Sepsis Improvement Team Sepsis: The Power Hour! Sepsis Improvement Team

Objectives Describe the early symptoms of sepsis Recognize the necessity for early sepsis detection and treatment. Explain the course of care required for patients who are determined to have sepsis.

Sepsis Sepsis is a life threatening complication of an infection It may include: Inflammation Organ dysfunction and failure Death

Why Sepsis Over 800,000 patients will develop sepsis each year in the USA, over a quarter of them will die from sepsis. Sepsis is an incredibly expensive illness to treat since half of the patients who develop sepsis will require intensive care. It now is the most expensive condition for which people are hospitalized. Not only is it the 11th leading cause of death, but over a third of patients who survive sepsis are so debilitated that they require long-term care afterwards

Early Detection is Key Super SIRS Criteria Suspected Infection AND TWO OR MORE OF THE FOLLOWING Temperature >38.3 or <36.0 C Systolic blood pressure <90mmHg Pulse >120 Respiratory rate >24 New unexplained altered mental status

Time is of the Essence Every hour delay in recognition and treatment Increases Mortality by 8%

Once Patient Meets Criteria Notify: Life Safety #5310 Patient’s Covering Team

Activate the Nursing Per Protocol Orders

Click Add Order

Activate the Nursing Per Protocol Orders Get IV if needed (text page vascular access: “SIRS” #9260) Draw Lactate Draw Cultures Start 500ml NS IVB

Patient Disposition Transfer to a higher level of care Antibiotics ordered within the hour.

Tracking All patients activations will be tracked by Life Safety RN’s Time to complete bundle will be tracked and shared with team.

SEPSIS POWER HOUR Here is what YOU can DO Super SIRS Criteria Requires 2 or more: Temp < 36.0 or > 38.3 SBP < 90 mm Hg RR > 24 HR > 120 New Unexplained Altered Mental Status SEPSIS POWER HOUR One hour delay in recognition and delay of the 3 hour bundle Increases Mortality by 8% Infection + 2 Super SIRS Here is what YOU can DO Notify: Life Safety #5310 Covering Team Life Safety + Primary Team Get IV if needed (text page vascular access: “SIRS” #9260) Draw Lactate Draw Cultures Start 500ml NS Start Bundle Every minute matters…

Thank you! Questions?