I am a firm believer that we should screen post operatively. There is plenty of evidence out there that says pts can develop post-operative sepsis. That being said - there is a time frame where our floor nurses do not screen after surgery (48 hours - I do NOT agree with this) but we did this to get it passed committee. The surgeons really wanted this. This is only on the floors though - NOT ICU. I have my ICU nurses screen everyone!!
That being said - I would try to go forward without the time period of no screening. Remember to ask the question - does the patient have a known or suspected infection and if they do NOT then then you are not dealing with a sepsis patient right? I always try to ask that question to put it into perspective of what I am looking at. Good luck. I think it is awesome that you are doing this even though you are a small rural hospital. This is important no matter what shape or size your institution is. Angela Craig APN,MS,CCNS Clinical Nurse Specialist Intensive Care Unit Cookeville Regional Medical Center 931-783-5035 From: Sepsisgroups [mailto:[email protected]] On Behalf Of Anita D. Schrad Sent: Thursday, September 03, 2015 9:31 AM To: [email protected] Subject: [Sepsis Groups] sepsis screening Hello Everyone, We are in the process of implementing the sepsis screening tool and bundles at our facility. We are a small rural hospital, with a 28 bed Med-Surg unit, 13 bed Orthopedic unit and a 6 bed ICU. Some of the physicians have questioned whether we should complete the screening tool on fresh post op Orthopedic patients, as they are likely to have at least one of the SIRS criteria. This may equal a lot of unnecessary lactate levels and cultures being drawn on these patients. Most of which are here for elective surgery. Could some of you share what your facility is doing? Anita Schrad Director of Critical Care & Orthopedics [cid:[email protected]] St. Anthony Regional Hospital 311 South Clark Street, Carroll, IA 51401 Office Phone (712)794-5569 [email protected]<mailto:[email protected]> Electronic Mail Confidentiality Notice: This email and any files transmitted with it may contain confidential information and is intended solely for the use of the individual or entity to who it is addressed. If you are not the intended recipient you are notified that disclosing, copying, distributing or taking any action in reliance on the contents of this information is strictly prohibited and the email should be deleted immediately. This email message has been delivered safely and archived online by Mimecast. For more information please visit http://www.mimecast.com
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