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Sepsis Topic Implications in Healthcare 😷🤢

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Sepsis Topic Implications in Healthcare 😷🤢

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Sepsis which is a pathophysiologic response mounted by the immune system against an infection that can potentially lead to fatal organ dysfunction.
Algorithms used to help direct recognition of sepsis and septic shock.

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A sample of a worksheet to help health care workers identify which level is there patient at; sepsis, severe sepsis, or septic shock.

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Table 2. Typical Rapid Response System Calling Criteria
Any staff member may call the team if one of the following criteria is met:
Heart rate over 140/min or less than 40/min
Respiratory rate over 28/min or less than 8/min
Systolic blood pressure greater than 180 mmHg or less than 90 mmHg
Oxygen saturation less than 90% despite supplementation
Acute change in mental status
Urine output less than 50 cc over 4 hours
Staff member has significant concern about the patient's condition
Additional criteria used at some institutions:
Chest pain unrelieved by nitroglycerin
Threatened airway
Seizure
Uncontrolled pain

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Implications for APRN & Research 👩‍⚕️👨‍⚕️

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Implications for APRN & Research 👩‍⚕️👨‍⚕️

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Medical judgement by the Advanced Practice Registered Nurse (APRN) mandates evidence-based practice, therefore guidelines are applied in all clinical practice. Guidelines such as the Surviving Sepsis Campaign International Guidelines for Management of Sepsis and Septic Shock, warrant incorporation of pursuit and reference into treatment protocol.
Through problem identification and research they have found that adding sepsis watch to the Rapid Response team improved; early detection, implementation of diagnostics and treatment, and improved outcomes with decreased mortality rates (Institute for Healthcare Improvement, 2019).  Advanced practice nurses in the acute care setting to serve as the provider for the Rapid Response Team uniformly across the country.

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The Sequential Organ Failure Assessment Score.

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The Sequential Organ Failure Assessment Score.

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Early recognition to prevent organ failure is the idea.
A SOFA or sequential organ failure assessment tool was utilized by researchers to develop response in the first 72 hours during therapy initiation (Marik et al., 2017).

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Using Data to Improve Outcomes with Sepsis & Rapid Response

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Using Data to Improve Outcomes with Sepsis & Rapid Response

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Please read below

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Rapid Response Topic Implications in Healthcare 👇 

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Rapid Response Topic Implications in Healthcare 👇 

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Sepsis Six - six interventions for patients who are suffering severe sepsis.

Early recognition, improving sepsis outcomes and achieving goals for patients that are not in the intensive care unit can be done by using the Rapid Response Team.  Using an electronic program that is hospital-wide along with Rapid Response Team has shown a significant improvement with patient outcomes for sepsis (Guirgis et al., 2017).

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Sepsis Six - six interventions for patients who are suffering severe sepsis

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1.  What early warning sepsis screening systems or algorithms are used in your facility and how do they rate?

2. Does your facility have a designated Rapid Response Team to monitor sepsis alerts, if not how can you show the data to encourage your hospital to have one?