National Sepsis Summit Dublin Castle 2016 Emergency Department University Hospital Kerry Grainne Rohan (Sepsis Coordinator) Deirdre Hartnett (Staff Nurse/DN Student)
Where It Began Masters studies in Nursing UCC 2014. The impact of a sepsis training program on the knowledge and self-efficacy of ED staff in their detection and management of sepsis.
Education Pre survey Educational Intervention Post survey Generating discussion and awareness around sepsis detection and management.
Initial Survey
Initial Survey
The One Year Review
The One Year Review
The One Year Review
The Revisit
The Revisit
The Implementation 2014-2016
Team Approach Works Best ED (Medical and Nursing) Infection Control Nurse Practice Development Quality and Patient Safety CNME
Team Approach Works Best Sepsis Coordinator Antimicrobial Pharmacist NCHD’s from ED, Medicine and Surgery HIPE Personnel
Initial Steps Development of ED combined medical/nursing document and Flow Chart Agreement of TIME ZERO Dissemination of information via posters, flashcards and screen savers Sepsis Tab established on UHK Notice board and training programme on the collection of blood cultures uploaded on same
Initial Steps Business case prepared for post of Sepsis Co- ordinator & sent to the NMPDU Glass blood culture bottles changed to plastic to facilitate transport via chute Further education/awareness sessions arranged with Dr. Vida Hamilton, National Clinical Lead
Next Steps Roll out of the ED documentation and accompanying SOP on Sepsis Management in ED Development of Audit Tool ‘Consider Sepsis’ tab on IPMS at triage Blood gas analyser/lactate machine installed in CCU Dr. Vida Hamilton attended Grand Rounds and ED education session Sepsis awareness blitz in staff restaurant
More Steps NMPDU agreement to fund Sepsis Co- ordinator post and individual appointed in September 2015 Early Warning Score Compliance also part of the role
More Steps Antimicrobial guidelines updated Specific ‘Sepsis’ hours allocated to medical and Surgical Registrar and individuals appointed Further Sepsis awareness/education provided to Medical, Surgical and Orthopaedic personnel
Audits Monthly audits in ED Ward audits which incorporate NEWS escalation protocols with Sepsis Screening. Interdisciplinary, Sepsis Coordinator and NCHD’s
Leaning Forward, Looking Back
Further Steps Maternal Sepsis Pilot ‘Micro App’ launched with Antimicrobial Guidelines to include Sepsis, also available on all PC’s
Team Approach Works Best
The Kerry Area Quality and Patient Safety Awards 2015