EARLY RECOGNITION OF SEPSIS IN THE EMERGENCY DEPARTMENT. Nanette Kent RN, BSN Senior Specialist Emergency Department, EBPI Fellow Tonia McCoy, RN MSN, Senior Specialist Emergency Department, EBPI Mentor. Sharp Grossmont Hospital.
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Nanette Kent RN, BSN Senior Specialist Emergency Department, EBPI Fellow
Tonia McCoy, RN MSN, Senior Specialist Emergency Department, EBPI Mentor
In the Emergency Department, does the implementation of an assessment tool for identifying sepsis patients, with the utilization of SBAR communication, when compared to the current practice of following the Sepsis Early Recognition Algorithm for Goal Directed Therapy increase early recognition of sepsis?
To utilize a screening tool that will lead to increased recognition and early treatment of sepsis in the Emergency Department.
RevisedSepsis Screening Tool
The RN then approaches the ERMD, informing him using SBAR technique, that the patient has screened positive for severe sepsis.
Baseline data - Concurrent audits of 200 patients were completed utilizing the screening tool.
Random audits on Emergency Department patients were performed.Initial Data Collection
N = 200
Staff utilized the screening tool on all patients, regardless of chief complaint or presentation.
A total of 206 patients were screened.Post Implementation Data Collection
N = 206
N = 206
N = 206
Baseline data regardless of chief complaint or presentation.
Three patients qualified for complete utilization of the screening tool.
Five patients screened positive for utilization of the screening tool.
Four received additional treatment
There is a two-times greater chance of receiving appropriate treatment for sepsis with utilization of the sepsis screening tool.Conclusion
Utilization of the tool during the triage assessment.
Possibility of implementation of a " sepsis code " when patients present with SIRS symptoms at triage.Next Step