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.
Sepsis Response Bag Introduction,
Critical Care Outreach,
Royal Glamorgan Hospital,
Cwm Taf LHB.
A Massive Problem
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.
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 !
Survive Sepsis Campaign
Sepsis/Severe Sepsis Pathway
Clinical Accumen and Experience
Sepsis Response Bag.
Proven Research Based Response
IVABs stored on each ward.A Simple Solution ?
Senior Nurses, Outside of Critical Care Working Group.
Directorate Lead Nurse.
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.
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.
4 Stranded Assessment:
Patient follow up, Day 0,1, 7 and past 24hrs,
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.
Initially No Sepsis Pt Identified ! Why ?
8 Pt identified and put on Sepsis proforma.
2 achieved 1 hour goal
1 sepsis form missing
1 Pt admitted to ITU with no proforma.
Bags are usefull !
Primarily Blood bottles, cultures, butterfly and hub and paperwork used.
Equipment to add in.
Probably do save time.
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”
Dr Tamas Szakmany
Dr Chris Subbe
Dr Ron Danials