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

2. Jennifer Moore, RN, BSN, CQO, CPHRM

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4. 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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7. Impact to our patients

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

9. 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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11. Core Measure Compliance
We’ve seen improvements
Q our core measure rate was 33%
Q 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 min

12. 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.

13. Thank you