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The interdisciplinary team has been chosen by specialty and unique skills offered in
improving recognition of sepsis. This group of professionals brings a vast knowledge base to the
table. The team will consist of a nurse educator, a nurse manager, a quality specialist, two staff
nurses and an Information technology (IT) specialist. The Nurse Educator will be assisting with
ways to present the information to the staff. This information should be given in the fastest and
most effective way possible. The nurse educator will also be responsible for presenting the
trained nurses will lead to earlier treatment (p. 143), and fewer deaths for the patient as well as
lower cost for the hospital.
Implementation Strategies
Many patients with sepsis related symptoms get over looked, especially in the critical
care units due to the multiple co-morbidities that are present. This disease process can cause a
patient to rapidly deteriorate causing multiple organ systems to fail and even death if not
recognize and treated effectively and quickly (Mayo Clinic, 2014). The elderly population (those
over 65) is at a significantly higher risk of developing sepsis (Gauer, 2013). With nurses playing
such a huge role in identification of sepsis, education on early recognition is imperative to
improve outcomes (McClelland & Maxon, 2014). Education will be done by providing hands
on class as well as a video with a post quiz online. These courses will allow the nurses to become
familiar with the algorithm that will be used to identify early signs of sepsis.
The interdisciplinary team will construct an algorithm. This algorithm will walk staff
through the sepsis guidelines and instruct them how to respond. While doing an admission
assessment the SIRS will be targeted and will bring attention to staff if any of these issuers are
identified and prompt staff to address these (Gauer, 2013). By providing early screening to all
patients, subtle changes, such as fever can be found. This can then be investigated and
treated early if found to be a septic patient. Many studies have demonstrated early recognition
and treatment can reduce the mortality with sepsis significantly (Dellinger et al., 2013).
Evaluation
familiarization with signs and symptoms as well as protocol. Measurement of utilization of the
SBAR form would also be completed to determine compliance as well as pinpoint any breaks in
the communication with physicians. Ideally, the SBAR form should provide the nurse with
specific terminology and scripting to approach the physician when recommending additional
treatment or interventions (Kent, N. & Fields, W., 2010, p. 143). If nurses prove to use the form
consistently, further education for physicians may also be required to meet an improved standard
of care.
Conclusion
With sepsis remaining on the rise as one of the leading causes of hospital deaths, and the
high cost of treatment, it is vitally important that strong efforts are made to implement efficient
screening tools as well as aggressive and early treatment. Continuing efforts at advancing
education techniques and a willingness to learn from past mistakes will prove to create the
positive patient outcomes that organizations are striving for.
Dellinger, R. P., Levy, M. M., Rhodes, A., Annane, D., Gerlach, H., Opal, S. M.,... Moreno, R.
(2013). Surviving Sepsis Campaign: International Guidelines for Management of Severe
Sepsis and Septic Shock: 2012. Retrieved from http://www.sccm.org/Documents/SSCGuidelines.pdf
Gauer, R. L. (2013, July 1). Early Recognition and Management if Sepsis in Adults: The First
Six Hours. American Family Physician, 88, 44-53. Retrieved from
http://www.aafp.org/afp/2013/0701/p44.html
Hall, M.J., Williams,S.N., DeFrances, C.J., Golosinskiy, A. (2011). Inpatient care for septicemia
or sepsis: A challenge for patients and hospitals. NCHS Data Brief. 62. Retrieved from
www.cdc.gov/nchs/data/databriefs/db62.htm
Healthgrades.com (2014) Covenant healthcare: Saginaw. Retrieved from
http://www.healthgrades.com/hospital-directory/michigan-mi/covenant-healthcarehgst86662386230070#RatingsForMortality?ratingCode=SPS
Kent, N., Fields, W. (2012). Early recognition of sepsis in the emergency department: An
evidence-based project. Journal of emergency nursing. 38. 139-143.
Doi:10.1016/j.jen.2010.07.022
McClelland, H., & Maxon, A. (2014). Early identification and treatment of sepsis. Retrieved
from http://www.nursingtimes.net/Journals/2014/01/17/q/v/z/220114-Earlyidentification-and-treatment-of-sepsis.pdf
MHA Keystone Center (2014). Improving Safety & Quality. Retrieved from
http://www.mhakeystonecenter.org/improve.htm
Yoder-Wise, P.S. (2014). Leading and managing in nursing. (5th Rev ed.). St Louis, MO:
Elsevier-Mosby.
2) Is the patient
tachypneic and/or
have an 02 saturation
<90%?
3) Is the patient's
urine output less than
30cc/hr?
4) Is the patients
systolic BP < 90 mm
Hg?
10
11
MR# _____________________
Reviewers Name _______________
Date _____________________
No