1.00
Hdl Handle:
http://hdl.handle.net/10755/162416
Type:
Presentation
Title:
Emergency Department Sepsis Alert and Practice Protocol (EDSAPP)
Abstract:
Emergency Department Sepsis Alert and Practice Protocol (EDSAPP)
Conference Sponsor:Emergency Nurses Association
Conference Year:2010
Author:Williams, Darleen A., RN, CNS, MSN, CEN, CCNS
P.I. Institution Name:Orlando Regional Medical Center
Title:Clinical Nurse Specialist for Emergency Services
Contact Address:1414 Kuhl Avenue, Orlando, FL, 32806, USA
Contact Telephone:321-841-8110
Co-Authors:Katrin Breault, RN
[ENA Annual Conference - Evidence-based Practice Presentation]

Purpose: In the US severely septic patients and patients in septic shock continue to experience significant mortality. The use of standard practice protocol and guidelines has demonstrated improved outcomes for septic patients.
This southeastern facility (SEF) emergency department (ED), as with all ED's in the US today is experiencing not only increased patient volumes but higher patient acuity as well. These factors contribute to longer lengths of stays and delayed patient throughput. The objective of the EDSAPP is to initiate early goal directed therapy (antibiotic initiation within one hour of arrival) and expedite the patientÆs admissions process.

Design: This is a process implementation project for the ED. Sepsis education has been occurring for 2 years prior to implement on of the sepsis alert and practice protocol.

Setting: The SEF ED is a state certified level one trauma center with an average daily census of 250 patients. Although the SEF ED is not an academic medical center it is staffed by board certified emergency physicians and emergency medicine residents. The ED's nursing staff has a wide range of experience ranging from one year to thirty years. Currently approximately 15 percent of the nursing staff are Certified Emergency Nurses (CEN).

Participants/Subjects: Inclusion criteria are simple, every patient seen and treated in the SEF ED that has a severe sepsis alert and practice protocol initiated will be evaluated.

Methods: A severe sepsis alert and practice protocol was implemented in the SEF ED on September 29, 2009. All data will be collected through a retrospective electronic medical record (EMR) review. The data to be gathered from each patient's EMR will include the date, time and mode of arrival, gender, age, complete initial vital signs, time of severe sepsis alert page, time of first antibiotic order, time first antibiotic administered, time admission called, time ED notified of ready in-house bed and time patient was transported out of the ED.

Other data points of interest to be collected include the physicians the number of years of experience, if the physician is a resident, the program and year of residency will be documented. In addition the assigned nurse's years of experience, education level and certification status will be collected.

In order to maintain inter rater reliability all data will be collected by the SEF ED clinical nurse specialist (CNS) and the ED staff nurse assigned to assist with this severe sepsis project.

Results/Outcomes: The data gathered from the sepsis alerts will be continually evaluated to determine if there are any changes necessary in the sepsis alert process or practice protocol and to keep the SEF ED staff apprised of the process results.

Implications: Early recognition and implementation of standard practice protocol and guidelines has demonstrated improved outcomes for septic patients. Reducing length of stay (LOS) for all patients seen and treated in the ED improves overall all throughput and decreases patient wait times and potential for poor outcomes.

Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEmergency Department Sepsis Alert and Practice Protocol (EDSAPP)en_GB
dc.identifier.urihttp://hdl.handle.net/10755/162416-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Emergency Department Sepsis Alert and Practice Protocol (EDSAPP)</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Williams, Darleen A., RN, CNS, MSN, CEN, CCNS</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Orlando Regional Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Nurse Specialist for Emergency Services</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1414 Kuhl Avenue, Orlando, FL, 32806, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">321-841-8110</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">darleen.williams@orlandohealth.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Katrin Breault, RN</td></tr><tr><td colspan="2" class="item-abstract">[ENA Annual Conference - Evidence-based Practice Presentation] <br/><br/>Purpose: In the US severely septic patients and patients in septic shock continue to experience significant mortality. The use of standard practice protocol and guidelines has demonstrated improved outcomes for septic patients. <br/>This southeastern facility (SEF) emergency department (ED), as with all ED's in the US today is experiencing not only increased patient volumes but higher patient acuity as well. These factors contribute to longer lengths of stays and delayed patient throughput. The objective of the EDSAPP is to initiate early goal directed therapy (antibiotic initiation within one hour of arrival) and expedite the patient&AElig;s admissions process. <br/><br/>Design: This is a process implementation project for the ED. Sepsis education has been occurring for 2 years prior to implement on of the sepsis alert and practice protocol. <br/><br/>Setting: The SEF ED is a state certified level one trauma center with an average daily census of 250 patients. Although the SEF ED is not an academic medical center it is staffed by board certified emergency physicians and emergency medicine residents. The ED's nursing staff has a wide range of experience ranging from one year to thirty years. Currently approximately 15 percent of the nursing staff are Certified Emergency Nurses (CEN). <br/><br/>Participants/Subjects: Inclusion criteria are simple, every patient seen and treated in the SEF ED that has a severe sepsis alert and practice protocol initiated will be evaluated. <br/><br/>Methods: A severe sepsis alert and practice protocol was implemented in the SEF ED on September 29, 2009. All data will be collected through a retrospective electronic medical record (EMR) review. The data to be gathered from each patient's EMR will include the date, time and mode of arrival, gender, age, complete initial vital signs, time of severe sepsis alert page, time of first antibiotic order, time first antibiotic administered, time admission called, time ED notified of ready in-house bed and time patient was transported out of the ED. <br/><br/>Other data points of interest to be collected include the physicians the number of years of experience, if the physician is a resident, the program and year of residency will be documented. In addition the assigned nurse's years of experience, education level and certification status will be collected. <br/> <br/>In order to maintain inter rater reliability all data will be collected by the SEF ED clinical nurse specialist (CNS) and the ED staff nurse assigned to assist with this severe sepsis project.<br/><br/>Results/Outcomes: The data gathered from the sepsis alerts will be continually evaluated to determine if there are any changes necessary in the sepsis alert process or practice protocol and to keep the SEF ED staff apprised of the process results. <br/><br/>Implications: Early recognition and implementation of standard practice protocol and guidelines has demonstrated improved outcomes for septic patients. Reducing length of stay (LOS) for all patients seen and treated in the ED improves overall all throughput and decreases patient wait times and potential for poor outcomes. <br/><br/></td></tr></table>en_GB
dc.date.available2011-10-27T10:27:51Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:27:51Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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