Recognize and treat sepsis early!

The St. John sepsis module detects patients with signs of sepsis using vitals and laboratory results.  When the screen is positive, the patient’s nurse will be alerted.  The nurse will then alert the provider.

It is up to the you as the provider to take action! Evaluate the patient and if the patient requires treatment for sepsis, start quickly.  Inpatients need antibiotics given within 1 hour of declaring sepsis!  Use the MED Sepsis Screening and Management Bundle order set to view guidelines and suggestions for management, including IV fluids and empiric antibiotic selection.  This order set will suppress alerts for a period of time.

Goals: *use the MED Sepsis Screening and Management Bundle

• BLOOD CULTURES before antibiotics
• LACTATE: Check it, and if >= 2.0, recheck within 4 hours!
• IVF: At least 30cc/kg IV fluid bolus (about 2L) within 3 hours
• Additional clinical assessment and orders as indicated to identify the source
• Make the diagnosis and document: Use auto text (.sespsnotsepsis, .sepsisseveresepsis .sepsissepticshock)