Proper Blood Culture Collection
This is the minimum amount of ml of blood to be collected in each bottle.
What is 8-10 ml?
This is the recommended class of antibiotics to use for a maternal sepsis patient.
What is broad-spectrum?
HR > 110
RR > 24/min
Temp > 100.4 or < 96.8
WBC > 15 or < 4% or 10 % bands
What is SIRS criteria for 20 weeks to 3 days postpartum?
This is the number of lactates that should be done for all sepsis patients
What is 3?
Time that meets criteria for Sepsis (suspected or confirmed infection + 2 SIRS)
What is Time Zero?
This is the proper way to disinfect blood culture bottles.
What is using an alcohol prep?
(Disinfect after removing cap, do not reuse prep pad, 1 per bottle)
This is the time frame that the antibiotics must be started from provider order.
What is within 1 hour?
Genital tract, UTI, Respiratory and Wound Infections, Mastitis, Non-sterile procedures, retained placental fragments
What are the most common causes of maternal sepsis
This is a lab that can indicate tissue hypoxia & hypoperfusion.
What is Lactate/Lactic Acid
This is the name of the provider order set that should be used for the maternal patient.
What is the Perinatal Sepsis Management order set?
The proper way to prep the skin for BC collection.
What is scrub the skin for 30 sec with CHG and allow the site to dry for 30-60 sec?
IVF Bolus parameter for maternal patient
What is 30ml/kg based on Ideal Body Weight (IBW)?
The presence of 2 or more SIRS within 6 hours of each other and suspected or confirmed infection
What is Sepsis?
The lab requirements for sending a lactate (color tube and protocol)
What is draw a grey top, place on ice & stat-walked to the lab
In Severe Sepsis, end organ dysfunction will show a MAP of ______ for maternal sepsis.
What is <65?
The protocol for the number of BC sites.
What is draw from two different sites every time?
(Document different times and avoid PIV site if possible)
The timeframe to complete the IVF bolus from Time Zero.
What is within three hours?
Decreased output of this bodily function is a red flag for organ dysfunction.
What is urine output?
This is what is required when the first LA is <2 and the second LA is < 2 and the third LA is > 2
What is draw the 4th Lactate within 3 hours?
The number of full sets of vital signs that must be completed and documented within 1 hour of an IVF bolus.
What are 2 full sets of vitals?
The correct order for BC collection.
What is Aerobic (blue), Anaerobic (purple), other labs
This clinical finding indicates the need for an immediate fluid bolus in maternal sepsis.
What is Hypotension or signs of Hypoperfusion>
Severe sepsis with organ dysfunction, persistent hypotension and initial lactate > 4
What is Septic Shock?
This may give a falsely elevated lactate level.
What is a Labor and up to 1 hour postpartum?
(Lactic acid 2-4 during labor and up to 1 hour postpartum, MD must document in EMR and the LA should continue to be trended)
Once the IVF bolus is complete, the RN must notify the provider to complete a _____.
What is the Sepsis Reperfusion exam?