are hoping that this criteria catches our septic > patients early enough to decrease mortality rates and show significant > improvement in outcomes. > > Melissa Boyd, RN > > -----Original Message----- > From: Sepsisgroups [mailto:[email protected]] > On Behalf Of Lisa Dumont > Sent: Tuesday, September 23, 2014 8:02 AM > To: [email protected] > Subject: Re: [Sepsis Groups] protocol for severe sepsis. ICU admit > > 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. This electronic message ("e-mail"), > including the typed name of the sender, does not constitute an electronic > signature unless there is a specific statement to the contrary included in > this e-mail. > -------------- next part -------------- > An HTML attachment was scrubbed... > URL: < > http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20140917/e9d5d539/attachment-0001.htm > > > -------------- next part -------------- > A non-text attachment was scrubbed... > Name: image001.gif > Type: image/gif > Size: 4132 bytes > Desc: image001.gif > URL: < > http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20140917/e9d5d539/attachment-0001.gif > > > > ------------------------------ > > Subject: Digest Footer > > _______________________________________________ > Sepsisgroups mailing list > [email protected] > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org > > > ------------------------------ > > End of Sepsisgroups Digest, Vol 126, Issue 2 > ******************************************** > > > > > CONFIDENTIALITY NOTICE: > This e-mail and any files transmitted with it are confidential and may > contain health information protected by law. Any unauthorized use or > disclosure is strictly prohibited. If you are not the intended recipient, > please notify the sender by return email, delete this email, and destroy > any copies. Please note that any views or opinions presented in this > e-mail are solely those of the author and do not necessarily represent > those of Southcoast. The recipient should check this e-mail and any > attachments for the presence of viruses. Southcoast accepts no liability > for any damage caused by any virus transmitted by this e-mail. > > > > _______________________________________________ > Sepsisgroups mailing list > [email protected] > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org > _______________________________________________ > Sepsisgroups mailing list > [email protected] > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org > -- Amy Lucas MSN, RN, CCNS, CCRN Carilion Roanoke Memorial Hospital Roanoke Virginia
_______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
