Blood Cultures
Blood cultures should be collected prior to the initiation of this.
What is prior to the start of antibiotics.
OB SIRS screening tool is used during what time frame for patient screening?
This is the recommended antibiotic type to use for a maternal sepsis patient until a culture report is available.
What is broad-spectrum antibiotics?
This lab, when elevated, can indicate hypoperfusion.
What is Lactate?
When does the sepsis window start?
What is the time of presentation?
How many sets of blood cultures should be collected?
What is two sets?
UTI, pyelonephritis, respiratory illness, Mastitis, retained placental fragments, and wound infections are all possible what?
What are possible sources of infection?
This is the time frame that antibiotics must be started for optimal patient outcomes.
What is within 1 hour from time of suspected sepsis?
This is the required procedure when drawing/sending a Lactate.
What is collecting a gray-top without a tourniquet, place on ice, and walked to lab?
Prior to 20 weeks or after 72 hours postpartum, use this Sepsis screening tool.
What is the Adult (non-OB) SIRS criteria?
Blood Cultures should be drawn from this site for the best results?
What is two different peripheral sites?
An acronym to help you remember required interventions for Sepsis is?
What is CALF?
If the patient has hypotension (SBP <90 or MAP <65) or a lactate is 4 or more this should be given?
What is a LR fluid bolus of 30ml/kg?
When a lactate is >2 or >4 while in labor, what procedure should be followed?
What is re-collect another Lactate within 2 hours?
This should be placed on a patient's wrist when a sepsis work up is initiated.
What is the orange armband?
If your patient refuses or you are having a difficult time and unable to obtain blood cultures what should you do and chart?
Start antibiotics and place a nursing note timed prior to antibiotic start time and reattempt collection once patient is stable and hydrated.
If you have 2 OB SIRS criteria met and a suspected source of infection, what should you do?
What is notify a provider and call a rapid response/code sepsis?
What is the required fluid type if a fluid bolus is indicated?
What is crystalloids? (NS or LR)
This lab should be drawn when collecting each set of blood cultures, labeled, and sent to lab.
What is a throw away tube?
What is the rate for IV fluid bolus?
What is 30 ml/kg?
This is the maximum window of time you should spend collecting blood cultures.
What is 45 minutes?
A fetal HR baseline of this meeting OB SIRS criteria.
What is FHR baseline of 160 or higher?
When hypotension is present after an IV fluid bolus, this is present.
What is septic shock?
This could give a falsely elevated lactate level.
What is extended tourniquet time, Aspirin, Metformin, strenuous exercise, or extended labor?
A new requirement of oxygen and/or oxygen saturation of <92% could indicate this.
What is severe sepsis?