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Sepsis Response Bag. Sepsis Response Bag Introduction, John Burke, Critical Care Outreach, Royal Glamorgan Hospital, Cwm Taf LHB. Sepsis. A Massive Problem High Mortality. 40% Severe Sepsis. 50% Septic Shock. Biggest Cause of Maternal Death. High Costs Associated.

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slide1

Sepsis Response Bag

Sepsis Response Bag Introduction,

John Burke,

Critical Care Outreach,

Royal Glamorgan Hospital,

Cwm Taf LHB.

slide2

Sepsis

A Massive Problem

High Mortality.

40% Severe Sepsis.

50% Septic Shock.

Biggest Cause of Maternal Death.

High Costs Associated.

Big Use of ITU Resources.

Timely Intervention is Paramount.

Unsure of real numbers affected.

slide3

Drivers of Change

Saving 1000 Live +

Rapid Response To Acute Illness Learning Set. (RRAILS)

National Institute for Clinical Excellence (NICE 50)

Centre for Maternal and Child Enquiries, (CMACE)

Our will to succeed !

slide4

Tools

Survive Sepsis Campaign

Sepsis Six

Sepsis/Severe Sepsis Pathway

NEWS charts

Clinical Accumen and Experience

Sepsis Response Bag.

one stop answer proven research based response low cost saves time ivabs stored on each ward
One Stop Answer.

Proven Research Based Response

Low Cost.

Saves Time.

IVABs stored on each ward.

A Simple Solution ?
slide7

Problems Encountered

Senior Nurses, Outside of Critical Care Working Group.

Microbiology.

Resuscitation Dept.

Senior Medics.

Directorate Lead Nurse.

slide8

Problems Solved

NEWS Training Sessions

Nurse/Student Training Sessions

Outreach Teaching Slot.

Junior Doctors Training Sessions.

Rapid Roll Out To All Wards.

Sepsis Screening Tool Card and Posters.

buy in

400 Nurses and Students

50 Medics

Maternity and Obs

Work shared with the Maternity Collective.

New Work on Obstetric Sepsis Six plus 2.

Keen to move forward and work with Outreach.

Buy In.
slide10

Audit and Assessment

4 Stranded Assessment:

Sepsis Document

  • 1 hour goals met ?

Bag Equipment

  • What was used ?

User Questionaire

  • What did people think ?

Patient follow up, Day 0,1, 7 and past 24hrs,

  • IVABs and Microbiology review
  • Mortality/Survival Data
slide11

Preliminary Results. Wards

15 bags opened, (10 by Outreach.)

All 15 fullfilled criteria.

9 Pt fullfilled criteria within previous 24 hrs.

50% received IVABs with in 1 hour.

Reluctance to change IVABs without Microbiology agreement.

Questionable 1 hours targets met.

2 Pt repeat bags.

1 ITU Admission.

slide12

Preliminary Results A+E/MCDU

Initially No Sepsis Pt Identified ! Why ?

8 Pt identified and put on Sepsis proforma.

2 achieved 1 hour goal

2 incomplete

1 sepsis form missing

1 Pt admitted to ITU with no proforma.

slide13

Initial Feed Back

Bags are usefull !

Primarily Blood bottles, cultures, butterfly and hub and paperwork used.

Equipment to add in.

Probably do save time.

slide14

Conclusion

More Work To Be Done.

Continued Sepsis Education and Awareness

Continued Monitoring of Sepsis Pts.

Aim Training at Juniors and New Staff.

Data base to be started.

Data Mine Outreach Previous Audit for Comparison

“Be Aware of Sepsis, Beware Sepsis”

slide15

Continued Thanks

Andrew Herman

Dr Tamas Szakmany

Dr Chris Subbe

Dr Ron Danials

Chris Hancock

RRAILS

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