Having an alert for SIRS without an infection in the problem list or a culture in progress will give you a huge volume of BPAs Second, we also used 'currently being treated for sepsis' as a response for the RN, however it causes some misses for patients who have simple sepsis who convert to SEVERE SEPSIS. If this occurs, the RN is correct to respond already being treated for sepsis, but perhaps the response should be more granular so as not to miss the progression of disease when an organ failure occurs, provided of course that you have that parameter in an alert.
Thanks, MARY ANN BARNES-DALY RN BSN CCRN DC | Clinical Performance Improvement Consultant Sutter Health - Clinical Integration Department | 2200 River Plaza Drive, Sacramento, CA 95833 Mobile 916.200.5604| Office 916.286.6717 | [email protected] From: Sepsisgroups [mailto:[email protected]] On Behalf Of Alverson, Verna Sent: Thursday, October 02, 2014 12:29 PM To: [email protected] Subject: Re: [Sepsis Groups] Sepsis EMR Notification We are currently developing an electronic notification (best practice alert) as well for the EMR- EPIC that we have. We are utilizing 2 SIRS criteria [we are just in the testing phase (firing behind the scenes) to see if it is firing appropriately for the criteria we have set up and adjusting the parameters due to the frequency it is firing, etc]. Currently we elected it to fire to nurses and nurse aide/patient care techs. If it fires for nurse aide/PCT we have the verbiage: (not sure if this will be the final) ! Patient is displaying signs of "Systemic Inflammatory Response" (SIRS). Reassess: Vitals (including SpO2 and increased oxygen requirements) LOC. Notify primary nurse to further evaluate patient. It pulls in the patients vitals in the last 24 hours with date and time: 9/15/2014, Temp: 39.4 C (103F), Pulse 100 Acknowledge reason: drop down box for them to select and a button to click "primary nurse notified" If fires to the nurse we have similar verbiage with it stating also: to reassess the patient. If this patient has changed clinically, notify provider and/or rapid response team. Again this not final. We have not determined what satisfies the BPA for the nurse yet and for how low the alert is satisfied for... any input would be appreciated. Couple satisfiers we have come up with- provider notified - immediate post op patient/trauma patient - currently treating for sepsis Any lessons learned that we should avoid trying would also we appreciated. Verna Alverson Inpatient Clinical Quality Analyst Essentia Health-SU/SSC Department Quality Department 1702 South University Drive Fargo ND 58103-4940 P:701-364-3210 verna.alverson@essentiahealth<mailto:verna.alverson@essentiahealth>.org From: Sepsisgroups [mailto:[email protected]] On Behalf Of Jessica Wonderly Sent: Thursday, October 02, 2014 8:41 AM To: [email protected]<mailto:[email protected]> Subject: [Sepsis Groups] EMR Notification We are currently in development of an electronic notification via the EMR when a patient exhibits 2 SIRS criteria. This has presented a huge challenge for us as we currently utilize openvista. I would like to reach out to any cerner or epic users about how the notifications are structured. Jessica Wonderly, RN Special Projects: DSRIP Sepsis/CLABSI Facilitator Hospital Staff Nurse II Kern Medical Center Phone: (661) 326-5637 Pager: (661) 307-1098 * * * * * * * * * CONFIDENTIALITY STATEMENT * * * * * * * * * This message is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of the communication is strictly prohibited. If you received this communication in error, please notify us immediately by telephone and return the original message to us at the e-mail address above. Thank you. OWNED AND OPERATED BY THE COUNTY OF KERN 1830 Flower Street, Bakersfield California 93305-4197 (661) 326-2416
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