C301_Research__V2.docx C301 Sepsis in the Emergency Department Western Governors Univer

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C301_Research__V2.docx C301 Sepsis in the Emergency Department Western Governors University Sepsis in the Emergency Department Professional Practice Description Sepsis is a life-threatening cond... ition that consistently presents in Emergency Departments across the world. It is been found to increase mortality rates in patients when not identified and treated quickly and effectively. With early recognition and treatment, mortality rats can be largely decreased. Identification of sepsis includes the use of the patient™s lab-work (CBC, BMP, blood cultures, lactate), vital signs (temperature, pulse, respirations, oxygen levels, and blood pressure) and, pertinent medical history. The treatments include IV fluid boluses and early broad-spectrum antibiotics. In my current practice, the Systemic Inflammatory Response Syndrome (SIRS) algorithm is used. This algorithm combines temperature, heart rate, respiratory rate, WBC count, blood glucose, and mental status to identify signs of sepsis. After identification of sepsis, the physician is notified and orders are placed for additional labs, IV fluids, and antibiotics. There is currently no sepsis bundle or standard of care for sepsis. To improve the current practice, the implementation of additional screening criteria and, the addition of a sepsis bundle would be required. It is important to implement this sort of a change in the practice because it puts a focus on the rapid treatment of identified sepsis. The initiation of a sepsis bundle would allow t. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. .. . . . . . . . . . . . . . . . . . .. . . . . [Show More]

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