Hi Jessica,

Yikes - as an ED nurse in my last life and a former ED manager, I cannot
imagine having to tackle this with just "suspected infection + SIRS" as the
trigger. Fortunately, the bundle is not directed at that population; it is
directed at treating severe sepsis and septic shock...and those require
more to trigger. So, the short answer is that I don't think you need to
change your heart rate cut-off, you need to add "organ dysfunction" as a
criterion.

See the attached - it is what we are using through Dignity Health within
the Cerner EHR. You will see there is a third qualifier to designate
"severe sepsis" and it is on these folks that the sepsis bundle is
triggered. We also have a Code Sepsis and there was some push back from the
ED that we were going to be casting too fine a net with this third
criterion so we have met in the middle a bit. The screen has not changed
and severe sepsis is managed the same way but now our highlight for Code
Sepsis - to warrant the "all hands on deck" - is on patients with acute
encephalopathy (AMS), respiratory compromise and hypotension.

Hope this helps!

--
Sam Farrell, RN  CCRN
Intensivist Program Manager
West Coast Critical Care Specialists

office: 805.988.7004
fax: 805.988.7101
cell: 805.444.3730
wccriticalcare.com
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On Thu, Apr 9, 2015 at 8:02 AM, Jessica Wonderly <[email protected]>
wrote:

>  Good morning,
>
> At our facility we have been struggling with the sensitivity of our
> screening tool, particularly in our ED. If there is an index of suspicion
> and any two SIRS criteria nursing my protocol a septic work up. We are
> finding that the low threshold for tachycardia (HR > 90) is causing over
> triage and leading to increased spending and prolonged ED visits. Can
> anyone point me towards the research that determined the heart rate of 90
> as standard SIRS? Also have any of you changed your criteria to heart rate
> > 100?
>
> Jessica Wonderly, RN
> Special Projects:
> DSRIP Sepsis/CLABSI Facilitator
> Hospital Staff Nurse II
> Kern Medical Center
> Phone: (661) 326-5637
> Pager: (661) 307-1098
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