2.50
Hdl Handle:
http://hdl.handle.net/10755/157137
Category:
Abstract
Type:
Presentation
Title:
Rapid Rescurers: Sepis Survivors
Author(s):
McCabe, Patricia; Onwu, Petronilla; Rosenthal, Dina
Author Details:
Patricia McCabe, Washington Hospital Center, Washington, DC, USA, email: patricia.mccabe@medstar.net; Petronilla Onwu; Dina Rosenthal
Abstract:
PURPOSE: Nearly 600 patients die every day due to severe sepsis. Forty percent of all ICU expenditures are related to the care of patients with severe sepsis. Our rapid response statistics show 38 percent of calls are for patient who screen positive for severe sepsis. Our goal was to identify potential severe sepsis patients utilizing our proactive rapid response screening tool. This tool utilizes a combination of computerized lab/test results to screen patient prior to a rapid response. Description: For over a year each rapid response patient was screened for severe sepsis. The inclusion of the usual sepsis screening tool helped to broaden the team's focus and assisted with early recognition and treatment of patients with severe sepsis. Currently we have a screening tool to identify potential rapid response patients utilizing lab/test data. By adding the white blood cell count and creatinine to the rapid response screen the team is able to identify potential severe sepsis patients earlier, before a rapid response is called or the patient requires emergent intervention on the floor. Our proactive screen can be viewed twenty-four/seven. The team may screen patients two or more times a day. Once the screen identifies a potential patient a rapid response or sepsis committee member will go the patient's bedside to assess the patient for severe sepsis. Treatment is begun with the initiation of the Severe Sepsis Orderset preventing treatment delays and reducing the need to transfer the patient to a higher level of care. EVALUATION: Seventy-five percent of the patients who were identified by the proactive screening were positive for severe sepsis utilizing the usual severe sepsis screening tool. We have just begun to see a decrease in our sepsis mortality index from 2.2 to 1.6. By identifying and treating our non-ICU patients earlier we have decreased the number of Code Blues by 20.6% compared to the same time last year. We have decreased the number of ICU/IMC transfers from the floors by 56%. Our nurses have embraced this new initiative, and view their Rapid Response Team role as an opportunity to help their peers in a non-ICU environment.
Repository Posting Date:
26-Oct-2011
Date of Publication:
26-Oct-2011
Citation:
2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.
Conference Date:
2009
Conference Name:
National Teaching Institute and Critical Care Exposition
Conference Host:
American Association of Critical-Care Nurses
Conference Location:
New Orleans, Louisiana, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleRapid Rescurers: Sepis Survivorsen_GB
dc.contributor.authorMcCabe, Patriciaen_GB
dc.contributor.authorOnwu, Petronillaen_GB
dc.contributor.authorRosenthal, Dinaen_GB
dc.author.detailsPatricia McCabe, Washington Hospital Center, Washington, DC, USA, email: patricia.mccabe@medstar.net; Petronilla Onwu; Dina Rosenthalen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157137-
dc.description.abstractPURPOSE: Nearly 600 patients die every day due to severe sepsis. Forty percent of all ICU expenditures are related to the care of patients with severe sepsis. Our rapid response statistics show 38 percent of calls are for patient who screen positive for severe sepsis. Our goal was to identify potential severe sepsis patients utilizing our proactive rapid response screening tool. This tool utilizes a combination of computerized lab/test results to screen patient prior to a rapid response. Description: For over a year each rapid response patient was screened for severe sepsis. The inclusion of the usual sepsis screening tool helped to broaden the team's focus and assisted with early recognition and treatment of patients with severe sepsis. Currently we have a screening tool to identify potential rapid response patients utilizing lab/test data. By adding the white blood cell count and creatinine to the rapid response screen the team is able to identify potential severe sepsis patients earlier, before a rapid response is called or the patient requires emergent intervention on the floor. Our proactive screen can be viewed twenty-four/seven. The team may screen patients two or more times a day. Once the screen identifies a potential patient a rapid response or sepsis committee member will go the patient's bedside to assess the patient for severe sepsis. Treatment is begun with the initiation of the Severe Sepsis Orderset preventing treatment delays and reducing the need to transfer the patient to a higher level of care. EVALUATION: Seventy-five percent of the patients who were identified by the proactive screening were positive for severe sepsis utilizing the usual severe sepsis screening tool. We have just begun to see a decrease in our sepsis mortality index from 2.2 to 1.6. By identifying and treating our non-ICU patients earlier we have decreased the number of Code Blues by 20.6% compared to the same time last year. We have decreased the number of ICU/IMC transfers from the floors by 56%. Our nurses have embraced this new initiative, and view their Rapid Response Team role as an opportunity to help their peers in a non-ICU environment.en_GB
dc.date.available2011-10-26T19:27:18Z-
dc.date.issued2011-10-26en_GB
dc.date.accessioned2011-10-26T19:27:18Z-
dc.identifier.citation2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.en_GB
dc.conference.date2009en_GB
dc.conference.nameNational Teaching Institute and Critical Care Expositionen_GB
dc.conference.hostAmerican Association of Critical-Care Nursesen_GB
dc.conference.locationNew Orleans, Louisiana, USAen_GB
dc.identifier.citation2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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