Sepsis Definitions
This term refers to sepsis plus organ dysfunction or tissue hypoperfusion.
What is Severe Sepsis?
A fever greater than this temperature may indicate sepsis in non-pregnant adults.
What is 38.3°C (100.9°F)?
This system alerts nurses to screen for SIRS every 24 hours
What is Epic Best Practice Advisory (BPA)?
Now Called OPA
Communication method used by nurses to report findings to providers.
What is SBAR?
Bundle includes lactate, blood cultures, and antibiotics within 3 hours.
What is the Three-Hour Bundle?
Defined as sepsis-induced hypotension that persists despite fluid resuscitation.
What is Septic Shock?
A WBC count greater than this value is considered leukocytosis.
12,000/μL?
This protocol is initiated by nurses before provider notification.
What is the Sepsis Nurse Driven Protocol?
Action taken if a provider does not respond within 15 minutes.
What is Call a Rapid Response?
Bundle includes vasopressors and perfusion assessment within 6 hours.
What is the Six-Hour Bundle?
The time when SIRS, organ dysfunction, and suspected infection are all documented within 6 hours.
What is Presentation Time? (Time 0)
This lab must be repeated if the initial value is > 2.0 mmol/L.
What is Lactate?
Must be documented if the patient refuses interventions.
What is Refusal of Consent?
Documentation entered by nurses after interventions.
What is the Sepsis Flowsheet?
Fluid type used for resuscitation in septic shock.
What is Crystalloid Fluids?
What is SIRS
What is Systemic Inflammatory Response Syndrome
This lab is drawn STAT if no result is available in the last 24 hours and creatinine is elevated
What is Basic Metabolic Panel (BMP)?
Term for giving fluids to assess response in septic patients.
What is Fluid Challenge?
Must be documented if less than 30 mL/kg fluids are given.
What is Justification for Fluid Restriction?
Minimum volume of fluids for resuscitation unless contraindicated.
What is 30 mL/kg?
This blood pressure measurement indicates sepsis-induced hypotension.
What is SBP < 90 mmHg or MAP < 65 mmHg?
DAILY DOUBLE
It is your turn to ask a question!
Tool that includes all bundle interventions and is used hospital-wide.
What is the Sepsis Pathway?
Must be documented after fluid resuscitation to assess perfusion.
What is Repeat Volume Status and Tissue Perfusion Assessment?
DAILY DOUBLE
What questions do you have about sepsis?