sepsis care at nrgh ed april 23, 2014 presentation to the bc sepsis network

Sepsis Care at NRGH EDApril 23, 2014

Presentation to the BC Sepsis Network

Context

Sepsis Working Group

Membership Includes• Director• Manager• Physicians• Lab Leadership• Unit Clerks• Frontline RN’s• CNE’s

Ad Hoc Members• Pharmacy • Infection Control• Infectious Disease• Respiratory• Antibiotic Stewardship• IM/IT• Quality Control

Screening

Screening

Worksheet

Worksheet

Screeners and Order Sets

The Screening Tool and Worksheet is brought together

with the Initial Management clinical

order set.

NRGH ED Sepsis Survey Monkey Results

34 RespondentsMay/June 2013

Are you aware of the following best practice early interventions in Sepsis care in the ED?

What barriers do you encounter in meeting targets for early sepsis interventions?

Online Learning Module

150 Lives in 150 Days

Sepsis Drug BoxChipping away at the 8%

mortality increase per hour delay!

Critical Care Med Vol. 34, No.6

Sepsis Drills and Working Group

Data Collection

Time to Blood Cultures Drawn

Time from Patient Arrival to Lactate Report Time

Time to Antibiotics

Future State EHRNext generation EHR willhave full sepsis care integration. • SIRS and risk factors• Real time data mining• Auto launch to advisory

and COS• List and status of sepsis

intervention

Moving Forward

We will continue to work on striving to proving excellence in Sepsis care.

We thank the BC Sepsis Network for their ongoing support and for the invitation to share

our work.

We thank our colleagues and working groups for their dedication and hard work.

Sepsis Care at NRGH EDQuestions?