We have used Cerner since 2013 and have edited the algorithm to meet our needs. 
 The process is a discern alert for nursing that messages the information 
needed to call the provider within 30 minutes.  The RN documents that call in a 
critical value form that fires from the alert.  We have an auto-order for vital 
signs and lactates also.  The providers get an alert up to 24 hours after when 
they open a chart or write orders.  Our providers don't have the correct 
relationship with the patient in order to fire directly to them in a timely 
If the patient meets criteria for septic shock (criteria directly on the 
alert), the process is to call 911 Sepsis Code and the RRT responds.

Maureen A. Seckel, APRN, ACNS-BC, CCNS, CCRN, FCCM
Lead CNS Medical Pulmonary Critical Care
Sepsis Coordinator
Christiana Care Health System
4755 Ogletown-Stanton Road
Newark, DE 19718
Office 302 733-6023

From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Alexis Moore
Sent: Monday, September 12, 2016 10:26 AM
To: sepsisgroups@lists.sepsisgroups.org
Subject: [Sepsis Groups] Cerner and St. John's Sepsis Alert

My facility will be changing our EMR to Cerner in April. Does your facility use 
Cerner and the St. John's Sepsis Alert? What is the nursing procedure/protocol 
when an alert is triggered? I am trying to get ahead of the game and work on 
initiating nurse driven protocols. Any insight would be greatly appreciated!

Thank you,

Alexis Moore BSN, RN
Clinical Sepsis Coordinator
Medical Center Hospital
Office (432) 640-3425
Fax (432) 640-2885

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