Know the Facts
Sepsis used to be called this
What is blood poisoning?
(or septicaemia)
If you are worried about a patient, this is what you should do
Escalate to the nurse or doctor
Respirations 28
SPO2 93% on air, scale 2
Blood pressure 96/51
Pulse 74 bpm
Consciousness Confused at baseline
Temperature 36.0
NEWS 6
Escalation needed, sepsis criteria met
This is the component of the sepsis 6 you can start as a HCA
Fluid balance chart
Sepsis can lead to these two things if not treated quickly
What are organ damage and death
The nurse is on her break, you've told the nurse in the bay over but they are busy with another patient. This is what you should do.
Inform the charge nurse, get a full set of observations if you haven't already, get a doctor if one is available
Respirations: 15
SpO2 96% on air
Blood pressure: 110/51
Pulse: 132 bpm
Consciousness: Alert
Temperature: 36.2 C
NEWS 4
Meets sepsis criteria
This is the organ we are worried about initially
Lungs
There are approximately this many cases of sepsis a year in the UK
This is how long we have to complete the sepsis bundle to reduce mortality by 50%
1 hour
Respirations: 32
SpO2: 91% on air
Blood pressure: 86/50
Pulse: 128 bpm
Consciousness: To voice
Temperature: 34.2 C
NEWS 17
absolutely meets sepsis criteria!
This is the blood sample that tells us how severe the sepsis is affecting the body
Lactate
These are the four places in which infections most often lead to sepsis
What are the lungs, urinary tract, skin, and gastrointestinal tract?
This is what you should do if a patient is having difficulty breathing
Call for help, sit upright, Non-rebreather mask at 15L
Respirations: 22
SpO2 98% on venturi mask at 40% O2/L
Blood Pressure: 143/94
Pulse: 72 bpm
Consciousness: Alert, states year is 1982
Temperature: 37.2 C
NEWS 7
meets sepsis criteria
Blood cultures tell us this
Which bacteria is causing the infection and which antibiotics are going to work
Name five factors that put you at greater risk for sepsis
Adults 65 or over
People with chronic medical conditions
Sepsis survivors
Weakened immune system
Recent severe illness or hospitalisation
Children younger than one
These are the signs of sepsis:
(using the SEPSIS accronym)
S- slurred speech or confusion
E- extreme shivering or muscle pain
P- passing no urine (in a day)
I - it feels like you're going to die
S - skin mottled or discoloured
Respirations: 14
SpO2 86% on nasal cannula at 2L
Blood Pressure 162/82
Pulse 94 bpm
Consciousness Alert
Temperature 37.1 C
NEWS 6
meets sepsis criteria
These are the sepsis 6
1. Oxygen 2. Blood cultures 3. Antibiotics 4. Fluids 5. Lactate 6. Fluid balance