Surveillance tool For early detection of SIRS and Sepsis St John Sepsis Agent Surveillance tool For early detection of SIRS and Sepsis

What. Surveillance for early detection of SIRS/Sepsis Who What? Surveillance for early detection of SIRS/Sepsis Who? Inpatient units ED ICU/CVICU Exclude: L&D and ASU

An Evidence-Based Approach

Data Collected and Monitored SIRS Indicators Organ Failure Indicator Temp < 36 C or > 38.3 C HR > 95 bpm RR > 22 br/min Glucose level > 140mg/dL AND < 200mg/dL (in absence of diabetes) WBC < 4 K/uL or > 12 K/uL Bands > 10% Lactic Acid level > 2 mmol/L Creatinine level (increase of 0.5 mg/dL over 72 hours) Total Bilirubin > 2 mg/dL AND < 10 mg/dLSBP < 90 mmHg MAP < 65 mmHg 2 SIRS + 1 Organ Failure Indicator = Sepsis Alert 3 Sirs = SIRS Alert

How Do the Alerts Display? Click on Red “X” to Close Alert Test Patient Criteria that activated the Alert

What to do when alert displays? Assess patient Confirm findings Notify MD Complete Task St John’s Sepsis/SIRS PowerForm Continue to monitor patient

CareCompass Tasks

St John’s Sepsis/SIRS PowerForm

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