Hi Angela; We are using EPIC for an EHR platform. We have created a sepsis summary flow sheet at the top of which is the sepsis screen. If positive, new rows cascade to add actions such as calling a Sepsis Alert;
The RRT then opens a CODE narrator to document T-0, 3hour time, 6 hour time and actions taken. We then have documentation of 3 and 6 hour bundle elements ordered/initiated and completed. 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 Angela Craig Sent: Monday, January 19, 2015 6:44 AM To: 'Mitchell Levy'; [email protected]; [email protected]; [email protected] Subject: [Sepsis Groups] Documentation in the ED I would love some feedback regarding documentation of sepsis in the Emergency Dept. We have gone to electronic screening in ED as well as housewide at our hospital. When a patient arrives in ICU/CVICU the critical care nurse has to fill out a paper Septic Shock Pathway. When the pts develop severe sepsis or septic shock on the floors we have a form - they fill out (Initial management of severe sepsis/septic shock form) that gives them the important next steps to take and allows them a place to document what they have done. Currently our ED does not have to fill out the sepsis pathway and I am conflicted about this. I then have to look through all ED documentation to find out fluid bolus times etc. and I really want ownership in the ED. That being said - this is a very busy ED and I don't want to decrease work flow. Can you guys tell me what you are doing with the ED setting - they using forms like the floors?? Angela Craig APN,MS,CCNS Clinical Nurse Specialist Intensive Care Unit Cookeville Regional Medical Center 931-783-5035 Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.
_______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
