We first started with education one to one with the nurses. When we would see someone give Vanco first we would go right to the ED and explain why any other antibiotic needed to be given first. They got the hang of it pretty quickly thank goodness.
Then our Sepsis Coordinator started a contest for fastest "order to antibiotic admin time" for the nurses. This went over well and she gave them movie tickets or made certificates of achievement for them to hang in the break room. It was fun and improved our abx admin times tremendously! Our pharmacy also calls the ED 15 minutes after a Code Sepsis is called and speaks with the provider about abx just to keep the ball rolling. Starlynn Burnett, RN Concurrent Review West Hills Hospital and Medical Center 7300 Medical Center Drive West Hills, CA 91307 818-676-4513 818-529-3651 pgr -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Tuesday, July 25, 2017 2:42 PM To: [email protected] Subject: [EXTERNAL] Sepsisgroups Digest, Vol 255, Issue 2 Send Sepsisgroups mailing list submissions to [email protected] To subscribe or unsubscribe via the World Wide Web, visit http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org or, via email, send a message with subject or body 'help' to [email protected] You can reach the person managing the list at [email protected] When replying, please edit your Subject line so it is more specific than "Re: Contents of Sepsisgroups digest..." Today's Topics: 1. Re: Antibiotics in Sepsis (Angela Craig) 2. Antibiotics in Sepsis (Mills, Mary) 3. Re: Antibiotic guide (Nicole Dyess) ---------------------------------------------------------------------- Message: 1 Date: Tue, 25 Jul 2017 09:51:26 -0500 From: Angela Craig <[email protected]> To: "'Merwin, Courtney C.'" <[email protected]>, "[email protected]" <[email protected]> Subject: Re: [Sepsis Groups] Antibiotics in Sepsis Message-ID: <343E31412FC9094487B54371286ADDA06D54D6D0C6@D109EXCHMB.crmchealth.hospital> Content-Type: text/plain; charset="utf-8" We give Zosyn here over 4 hours as well but we have in our sepsis order set to give the first dose over 30 minutes and make that a STAT for our sepsis patients. We also have made that order on our Rapid Response Order Sheets to give this dose stat and over 30 minutes. We also try to educate that we always want to give Zosyn prior to Vanc. Hope this helps. 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 Merwin, Courtney C. Sent: Friday, July 21, 2017 8:17 AM To: [email protected] Subject: [Sepsis Groups] Antibiotics in Sepsis Does anyone have a "guide" for nurses as to which antibiotic is administered first. If so, would you be willing to share? For example, struggling sometimes with Zosyn, nurses are waiting to hang it last since it infuses over 4 hours. Courtney Merwin BS, RRT Quality Management East Jefferson General Hospital 4200 Houma Blvd. Metairie, LA 70006 504-503-5968 [email protected]<mailto:[email protected]> ________________________________ IMPORTANT NOTICE: This message and any included attachments are from East Jefferson General Hospital or its Affiliates, is for the intended addressee(s)only, and may include Protected Health (PHI) or other confidential information. If you are the intended recipient, you are obligated to maintain it in a secure and confidential manner and re-disclosure without additional consent or as permitted by law is prohibited. If you are not the intended recipient, use of this information is strictly prohibited and may be unlawful. Please promptly reply to the sender by email and delete this message from your computer. East Jefferson General Hospital greatly appreciates your cooperation. This email message has been delivered safely and archived online by Mimecast. For more information please visit http://www.mimecast.com -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20170725/7b21ba88/attachment-0001.htm> ------------------------------ Message: 2 Date: Mon, 24 Jul 2017 14:22:58 -0500 From: "Mills, Mary" <[email protected]> To: "[email protected]" <[email protected]> Subject: [Sepsis Groups] Antibiotics in Sepsis Message-ID: <e06ee9c1f0fc674598e476fae8e1741fb7b36f8...@cenftcpembv001.centegra.com> Content-Type: text/plain; charset="us-ascii" Zoysn can be infused in 30 minutes Vancomycin or quinolones such as Levaquin or cipro take 120 minutes.. If your providers are using both antibiotics ( our staff does).. we have educated our nurses Fastest First. This little reminder has helped reduce the number of fall outs related to antibiotics started timely for the SEP-1 bundle Mary Mary Mills, RN, BSN, CPHQ, CPPS Performance Improvement Analyst Centegra Health System C::815-759-4758 8:: [email protected] -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Monday, July 24, 2017 2:16 PM To: [email protected] Subject: Sepsisgroups Digest, Vol 255, Issue 1 Send Sepsisgroups mailing list submissions to [email protected] To subscribe or unsubscribe via the World Wide Web, visit http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org or, via email, send a message with subject or body 'help' to [email protected] You can reach the person managing the list at [email protected] When replying, please edit your Subject line so it is more specific than "Re: Contents of Sepsisgroups digest..." Today's Topics: 1. Antibiotics in Sepsis (Merwin, Courtney C.) ---------------------------------------------------------------------- Message: 1 Date: Fri, 21 Jul 2017 13:17:05 +0000 From: "Merwin, Courtney C." <[email protected]> To: "[email protected]" <[email protected]> Subject: [Sepsis Groups] Antibiotics in Sepsis Message-ID: <41111325a60f4ca4a0095123fb112...