Msrmc journey for improvement; a nurses perspective

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Presentation transcript:

Msrmc journey for improvement; a nurses perspective Sepsis Struggles Msrmc journey for improvement; a nurses perspective

Jennifer Moore, RN, BSN, CQO, CPHRM

I have no disclosures to share

Objectives with our staff Understand how to recognize sepsis 3 First line treatments of Sepsis Describe three key outcomes of the MEWS scores Understand the purpose and function of the Rapid Response Team

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Impact to our patients

Tool Box for Staff Sepsis Screening Tool-ClinDoc Sepsis alert Calling more RRTs Utilizing MEWS scoring system Educating Staff and Physicians (Sepsis Committee)

Why an Early Warning System? Many hospitalized patients exhibit warning signs in the hours prior to a critical situation (e.g., cardiopulmonary arrest) If not recognized could lead to the patient’s death “Failure to rescue”

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Core Measure Compliance We’ve seen improvements Q1 2016 our core measure rate was 33% Q4 2016 our core measure rates was 88.5% We reflexed our lactic acid to ensure anyone who had a LA of 2 or < had an auto draw from our lab department Sepsis Alert: Labs, cultures drawn from 15 min arrival Antibiotics and fluids within 15- 30 min

More Confident Nurses Anecdotal reports from nurses (especially those with less than 5 years' experience) suggest they feel more confident when contacting a physician about a patient, as they now have objective data on which to base their concerns.

Thank you