Ellen,

When a patient is "flagged" septic shock in our ED, a rapid response or ICU 
nurse goes to the ED to assist with the 3 hour bundle.  We like to transport 
these patient ASAP to our ICU or step down unit, so 6 hour bundle is completed 
outside of the ED.  This has improved our 3 hour bundle times to just over an 
hour and even under 30 minutes.  


Patricia Dierks, MS, RN, CCRN
Advanced Practice Partner, ICU/IMCU
Department of Professional Practice
Delnor Hospital 
 300 Randall Road 
Geneva, IL 60134
630-938-8169  office
[email protected] 
nm.org
cadencehealth.org 

​




Patricia Dierks

-----Original Message-----
From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of [email protected]
Sent: Saturday, May 16, 2015 6:35 AM
To: [email protected]
Subject: Sepsisgroups Digest, Vol 156, Issue 6

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Today's Topics:

   1. Re: ICU nurse responders (Stephens, Kari)
   2. (no subject) (Stephens, Kari)


----------------------------------------------------------------------

Message: 1
Date: Fri, 15 May 2015 14:54:30 +0000
From: "Stephens, Kari" <[email protected]>
To: "Ellen M. Donnelly" <[email protected]>,
        "'[email protected]'"
        <[email protected]>
Subject: Re: [Sepsis Groups] ICU nurse responders
Message-ID:
        <[email protected]>
Content-Type: text/plain; charset="us-ascii"

The ED/ICU partner together to respond to patients presenting with septic 
shock.  A page is initiated that is identified on beepers carried by the ICU 
charge nurse.  When they receive the page, they initiate a call to the ED and 
if requested by the ED, will respond.  They assist with the central line 
insertion, and CVP/SVO2. The biggest challenge with this is if the charge 
nurses are occupied with patient care, there is a delay in response.  Another 
opportunity that we found is that the ED would manage without Paging it out, 
causing fall outs on completion of the 6 hour bundle.



From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Ellen M. Donnelly
Sent: Thursday, May 14, 2015 1:41 PM
To: '[email protected]'
Subject: [Sepsis Groups] ICU nurse responders

Hi,

We have a robust sepsis identification and management program here and have 
made many improvements to our processes over the years. We're stalled a little 
right now, and I'm contemplating sending an ICU nurse as a responder when we 
have an identified septic shock patient in the ED. Does anyone do this? How is 
it operationalized? Has it been successful? If this has been tried and failed, 
why did it fail?

thanks

Ellen

Ellen M Donnelly
Nurse Manager
6N MICU and Intermediate Care Unit
St Joseph Mercy Hospital Ann Arbor
tel: 734-712-6654  fax: 734-712-6656
email:  [email protected]<mailto:[email protected]>
www.stjoeshealth.org<http://www.stjoeshealth.org/>

Facebook<http://www.facebook.com/sjmhs> / 
Twitter<http://www.twitter.com/stjoes_health>

[cid:[email protected]]


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Message: 2
Date: Fri, 15 May 2015 14:55:43 +0000
From: "Stephens, Kari" <[email protected]>
To: "[email protected]"
        <[email protected]>
Subject: [Sepsis Groups] (no subject)
Message-ID:
        <[email protected]>
Content-Type: text/plain; charset="us-ascii"



Kari

Kari Stephens, CCRN, CNML
Clinical Director, Critical Care
SSM DePaul Health Center
Office: 314-344-6467
Fax: 314-344-7130
[email protected]<mailto:[email protected]>

[cid:[email protected]]


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