Early Recognition
Resident temp and heart rate over 100, blood pressure below 100
What is early detection tool?
Notify physician with situation, background, assessment and recommendation for suspected sepsis
What is SBAR?
Lung, UTI, Skin, Gut Infections
What infections are most likely to lead to sepsis?
Early identification, educate family and residents, sepsis diagnostic tools, share lessons learned
What are the four pillars of successful sepsis intervention programs?
If national sepsis mortality is reduced by this, 28,600 lives would be saved
What is 10%?
Temperature, infection, mental decline, extremely ill
What is TIME; symptoms to watch for?
Positive sepsis screen, review advanced directive, educate family and resident, notify provider
What are actions before transfer resident to hospital?
Sepsis with organ dysfunction
What is severe sepsis?
Residents with dementia, or persons over 65 years of age
Who has higher risk of sepsis?
Every hour a resident in septic shock does not receive antibiotics, the risk of death increases by this amount
What is 7.6%?
Blood cultures and lactate level
What tests can be done in LTCF when you suspect sepsis?
Lactate >4, persistent hypotension, organ dysfunction, progression of symptoms
What triggers transfer of resident to hospital?
Sepsis with persistent hypotension <90 mm Hg OR end-organ dysfunction OR lactate > 4 mmol/L
What is septic shock?
How 80% of sepsis deaths can be prevented
What is rapid diagnosis and treatment?
This is what I say to provider when resident meets signs and symptoms of sepsis
What is 'I am concerned about sepsis'?
The body's life-threatening response to infection
What is sepsis?
Obtain cultures, lactate level, start IV, start antibiotics
What is the long-term care sepsis bundle?
Sepsis is always life-threatening
What is a Medical Emergency?
The real challenge with sepsis
What is recognition?
Recovery from sepsis may include insomnia, hallucinations, muscle pain, mental decline, loss of self-esteem, organ dysfunction, amputation of limbs
What are post-sepsis long-term effects?
Seems different, talks less, overall needs more help, has worse pain
What is 'STOP' in 'STOP and WATCH'?
Sepsis time zero (when resident had infection with two SIRS criteria) and Actions taken
What should be included in the transfer report?
Suspected infection and two of these: temp>100 or <96.8, pulse >100, BP>100, resp rate >20/SpO2<90%, altered mental status
What are significant SIRS values? (systemic inflammatory response syndrome)
1 in 3 patients who die in a hospital have this
What is sepsis?
Nursing home staff use this to screen residents early for signs and symptoms of sepsis
What is an early detection/screening tool?