Yes, at Sutter Health we have done this at some of our affiliates with a resultant reduction in mortality We are now piloting some Standard Work that includes this as well as admitting SEVERE SEPSIS patients with co-morbidities to a 'higher level of care'. This looks like tele with frequent VS, lactate monitoring and RRT/Sepsis alert for progression of sepsis or worsening of condition The goal is for this Standard Work to be implemented system wide (25 acute care hospitals). The challenge comes when ICU beds are tied up with 'real' critical care patients.
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 Brown, Sheree Sent: Monday, December 22, 2014 7:19 AM To: '[email protected]' Subject: [Sepsis Groups] ICU Admission for All Severe Sepsis? 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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