1. National Sepsis Summit Dublin Castle 2016
Emergency Department
University Hospital Kerry
Grainne Rohan (Sepsis Coordinator)
Deirdre Hartnett (Staff Nurse/DN Student)

2. 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.

3. Education Pre survey Educational Intervention Post survey
Generating discussion and awareness around sepsis detection and management.

4. Initial Survey

5. Initial Survey

6. The One Year Review

7. The One Year Review

8. The One Year Review

9. The Revisit

10. The Revisit

11. The Implementation

12. Team Approach Works Best
ED (Medical and Nursing)
Infection Control
Nurse Practice Development
Quality and Patient Safety
CNME

13. Team Approach Works Best
Sepsis Coordinator
Antimicrobial Pharmacist
NCHD’s from ED, Medicine and Surgery
HIPE Personnel

14. 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

15. 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

16. 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

17. 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

18. 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

19. Audits Monthly audits in ED
Ward audits which incorporate NEWS escalation protocols with Sepsis Screening.
Interdisciplinary, Sepsis Coordinator and NCHD’s

20. Leaning Forward, Looking Back

21. Further Steps Maternal Sepsis Pilot
‘Micro App’ launched with Antimicrobial Guidelines to include Sepsis, also available on all PC’s

22. Team Approach Works Best

23. The Kerry Area Quality and Patient Safety Awards 2015