We are developing a nurse initiated sepsis protocol at Harborview Medical Center in Seattle. If a patient meets 2 SIRS criteria AND has a suspected infection the physician will be auto-paged, from our Early Warning Surveillance System, with the data and the bedside RN will follow up with a page to discuss the implementation of the sepsis protocol and then obtain a lactate. We will begin a trial very soon on our medicine population and hope to add a fluid bolus and the drawing of blood cultures and a CBC in the future. We are creating an if/then order set, that will be a part of the admission orders, and will allow the nurse to draw the lactate, however part of the order set is ensuring that the physician of record is aware and once the lactate is resulted will be paged again. I believe that Stanford, UC Davis and Virginia Mason Medical Center have similar protocols in place.
Arthur R Godwin, RN CCRN CHRN Interim Sepsis Coordinator Box 359733 Harborview Medical Center UW Medicine 325 9th Avenue Seattle, WA 98104 206.744.4876 Office 206.902.8378 Mobile 206.744.2043 Fax 206.416.1162 Pager This message, and any attachments to it, is protected by coordinated quality improvement/peer review confidentiality under RCW 70.41.200/4.24.250/ 43.70.510. Privileged, confidential, patient identifiable information also may be contained in this message. This information is meant only for the use of the intended recipients. If you are not the intended recipient, or if the message has been addressed to you in error, do not read, disclose, reproduce, distribute, disseminate or otherwise use this transmission. Instead, please notify the sender by reply email, and then destroy all copies of the message and any attachments.
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