@ejeflakc2mb2a2.corp.ad.ejhospital.com> Content-Type: text/plain; charset="us-ascii" Does anyone have a "guide" for nurses as to which antibiotic is administered first. If so, would you be willing to share? For example, struggling sometimes with Zosyn, nurses are waiting to hang it last since it infuses over 4 hours. Courtney Merwin BS, RRT Quality Management East Jefferson General Hospital 4200 Houma Blvd. Metairie, LA 70006 504-503-5968 [email protected]<mailto:[email protected]> ---------------------------------------------------------------------- IMPORTANT NOTICE: This message and any included attachments are from East Jefferson General Hospital or its Affiliates, is for the intended addressee(s)only, and may include Protected Health (PHI) or other confidential information. If you are the intended recipient, you are obligated to maintain it in a secure and confidential manner and re-disclosure without additional consent or as permitted by law is prohibited. If you are not the intended recipient, use of this information is strictly prohibited and may be unlawful. Please promptly reply to the sender by email and delete this message from your computer. East Jefferson General Hospital greatly appreciates your cooperation. -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20170721/25c66cfc/attachment.html> ------------------------------ Subject: Digest Footer _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org ------------------------------ End of Sepsisgroups Digest, Vol 255, Issue 1 ******************************************** This transmission may contain information that is privileged, confidential, or exempt from disclosure under applicable law. If you are not the intended recipient, consider yourself notified that any disclosure, copying, distribution, use, or reliance on this transmission is STRICTLY PROHIBITED. Please destroy this transmission in any format and notify the sender, if you received this transmission in error. Thank you. ------------------------------ Message: 3 Date: Mon, 24 Jul 2017 19:33:14 +0000 From: Nicole Dyess <[email protected]> To: "[email protected]" <[email protected]> Subject: Re: [Sepsis Groups] Antibiotic guide Message-ID: <68d02a738f92bf4b954154b043c5ac3601cf813...@crhs-ex10-mb2.crhs.local> Content-Type: text/plain; charset="us-ascii" Here is a draft of one I am working on. My nurses do not always have enough pumps to do concurrent administration, so I am pretty sure that we will go to infusing just the first dose over 30 minutes instead of 3-4 hours. Nicole Dyess, PharmD Antimicrobial Stewardship Team Leader Conway Regional Health System 2302 College Ave, Conway, AR 72034 (501) 513-5152 (501) 450-2368 Fax -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Monday, July 24, 2017 2:16 PM To: [email protected] Subject: Sepsisgroups Digest, Vol 255, Issue 1 Send Sepsisgroups mailing list submissions to [email protected] To subscribe or unsubscribe via the World Wide Web, visit http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org or, via email, send a message with subject or body 'help' to [email protected] You can reach the person managing the list at [email protected] When replying, please edit your Subject line so it is more specific than "Re: Contents of Sepsisgroups digest..." Today's Topics: 1. Antibiotics in Sepsis (Merwin, Courtney C.) ---------------------------------------------------------------------- Message: 1 Date: Fri, 21 Jul 2017 13:17:05 +0000 From: "Merwin, Courtney C." <[email protected]> To: "[email protected]" <[email protected]> Subject: [Sepsis Groups] Antibiotics in Sepsis Message-ID: <41111325a60f4ca4a0095123fb112...@ejeflakc2mb2a2.corp.ad.ejhospital.com> Content-Type: text/plain; charset="us-ascii" Does anyone have a "guide" for nurses as to which antibiotic is administered first. If so, would you be willing to share? For example, struggling sometimes with Zosyn, nurses are waiting to hang it last since it infuses over 4 hours. Courtney Merwin BS, RRT Quality Management East Jefferson General Hospital 4200 Houma Blvd. Metairie, LA 70006 504-503-5968 [email protected]<mailto:[email protected]> ---------------------------------------------------------------------- IMPORTANT NOTICE: This message and any included attachments are from East Jefferson General Hospital or its Affiliates, is for the intended addressee(s)only, and may include Protected Health (PHI) or other confidential information. If you are the intended recipient, you are obligated to maintain it in a secure and confidential manner and re-disclosure without additional consent or as permitted by law is prohibited. If you are not the intended recipient, use of this information is strictly prohibited and may be unlawful. Please promptly reply to the sender by email and delete this message from your computer. East Jefferson General Hospital greatly appreciates your cooperation. -------------- next part -------------- An HTML attachment was scrubbed... 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