Implementation of the Surviving Sepsis Campaign one-hour bundle in a short stay unit: A quality improvement project, Intensive & critical care nursing

Tool with criteria for sepsis recognition and bundle interventions improve timely patient care. • Nurse led sepsis protocol resulted in blood cultures, lactate level and antibiotic administration within 1-hour. • A multidisciplinary approach with collaboration between nurses, physicians, physician assistants, and pharmacists works to improve sepsis care. To improve timely sepsis care by im plementing the 2018 Surviving Sepsis Campaign one-hour interventions. Ten-month prospective quality improvement project. A 38-bed short stay unit within an 800-bed hospital in New York City. Patients admitted to the short stay unit who screened positive for sepsis. A sepsis implementation tool was c reated from the 2018 Surviving Sepsis Campaign guidelines. Sepsis champions delivered education on sepsis recognition, treatment, and management, and the sepsis implementation tool to the healthcare staff. Time to first lactate, blood cultures × 2, antibiotic administration, length of stay and mortality were tracked weekly for five months. From May 6, 2019 to October 1, 2019, 32 patients were diagnosed with sepsis. Initial lactate and blood cultures were completed on every patient within 1one-hour of sepsis diagnosis. Administration of antibiotics within one-hour reached 100% after week four and was sustained. Use of a registered nurse-initiated sepsis implementation tool in a short stay unit led to the completion of blood cultures, initial lactate, and antibiotic administration within one-...
Source: Current Awareness Service for Health (CASH) - Category: Consumer Health News Source Type: news