RE: Screening for sepsis
1. Are you screening every patient?
we screen every patient 18 and older, maternity has a slightly
different screen. Pediatrics follow PALS recommendation
2. Are they screened in Triage or not until they are in a room?
In triage, q 12 hour, prn, and with transfer
3. If not screening every patient, what are the triggers for screening?
2 SIRS, s/s infection.
4. Is the screen on paper or electronic?
Electronic; we have 2 computer systems and both have
screen mechanisms.
Tish Poserina, RN,MSN, CCRN, CNRN
Sepsis Coordinator
St Mary Medical Center
[email protected]
W 215.710.4347
C 215.710.7644
1201 Langhorne-Newtown Road
Langhorne, Pa 19047
stmaryhealthcare.org| Facebook| Twitter|LinkedIn
-----Original Message-----
From: Sepsisgroups [mailto:[email protected]] On
Behalf Of [email protected]
Sent: Thursday, March 14, 2019 5:52 PM
To: [email protected]
Subject: [External] Sepsisgroups Digest, Vol 317, Issue 3
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Today's Topics:
1. New lactate rule (Duane, Molly)
2. Sepsis Screening in ED (Nancy S. Hernandez)
3. Re: [External Email] Re: Sepsis Screening (Pamela Green)
----------------------------------------------------------------------
Message: 1
Date: Thu, 14 Mar 2019 13:12:24 -0400
From: "Duane, Molly" <[email protected]>
To: "'[email protected]'"
<[email protected]>
Subject: [Sepsis Groups] New lactate rule
Message-ID:
<[email protected]>
Content-Type: text/plain; charset="us-ascii"
Good Afternoon,
We thought the new lactate rule would be helpful, but had our first miss of
2019.
Time zero: 0636
First lactate sent 0227 (2.9)
Second lactate sent 0445 (2.0)
Last year this would have met the metric because the abstractor would use the
lactate sent closest to time zero (result was 2.0; no repeat needed).
This year the lactate with the higher value is used (result 2.9). But, the
lactate sent at 0445 can't be used as 'repeat' because it was sent before time
zero.
Are any of your systems sending 3 lactates instead of 2, even if the repeat is
normal? Any other suggestions?
Thanks,
Molly
Molly Duane RN, BSN, CCRN-K
Sepsis Program Coordinator
Detroit Receiving Hospital
Harper-Hutzel Hospital
Office: 313-745-4340
Cell: 248-709-6218
Email: [email protected]<mailto:[email protected]>
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Message: 2
Date: Thu, 7 Mar 2019 12:32:43 +0000
From: "Nancy S. Hernandez" <[email protected]>
To: "[email protected]"
<[email protected]>
Subject: [Sepsis Groups] Sepsis Screening in ED
Message-ID:
<9440d28f7cca174e93fea1a68666914401717dd...@sfh15110mbx5.sfhad.stfranciscare.org>
Content-Type: text/plain; charset="us-ascii"
RNs are screening at SFH when triggered by the presence of 2 SIRS. The EMR
begins screening and sends an alert when 2 SIRS criteria met in the EMR. The
pop-up alert requires the RN to answer whether the patient has a suspected
infecti0n.
If yes to infection, a severe sepsis screening flowsheet automatically opens.
This is instituted hospital-wide and screening takes place whether in Triage,
Main ED, or in-patient areas if 2 SIRS plus infection are present.
Nancy Hernandez, RN, BSN
Sepsis Program Coordinator
Saint Francis Hospital and Medical Center
[email protected]
M 860-714-1865
114 Woodland Street
Hartford, CT 06105
stfranciscare.com | Facebook | Twitter | Instagram | LinkedIn
-----Original Message-----
From: Sepsisgroups <[email protected]> On Behalf Of
[email protected]
Sent: Wednesday, March 6, 2019 6:37 PM
To: [email protected]
Subject: [External] Sepsisgroups Digest, Vol 316, Issue 2
Warning: This email originated from the Internet!
DO NOT CLICK links if the sender is unknown, and NEVER provide your password.
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When replying, please edit your Subject line so it is more specific than "Re:
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1. Re: [External Email] Re: Sepsis Screening (Joyce Luster)
----------------------------------------------------------------------
Message: 1
Date: Mon, 4 Mar 2019 19:14:13 +0000
From: Joyce Luster <[email protected]>
To: "'Maupin, Christina'"
<[email protected]>, "Maykel, Julie"
<[email protected]>, "Krall, Eva" <[email protected]>,
"Orth, Claudia" <[email protected]>,
"[email protected]"
<[email protected]>
Subject: Re: [Sepsis Groups] [External Email] Re: Sepsis Screening
Message-ID:
<e98351ac116e1a4193c973027cf9e4880d806...@bhalkc2mb1c.ad.baptistfirst.org>
Content-Type: text/plain; charset="us-ascii"
