We are going to initiate a new protocol whereby all patients with suspected severe sepsis (with or without shock) will be expedited to the ICU for admission.
We hope to reduce ED length of stay and prevent the progression of sepsis that occurs due to inadequate treatment and/ or inadequate monitoring. We believe this will help prevent the urgent transfers to ICU when these patients have rapid deterioration on the floor. We anticipate a short ICU stay for most of these patients. Have any of you tried an aggressive approach such as this? Was it successful? Obviously we have a lot of push-back from the intensivists. Most of these patients aren't the typical ICU patient - i.e., non-ventilated, normotensive, etc. 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.
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