Sepsis

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Sepsis Our Progress (NHS Dumfries
Galloway) Prepared by Dr Sian Finlay, Acute
Medical Consultant Sofie
Singh, Infection Control Nurse
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Aim

• To improve the recognition and timely management
  of Sepsis in acute hospitals.
• To achieve the Sepsis Six within 1 hour of time
  zero.
• Work being piloted in the Acute Medical Unit and
  Accident and Emergency.
• Patients with a MEWS 2 are screened for severe
  sepsis.

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Team Members

• Sofie Singh Infection Control Nurse
• Dr Sian Finlay Clinical Lead
• Dr David Pedley Accident Emergency Consultant
• Maureen Stevenson SPSP Improvement Advisor
• Di Bentley SPSP Co-ordinator
• Rebecca Henderson SPSP Administrator
• Marian McDonald Nurse Manager
• Elaine Ross Infection Control Manager
• Emma Park Acute Medical Unit Staff Nurse
• Catherine Turley Acute Medical Unit Staff Nurse
  (nights)
• Aileen Carson Accident Emergency Deputy
  Charge Nurse
• Susan Roberts Pharmacist
• Hazel Borland Executive Sponsor

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Sepsis Six Integrated Care Pathway
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Sepsis Six Poster
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Sepsis Six Oxygen Delivery to Appropriate
Saturation
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Sepsis Six Compliance of Blood Cultures Taken
Within 1 Hour
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Sepsis Six Compliance of Antibiotics Within 1
Hour
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Sepsis Six Antibiotic Choice Compliant With
Policy
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Sepsis Six IV Fluids and Assessment
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Sepsis Six Lactate and FBC
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Sepsis Six Urinary Catheter Insertion and
Consideration
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Sepsis Six Compliance with Sepsis Six Bundle
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ICP Compliance AMU and AE
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TFAD Competition
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Median Time To First Antibiotic
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Our Progress To Date

• Infection Control Nurse to collect and collate
  data.
• Identified lead nurses for sepsis in the AMU and
  AE.
• Simplified the Sepsis ICP onto 1 page,
  incorporating the SIRS Score and in bright
  orange!
• Sepsis Six poster 02 F.L.U.I.D.
• TFAD Doctor competition.
• Auditing ICP compliance between the AMU and AE.

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Next Steps

• Sepsis ICP now in blood culture bags.
• Case note reviews on previous cases.
• Identified inappropriate use of the ICP audit
  being carried out and ICP edited to include an
  exclusion criteria.
• Piloting a new Obstetrics Sepsis ICP in the
  Maternity Unit.
• Spreading the project to other areas within the
  hospital to include early recognition of existing
  in-patients.

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When we hit 100 compliance