1. Are you screening every patient? 18 & older
2. Are they screened in Triage or not until they are in a room? In triage
3. If not screening every patient, what are the triggers for screening?
4. Is the screen on paper or electronic? electronic
Joyce C. Luster, RN, CPHQ
System Sepsis Program Coordinator
Quality Management
Baptist Health
MOB 2, Suite 2600
350 Taylor Road
Montgomery, AL 36117
(334) 747-8727
From: Sepsisgroups [mailto:[email protected]] On
Behalf Of Maupin, Christina
Sent: Friday, January 18, 2019 12:42 PM
To: Maykel, Julie; Krall, Eva; Orth, Claudia;
[email protected]
Subject: Re: [Sepsis Groups] [External Email] Re: Sepsis Screening
We screen all patients in ED triage using a paper form at this point. The
nurses follow a protocol to initiate the labs/BCs if positive.
Chris
Christina Maupin MN, RN, CNS
Clinical Outcomes Specialist
Bakersfield Heart Hospital
3001 Sillect Ave.
Bakersfield Heart Hospital 93308
661-316-6016
Strive not to be a success, but rather to be of value.
Albert Einstein
From: Sepsisgroups [mailto:[email protected]] On
Behalf Of Maykel, Julie
Sent: Thursday, January 17, 2019 2:35 PM
To: Krall, Eva <[email protected]>; Orth, Claudia <[email protected]>;
[email protected]
Subject: Re: [Sepsis Groups] [External Email] Re: Sepsis Screening
We screen all patients 18 years and older in triage; the tool is in our
electronic record.
Thank you,
Julie
Julie Maykel, RN, BSN
Quality Coordinator
[email protected]<mailto:[email protected]>
Seton Medical Center | Part of Verity Health System
1900 Sullivan Avenue, Daly City CA 94015 Office 650-991-6366 Fax 650-991-6390
seton.verity.org | Verity.org
Confidentiality Notice: This transmission and any attached documents may be
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Please delete entire message and its attachments. Thank you
From: Sepsisgroups [mailto:[email protected]] On
Behalf Of Krall, Eva
Sent: Wednesday, January 16, 2019 5:09 PM
To: Orth, Claudia;
[email protected]<mailto:[email protected]>
Subject: [External Email] Re: [Sepsis Groups] Sepsis Screening
Please use caution when opening attachments or following links. Do not enter
your credentials when prompted by external links. Please notify the Help Desk
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________________________________
I would appreciate this information as well
Eva Bunny Krall MSN APRN ACNS-BC CDE CPHQ Clinical Nurse Specialist Quality and
Patient Safety
[cid:[email protected]]
2185 Citracado Parkway | Escondido, CA 92029
o. 442.281.5400 | cisco. 442-281-4268 | c. 858-663-4390 | PalomarHealth.org
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A California Public Healthcare District
From: Sepsisgroups [mailto:[email protected]] On
Behalf Of Orth, Claudia
Sent: Monday, January 14, 2019 1:05 PM
To:
[email protected]<mailto:[email protected]>
Subject: [Sepsis Groups] Sepsis Screening
I'm hoping to get an idea of what other facilities are doing about ED Sepsis
Screening:
1. Are you screening every patient?
2. Are they screened in Triage or not until they are in a room?
3. If not screening every patient, what are the triggers for screening?
4. Is the screen on paper or electronic?
Thank you in advance for being willing to share your expertise and experiences!
Best,
Claudia
Claudia Orth, BSN, RN, CCRN-K
Sepsis Coordinator
Clinical Quality
1105 Sixth St.
Traverse City, MI 49684
(231) 935-5692 voice
(231) 935-6629 fax
(231) 318-0394 pager
[email protected]<mailto:[email protected]>
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Message: 3
Date: Thu, 7 Mar 2019 14:31:32 +0000
From: Pamela Green <[email protected]>
To: Joyce Luster <[email protected]>, "'Maupin, Christina'"
<[email protected]>, "Maykel, Julie"
<[email protected]>, "Krall, Eva" <[email protected]>,
"Orth, Claudia" <[email protected]>,
"[email protected]"
<[email protected]>
Subject: Re: [Sepsis Groups] [External Email] Re: Sepsis Screening
Message-ID:
<cb8b1d4c6616c649be06e4604857ee8605600...@hmhexchange.howardmemorial.com>
Content-Type: text/plain; charset="us-ascii"
1. Are you screening every patient? Not always
2. Are they screened in Triage or not until they are in a room? both
3. If not screening every patient, what are the triggers for screening?
Based on Suspect infection and q SOFA
4. Is the screen on paper or electronic? Paper at the moment but
implementing electronic
From: Sepsisgroups <[email protected]> On Behalf Of
Joyce Luster
Sent: Monday, March 04, 2019 1:14 PM
To: 'Maupin, Christina' <[email protected]>;
Maykel, Julie <[email protected]>; Krall, Eva
<[email protected]>; Orth, Claudia <[email protected]>;
[email protected]
