Joining Forces, ICU and Acute Care Nurses Avert Disaster through Early Sepsis Recognition and Treatment

2.50
Hdl Handle:
http://hdl.handle.net/10755/157148
Category:
Abstract
Type:
Presentation
Title:
Joining Forces, ICU and Acute Care Nurses Avert Disaster through Early Sepsis Recognition and Treatment
Author(s):
Norman, Tisha; Jones, Geraldine; Smith, Claudia; Howell, Melissa; Grami, Petra; Hoffman, Jennifer; Laine, Gregory
Author Details:
Tisha Norman, St. Luke's Episcopal Hospital, Houston, Texas, USA, email: tnormanrn@comcast.net; Geraldine Jones; Claudia Smith; Melissa Howell; Petra Grami; Jennifer Hoffman; Gregory Laine
Abstract:
PURPOSE: Sepsis wreaks havoc on the human body. Like a natural disaster, it moves fast and furiously, leaving devastation in its wake. The aftermath leaves us wrought with uncertainty, and expense. Sepsis survivors face increased mortality, length of stay, and costs. Sepsis drains the healthcare resources of our patients, hospitals, and nation. By providing Sepsis Guidelines education to hospital staff, we are promoting early recognition and treatment to avoid full-blown disaster. Description: According to the 2008 Surviving Sepsis Campaign early recognition of sepsis and implementation of key strategies in the first six hours is paramount to averting disaster. Data from previous implementation of an ICU sepsis protocol illustrated statistically significant reductions in mortality, length of stay, ICU length of stay and ventilator days, demonstrating the need to initiate a house-wide program. This creative solution educates staff nurses in the acute care setting to recognize signs and symptoms of sepsis and implement a six-hour bundle. Early recognition enables them to initiate early treatment outside the ICU setting. Development of an interprofessional Sepsis Task Force combined efforts to revise the existing sepsis protocol to facilitate early intervention in the acute care setting. The Task Force designed an educational offering that moved implementation of treatment across service lines, out of the ICU/ED and into the acute care setting. The taskforce utilized key stakeholders to promote collaboration and buy-in from MDs and RN staff outside the ICU. Educational opportunities are ongoing, with continuing education (CE) credits offered for RNs, and quarterly updates for MDs, pharmacy, and hospital leadership. EVALUATION: Initial implementation of an ICU "Sepsis Protocol" yielded a reduction of in-house sepsis-associated mortality rates from 40% to < 20%. To evaluate house-wide implementation efficacy, identical metrics will be utilized. Effectiveness of RN education will be measured through satisfaction surveys; MD education by use of the six-hour bundle outside the ICU. Ongoing hospital-wide education will insure sustainability of the sepsis initiative. Early recognition and treatment of sepsis must become ingrained into the hospital culture and evolve as the standard of care. This alone will insure that we will continue to see positive outcomes associated with early sepsis intervention.
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.titleJoining Forces, ICU and Acute Care Nurses Avert Disaster through Early Sepsis Recognition and Treatmenten_GB
dc.contributor.authorNorman, Tishaen_GB
dc.contributor.authorJones, Geraldineen_GB
dc.contributor.authorSmith, Claudiaen_GB
dc.contributor.authorHowell, Melissaen_GB
dc.contributor.authorGrami, Petraen_GB
dc.contributor.authorHoffman, Jenniferen_GB
dc.contributor.authorLaine, Gregoryen_GB
dc.author.detailsTisha Norman, St. Luke's Episcopal Hospital, Houston, Texas, USA, email: tnormanrn@comcast.net; Geraldine Jones; Claudia Smith; Melissa Howell; Petra Grami; Jennifer Hoffman; Gregory Laineen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157148-
dc.description.abstractPURPOSE: Sepsis wreaks havoc on the human body. Like a natural disaster, it moves fast and furiously, leaving devastation in its wake. The aftermath leaves us wrought with uncertainty, and expense. Sepsis survivors face increased mortality, length of stay, and costs. Sepsis drains the healthcare resources of our patients, hospitals, and nation. By providing Sepsis Guidelines education to hospital staff, we are promoting early recognition and treatment to avoid full-blown disaster. Description: According to the 2008 Surviving Sepsis Campaign early recognition of sepsis and implementation of key strategies in the first six hours is paramount to averting disaster. Data from previous implementation of an ICU sepsis protocol illustrated statistically significant reductions in mortality, length of stay, ICU length of stay and ventilator days, demonstrating the need to initiate a house-wide program. This creative solution educates staff nurses in the acute care setting to recognize signs and symptoms of sepsis and implement a six-hour bundle. Early recognition enables them to initiate early treatment outside the ICU setting. Development of an interprofessional Sepsis Task Force combined efforts to revise the existing sepsis protocol to facilitate early intervention in the acute care setting. The Task Force designed an educational offering that moved implementation of treatment across service lines, out of the ICU/ED and into the acute care setting. The taskforce utilized key stakeholders to promote collaboration and buy-in from MDs and RN staff outside the ICU. Educational opportunities are ongoing, with continuing education (CE) credits offered for RNs, and quarterly updates for MDs, pharmacy, and hospital leadership. EVALUATION: Initial implementation of an ICU "Sepsis Protocol" yielded a reduction of in-house sepsis-associated mortality rates from 40% to < 20%. To evaluate house-wide implementation efficacy, identical metrics will be utilized. Effectiveness of RN education will be measured through satisfaction surveys; MD education by use of the six-hour bundle outside the ICU. Ongoing hospital-wide education will insure sustainability of the sepsis initiative. Early recognition and treatment of sepsis must become ingrained into the hospital culture and evolve as the standard of care. This alone will insure that we will continue to see positive outcomes associated with early sepsis intervention.en_GB
dc.date.available2011-10-26T19:27:50Z-
dc.date.issued2011-10-26en_GB
dc.date.accessioned2011-10-26T19:27:50Z-
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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