SURVEILLANCE TOOL FOR EARLY DETECTION OF SIRS AND SEPSIS St John Sepsis Agent.

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SURVEILLANCE TOOL FOR EARLY DETECTION OF SIRS AND SEPSIS St John Sepsis Agent

Transcript of SURVEILLANCE TOOL FOR EARLY DETECTION OF SIRS AND SEPSIS St John Sepsis Agent.

Page 1: 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

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What?Surveillance for early detection of SIRS/Sepsis

Who?Inpatient unitsEDICU/CVICU

Exclude: L&D and ASU

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An Evidence-Based Approach

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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

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How Do the Alerts Display?

Test Patient

Criteria that activated the Alert

Click on Red “X” to Close

Alert

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What to do when alert displays?

Assess patient Confirm findingsNotify MDComplete Task

St John’s Sepsis/SIRS PowerFormContinue to monitor patient

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CareCompass Tasks

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St John’s Sepsis/SIRS PowerForm

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Viewing Results

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