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    Protocols Checklists Sepsis Alert Wesley Healthcare

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    eryxsp
    This document outlines a sepsis alert checklist to be completed within specific timeframes to properly treat a patient experiencing sepsis. The checklist includes tasks to be completed within 5 minutes, 15 minutes, 60 minutes, and ongoing like administering IV fluids and antibiotics, drawing blood cultures and lactate levels, and starting vasopressors if hypotension persists. The goal is to initiate a sepsis order bundle and treatment protocol in a timely manner to combat severe sepsis and septic shock.

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    Protocols Checklists Sepsis Alert Wesley Healthcare

    Uploaded by

    eryxsp
    1K views1 page
    This document outlines a sepsis alert checklist to be completed within specific timeframes to properly treat a patient experiencing sepsis. The checklist includes tasks to be completed within 5 minutes, 15 minutes, 60 minutes, and ongoing like administering IV fluids and antibiotics, drawing blood cultures and lactate levels, and starting vasopressors if hypotension persists. The goal is to initiate a sepsis order bundle and treatment protocol in a timely manner to combat severe sepsis and septic shock.

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    This document outlines a sepsis alert checklist to be completed within specific timeframes to properly treat a patient experiencing sepsis. The checklist includes tasks to be completed within 5 minutes, 15 minutes, 60 minutes, and ongoing like administering IV fluids and antibiotics, drawing blood cultures and lactate levels, and starting vasopressors if hypotension persists. The goal is to initiate a sepsis order bundle and treatment protocol in a timely manner to combat severe sepsis and septic shock.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    1K views1 page

    Protocols Checklists Sepsis Alert Wesley Healthcare

    Uploaded by

    eryxsp
    This document outlines a sepsis alert checklist to be completed within specific timeframes to properly treat a patient experiencing sepsis. The checklist includes tasks to be completed within 5 minutes, 15 minutes, 60 minutes, and ongoing like administering IV fluids and antibiotics, drawing blood cultures and lactate levels, and starting vasopressors if hypotension persists. The goal is to initiate a sepsis order bundle and treatment protocol in a timely manner to combat severe sepsis and septic shock.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Sepsis Alert Checklist Time Zero Date

    Severe sepsis = 2 or more SIRS criteria, a suspected infection source, and signs/symptoms of new acute organ dysfunction
    Time RN initials
    Within 5 minutes
    For Inpatient: Call 2-3131 (WMC) or overhead page (WW) to activate the Sepsis Rapid
    Response Team For Main ED: Call 2-3131 to activate Sepsis Alert
    Document time sepsis team arrives to patients bedside repeat call if team not at bedside
    within 5 minutes.
    Within 15 minutes
    Sepsis order bundle initiated by Dr

    Lab draw for STAT Lactate level (green top tube on ice) and Blood Cultures (x2)

    Obtain antibiotics from Pyxis notify pharmacy if antibiotics are not in Pyxis for STAT delivery

    Within 60 minutes
    Start Broad Spectrum IV antibiotics after the cultures are drawn

    In the presence of SBP <90, MAP<65 or drop in SBP>40 pts from last normal, OR lactate >4,
    Give a RAPID infusion bolus of 30ml/kg (normal saline or lactated ringers)

    Weight in kg X 30 = ml of fluid (chart both start and stop times)

    If initial lactate level is >2, draw a repeat lactate level within 4 hours of positive sepsis screen.
    (lactate order will be reflexed automatically)

    If hypotension persists after 30ml/kg bolus, or lactate 4 = Septic Shock Time

    Start IV vasopressors for persistent hypotension.

    Provider to perform focused exam within 4 hours of Septic Shock time


    Discussion must occur with the attending MD re: patient condition and implementation of the sepsis bundle
    (lactate, blood cultures and IV antibiotics)

    RN Patient barcode
    Not part of the medical record Please return to Unit Clerk to route to Sepsis Coordinator

    Sepsis Alert Checklist.Docx/New_Oct2015

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