Change Strategy:
To implement changes that will impact the improved care of sepsis patients the Interprofessional Sepsis Workgroup suggests the following strategy for change:
Request support from the CNO, CMO and executive leadership to implement the needed changes to improve sepsis bundle compliance.
Sepsis Education for providers, nurses, and allied health staff.
Develop an automated screening tool and dashboards in the EHR to alert nurses and providers of potential sepsis
Develop algorithms, nurse-initiated protocols, and order sets to facilitate care interventions.
Engage the Rapid Response Team (RRT) RN’s to act as Sepsis Experts to assist staff and encourage best-practice.
Stock common antibiotics to the ED to prevent delays in administration. …show more content…
The workgroup developed a sepsis algorithm that can be used to develop an alert in the EHR, a sepsis bundle order set, and sepsis education that would be provided house-wide for nurses, providers, and allied health professionals.
The workgroup agrees that since sepsis most often diagnosed in the ED, the triage RN should be the one to initiate the sepsis bundle order set. This will document time-zero and facilitate care for the patient.
The ED provider who participated on the workgroup suggested assigning an ED provider to the triage area for sepsis patients, once the order set for the sepsis bundle was initiated by the RN, the ED provider would be notified to see the patient
The RRT RN’s agreed that they would be responsible for monitoring patients that qualified for the sepsis bundle.
The Pharmacy representative agreed to stock a small stock of unknown source antibiotics that could be mixed and given by the RN would remove barriers and improve workflow.
Clinical Informatics confirmed that a sepsis alert and documentation could be created in the EHR that could include documentation that could be extracted as discrete