SURVEILLANCE TOOL FOR EARLY DETECTION OF SIRS AND SEPSIS St John Sepsis Agent.
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Transcript of SURVEILLANCE TOOL FOR EARLY DETECTION OF SIRS AND SEPSIS St John Sepsis Agent.
SURVEILLANCE TOOL FOR EARLY DETECTION OF SIRS AND
SEPSIS
St John Sepsis Agent
What?Surveillance for early detection of SIRS/Sepsis
Who?Inpatient unitsEDICU/CVICU
Exclude: L&D and ASU
An Evidence-Based Approach
SIRS Indicators Organ Failure Indicator
Temp < 36 C or > 38.3 C HR > 95 bpm RR > 22 br/min Glucose level > 140mg/dL AND <
200mg/dL (in absence of diabetes) WBC < 4 K/uL or > 12 K/uL Bands > 10%
Lactic Acid level > 2 mmol/L Creatinine level (increase of 0.5
mg/dL over 72 hours) Total Bilirubin > 2 mg/dL AND <
10 mg/dLSBP < 90 mmHg MAP < 65 mmHg
Data Collected and Monitored
3 Sirs =SIRS Alert
2 SIRS + 1 Organ Failure Indicator
= Sepsis Alert
How Do the Alerts Display?
Test Patient
Criteria that activated the Alert
Click on Red “X” to Close
Alert
What to do when alert displays?
Assess patient Confirm findingsNotify MDComplete Task
St John’s Sepsis/SIRS PowerFormContinue to monitor patient
CareCompass Tasks
St John’s Sepsis/SIRS PowerForm
Viewing Results
Right Click to view
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