Strong Memorial Hospital is a tertiary care center. An Adult Sepsis Response 
team was initiated in April 2016 as part of the pre-existing Rapid Response 
Team. There isn't a policy but the procedure is as follows: 

"The Adult Sepsis team will be comprised of the Rapid Response Team (CRN, 
Respiratory Therapy, Pharmacist, and APP) as well as a Medical ICU Critical 
Care fellow.  The initial criteria to call an Adult Sepsis Team will be:

1)      Known or suspected infection and
2)      Systolic blood pressure < than 90 mm Hg and
3)      Lactate > than 2 mmol/L

Or faculty/staff concern that the patient may be septic.

To activate the Adult Sepsis Team simply call the page operator at 5x2222 and 
request the Adult Sepsis Team to the appropriate location.  The Adult Sepsis 
Team may be called by faculty or staff.

The goal of the Adult Sepsis Team is to rapidly assess a potentially septic 
patient, determine the appropriate diagnosis and make recommendations to ensure 
we are providing the very best patient care in a timely fashion.  The primary 
objective of the team is to oversee and assist the care of the patient and not 
necessarily assume the overall care of the patient.  Some of these patients 
will require a higher level of care but others may not.  This will be a 
decision made jointly by the primary team and the Adult Sepsis Team.  As 80% of 
the septic patients at SMH come through the ED, the Adult Sepsis Team may be 
called to the Trauma Bay for yet to be admitted patients.

We are aware of the new definitions for sepsis and septic shock and are 
implementing these changes into our hospital's treatment algorithm.  In the 
meantime, like most hospitals our assessment and treatment algorithms remain 
the same.  The only caveat now is that we are adding the Adult Sepsis Team to 
assist with care of such patients."  

The process is still quite new and we are in the process of evaluating 
utilization and effectiveness. Hope this helps. 

Brenda L. Carlson MS, BSN, RN
Assistant Quality Officer
Office of Clinical Practice Evaluation
University of Rochester Medical Center
265 Crittenden Blvd., Saunders Research Building, 3.205
585-273-4721
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Sent: Thursday, June 09, 2016 5:49 PM
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Subject: Sepsisgroups Digest, Vol 208, Issue 10

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Today's Topics:

   1. Re: [EXTERNAL]  Code Sepsis Policy (Michelle Shores)


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Message: 1
Date: Wed, 8 Jun 2016 17:37:29 +0000
From: Michelle Shores <michelle.sho...@vcuhealth.org>
To: "Kennard, Marlene" <marlene.kenn...@area-b.hcqis.org>,
        "sepsisgroups@lists.sepsisgroups.org"
        <sepsisgroups@lists.sepsisgroups.org>
Subject: Re: [Sepsis Groups] [EXTERNAL]  Code Sepsis Policy
Message-ID:
        
<sn1pr08mb183984a67ccab8207711d221e3...@sn1pr08mb1839.namprd08.prod.outlook.com>
        
Content-Type: text/plain; charset="utf-8"

following

From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Kennard, Marlene
Sent: Wednesday, June 08, 2016 10:04 AM
To: sepsisgroups@lists.sepsisgroups.org
Subject: [EXTERNAL] [Sepsis Groups] Code Sepsis Policy

Greetings,

Would anyone be willing to share their ?code sepsis? policy and procedure?

Thank you,
Marlene

Marlene Kennard, MA RRT CPHQ
Quality Improvement Consultant
TMF Health Quality Institute
Bridgepoint I, Suite 300 | 5918 West Courtyard Drive | Austin, TX 78730-5036
Phone: 512-677-0712
Fax: 512-334-1787
Email: marlene.kenn...@area-b.hcqis.org<mailto:marlene.kenn...@area-b.hcqis.org>

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