What is SEPSIS?
This must be present before a patient can become septic.
What is an infection?
Heart rate greater than this meets one SIRS criteria.
What is >90 beats/minute?
When Epic alerts or infection is suspected, nurses should complete this.
What is the sepsis screen in Epic?
These should be obtained before antibiotics whenever possible.
What are two sets of blood cultures?
Every hour antibiotics are delayed increases mortality by approximately this percentage.
What is 9%?
Sepsis is the body's _____ response to infection resulting in organ dysfunction.
What is a dysregulated response?
Respiratory rate greater than this meets a SIRS criteria.
What is >20 breaths/minute?
Once infection plus two SIRS criteria are identified, activate this.
What is the Sepsis Huddle?
The laboratory value helps assess tissue perfusion.
What is lactate?
Previous sepsis survivors are this many times more likely to develop sepsis again.
What is three times?
These four organisms can cause sepsis.
What are bacteria, viruses, fungi, and parasites?
Two temperature values that meet SIRS criteria.
What is >38'C or <36'C?
These two clinicians respond within approximately 30 minutes.
Who are the STAT nurse and provider?
Repeat lactate if the inital value is greater than this.
What is 2 mmol/L?
Name two long term complications of sepsis.
What are PTSD, organ dysfunction, decrease in quality of life, anxiety/depression, and fatigue.
Once a patient reaches this stage, mortality approaches 40%.
What is septic shock?
Nurses often recognize this early neurologic sign before other changes occur.
What is altered mental status?
While waiting for the huddle, nurses should begin these.
What are the Nurse Initiated Sepsis Orders (NIOs)?
The nurse driven IV fluid bolus at UWMC is this amount of what crystalloid fluid?
What is 500 mL of Lactated Ringer's?
"Early recognition, rapid treatment, and _____ save lives."
What is nurse recognition, collaboration &/or teamwork?
Sepsis is primarily this type of disorder.
What is a perfusion disorder?
Besides suspected infection, how many SIRS criteria are needed to activate the UWMC sepsis workflow?
What are two or more?
The one word nurses are encouraged to say because it speeds recognition and treatment.
What is "sepsis"?
This first line vasopressor is used if hypotension persists after adequate fluids.
What is norepinephrine?
Name the four key takeaways from today's orientation.
What are:
1) Screen for sepsis
2) Recognize infection plus two or more SIRS criteria
3) Activate the Sepsis Huddle
4) Initiate NIOs and work as an interdisciplinary team