Hello, I work at a facility with 300 inpatient beds and an extremely busy ED (100,000 visits/year).
Currently, most of our severe sepsis patients spend the first six hours or more in the ED and receive the care bundle there. We would like to initiate the sepsis bundle in ED but send these patients to an inpatient care area much sooner for close monitoring and to ensure the bundle is completed and patient is not progressing to septic shock. In an effort to avoid patients getting admitted to non-ICU beds then quickly deteriorating requiring rapid transfer we have attempted to send all shock and severe sepsis without shock to the ICU. However, sending the non-shock patients has created ICU bed capacity issues. . Have any of you implemented a 'sepsis care area' in your facilities that provides initial treatment then dispo's the patient to an appropriate level of care (ICU /step-down or floor) depending on response to treatment? We were thinking of creating a ward to admit patients to for the first 6-12 hours - has anyone done anything similar? Thanks, Sheree Sheree Brown MSN, RN, CNL Manager, Performance Excellence Phone: 517 205-4209 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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