Subject: Re: [Sepsis Groups] [External Email] Re: Sepsis Screening
1. Are you screening every patient? 18 & older
2. Are they screened in Triage or not until they are in a room? In triage
3. If not screening every patient, what are the triggers for screening?
4. Is the screen on paper or electronic? electronic
Joyce C. Luster, RN, CPHQ
System Sepsis Program Coordinator
Quality Management
Baptist Health
MOB 2, Suite 2600
350 Taylor Road
Montgomery, AL 36117
(334) 747-8727
From: Sepsisgroups [mailto:[email protected]] On
Behalf Of Maupin, Christina
Sent: Friday, January 18, 2019 12:42 PM
To: Maykel, Julie; Krall, Eva; Orth, Claudia;
[email protected]<mailto:[email protected]>
Subject: Re: [Sepsis Groups] [External Email] Re: Sepsis Screening
We screen all patients in ED triage using a paper form at this point. The
nurses follow a protocol to initiate the labs/BCs if positive.
Chris
Christina Maupin MN, RN, CNS
Clinical Outcomes Specialist
Bakersfield Heart Hospital
3001 Sillect Ave.
Bakersfield Heart Hospital 93308
661-316-6016
Strive not to be a success, but rather to be of value.
Albert Einstein
From: Sepsisgroups [mailto:[email protected]] On
Behalf Of Maykel, Julie
Sent: Thursday, January 17, 2019 2:35 PM
To: Krall, Eva
<[email protected]<mailto:[email protected]>>; Orth,
Claudia <[email protected]<mailto:[email protected]>>;
[email protected]<mailto:[email protected]>
Subject: Re: [Sepsis Groups] [External Email] Re: Sepsis Screening
We screen all patients 18 years and older in triage; the tool is in our
electronic record.
Thank you,
Julie
Julie Maykel, RN, BSN
Quality Coordinator
[email protected]<mailto:[email protected]>
Seton Medical Center | Part of Verity Health System
1900 Sullivan Avenue, Daly City CA 94015
Office 650-991-6366
Fax 650-991-6390
seton.verity.org | Verity.org
Confidentiality Notice: This transmission and any attached documents may be
confidential and contain information protected by State and Federal Medical
Privacy statutes and is legally privileged. They are intended for use only by
the addressee. If you are not the intended recipient of this transmission, or
an agent of the intended recipient, you are prohibited from reading,
disclosing, printing, saving, copying, using or otherwise disseminating any
information contained in this transmission. If you received this transmission
in error, please accept our apologies and notify the sender via reply e-mail.
Please delete entire message and its attachments. Thank you
From: Sepsisgroups [mailto:[email protected]] On
Behalf Of Krall, Eva
Sent: Wednesday, January 16, 2019 5:09 PM
To: Orth, Claudia;
[email protected]<mailto:[email protected]>
Subject: [External Email] Re: [Sepsis Groups] Sepsis Screening
Please use caution when opening attachments or following links. Do not enter
your credentials when prompted by external links. Please notify the Help Desk
immediately if you believe you received a spam or phishing email and the
attachment was opened, a link was clicked or credentials were provided.
________________________________
I would appreciate this information as well
Eva Bunny Krall MSN APRN ACNS-BC CDE CPHQ
Clinical Nurse Specialist
Quality and Patient Safety
[cid:[email protected]]
2185 Citracado Parkway | Escondido, CA 92029
o. 442.281.5400 | cisco. 442-281-4268 | c. 858-663-4390 | PalomarHealth.org
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A California Public Healthcare District
From: Sepsisgroups [mailto:[email protected]] On
Behalf Of Orth, Claudia
Sent: Monday, January 14, 2019 1:05 PM
To:
[email protected]<mailto:[email protected]>
Subject: [Sepsis Groups] Sepsis Screening
I'm hoping to get an idea of what other facilities are doing about ED Sepsis
Screening:
1. Are you screening every patient?
2. Are they screened in Triage or not until they are in a room?
3. If not screening every patient, what are the triggers for screening?
4. Is the screen on paper or electronic?
Thank you in advance for being willing to share your expertise and experiences!
Best,
Claudia
Claudia Orth, BSN, RN, CCRN-K
Sepsis Coordinator
Clinical Quality
1105 Sixth St.
Traverse City, MI 49684
(231) 935-5692 voice
(231) 935-6629 fax
(231) 318-0394 pager
[email protected]<mailto:[email protected]>
[MMC_Blue-SigSize96dpi]
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I
Maps<https://urldefense.proofpoint.com/v2/url?u=http-3A__www.munsonhealthcare.org_maps&d=DwMF-g&c=i9Q13pLgyhydmincRkCoS3aKlT4hAqhZjE9ynHJ6daQ&r=gpJ9flFw6AOvKrQ-TCDhjNhcZh3Nif2mUE1g-QYBqsg&m=j8W4t7YisaHqwBnhepbJRRIgyuL2Dmesq76Zbtc30jI&s=Ntw0VPx9Q09wo0K9fqyR6TN6TvqwOC6r-Clt_w4xUbE&e=>
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