We have a list of mono therapy and combination therapy tables on the back of our sepsis bundle worksheet. Pharmacy helped create these tables that support the sepsis care measure and antibiotic stewardship. Nurses are instructed to give the mono therapy drug first.
Thanks Meghan Lux Sent from my iPhone > On Jul 26, 2017, at 11:25 AM, "[email protected]" > <[email protected]> wrote: > > 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 (Madrid, Pamela A) > 2. Re: Antibiotics in Sepsis (Humiston, Patricia) > > > ---------------------------------------------------------------------- > > Message: 1 > Date: Wed, 26 Jul 2017 11:40:18 +0000 > From: "Madrid, Pamela A" <[email protected]> > To: "Mills, Mary" <[email protected]>, > "[email protected]" > <[email protected]> > Subject: Re: [Sepsis Groups] Antibiotics in Sepsis > Message-ID: <[email protected]> > Content-Type: text/plain; charset="us-ascii" > > Yes, we always give the first dose of Zosyn over a short time also!! > > -----Original Message----- > From: Sepsisgroups [mailto:[email protected]] On > Behalf Of Mills, Mary > Sent: Monday, July 24, 2017 2:23 PM > To: [email protected] > Subject: [Sepsis Groups] Antibiotics in Sepsis > > 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. > _______________________________________________ > Sepsisgroups mailing list > [email protected] > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org > This message contains information that is confidential and may be privileged. > Unless you are the addressee (or authorized to receive for the addressee), > you may not use, copy or disclose to anyone the message or any information > contained in the message. If you have received the message in error, please > advise the sender by reply e-mail and delete the message. > > > > ------------------------------ > > Message: 2 > Date: Wed, 26 Jul 2017 09:37:42 +0000 > From: "Humiston, Patricia" <[email protected]> > To: Angela Craig <[email protected]>, "'Merwin, Courtney C.'" > <[email protected]>, "[email protected]" > <[email protected]> > Subject: Re: [Sepsis Groups] Antibiotics in Sepsis > Message-ID: <[email protected]> > Content-Type: text/plain; charset="utf-8" > > We have the same practice in our organization as Angela describes > > Patricia Humiston, MBA RN-C > Division of Healthcare Quality > Baystate Health Systems > (413) 794-0194/beeper#40194 > [email protected]<mailto:[email protected]> > > From: Sepsisgroups [mailto:[email protected]] On > Behalf Of Angela Craig > Sent: Tuesday, July 25, 2017 10:51 AM > To: 'Merwin, Courtney C.'; [email protected] > Subject: Re: [Sepsis Groups] Antibiotics in Sepsis > > ? EXTERNAL EMAIL > > 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]<mailto:[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. > Confidentiality Notice: This e-mail message, including any attachments, is > for the sole use of the intended recipient(s) and may contain confidential > and privileged information. Any unauthorized review, use, disclosure or > distribution is prohibited. If you are not the intended recipient, please > contact the sender by reply e-mail and destroy all copies of the original > message. > EXTERNAL EMAIL: This email came from outside of Baystate. 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For further > information regarding Baystate Health's privacy policy, please visit our > Internet site at https://www.baystatehealth.org. > -------------- next part -------------- > An HTML attachment was scrubbed... > URL: > <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20170726/ec46988f/attachment.htm> > > ------------------------------ > > Subject: Digest Footer > > _______________________________________________ > Sepsisgroups mailing list > [email protected] > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org > > > ------------------------------ > > End of Sepsisgroups Digest, Vol 255, Issue 4 > ******************************************** > _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
