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Sepsis Response Bag

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Sepsis Response Bag Sepsis Response Bag Introduction, John Burke, Critical Care Outreach, Royal Glamorgan Hospital, Cwm Taf LHB. Sepsis A Massive Problem High ... – PowerPoint PPT presentation

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Title: Sepsis Response Bag


1
Sepsis Response Bag
Sepsis Response Bag Introduction, John
Burke, Critical Care Outreach, Royal Glamorgan
Hospital, Cwm Taf LHB.
2
Sepsis
A Massive Problem High Mortality. 40 Severe
Sepsis. 50 Septic Shock. Biggest Cause of
Maternal Death. High Costs Associated. Big Use
of ITU Resources. Timely Intervention is
Paramount. Unsure of real numbers affected.
3
Drivers of Change
Saving 1000 Live Rapid Response To Acute
Illness Learning Set. (RRAILS) National
Institute for Clinical Excellence (NICE
50) Centre for Maternal and Child Enquiries,
(CMACE) Our will to succeed !
4
Tools
Survive Sepsis Campaign Sepsis Six Sepsis/Severe
Sepsis Pathway NEWS charts Clinical Accumen and
Experience Sepsis Response Bag.
5
Sepsis Response Bag
6
A Simple Solution ?
  • One Stop Answer.
  • Proven Research Based Response
  • Low Cost.
  • Saves Time.
  • IVABs stored on each ward.

7
Problems Encountered
Senior Nurses, Outside of Critical Care Working
Group. Microbiology. Resuscitation
Dept. Senior Medics. Directorate Lead Nurse.
8
Problems Solved
NEWS Training Sessions Nurse/Student Training
Sessions Outreach Teaching Slot. Junior Doctors
Training Sessions. Rapid Roll Out To All
Wards. Sepsis Screening Tool Card and Posters.

9
Buy In.
  • 400 Nurses and Students
  • 50 Medics
  • Maternity and Obs
  • Work shared with the Maternity Collective.
  • New Work on Obstetric Sepsis Six plus 2.
  • Keen to move forward and work with Outreach.

10
Audit and Assessment
  • 4 Stranded Assessment
  • Sepsis Document
  • 1 hour goals met ?
  • Bag Equipment
  • What was used ?
  • User Questionaire
  • What did people think ?
  • Patient follow up, Day 0,1, 7 and past 24hrs,
  • IVABs and Microbiology review
  • Mortality/Survival Data

11
Preliminary Results. Wards
15 bags opened, (10 by Outreach.) All 15
fullfilled criteria. 9 Pt fullfilled criteria
within previous 24 hrs. 50 received IVABs with
in 1 hour. Reluctance to change IVABs without
Microbiology agreement. Questionable 1 hours
targets met. 2 Pt repeat bags. 1 ITU Admission.
12
Preliminary Results AE/MCDU
Initially No Sepsis Pt Identified ! Why ? 8 Pt
identified and put on Sepsis proforma. 2
achieved 1 hour goal 2 incomplete 1 sepsis form
missing 1 Pt admitted to ITU with no proforma.
13
Initial Feed Back
Bags are usefull ! Primarily Blood bottles,
cultures, butterfly and hub and paperwork used.
Equipment to add in. Probably do save time.
14
Conclusion
More Work To Be Done. Continued Sepsis Education
and Awareness Continued Monitoring of Sepsis
Pts. Aim Training at Juniors and New
Staff. Data base to be started. Data Mine
Outreach Previous Audit for Comparison Be Aware
of Sepsis, Beware Sepsis
15
Continued Thanks
Andrew Herman Dr Tamas Szakmany Dr Chris
Subbe Dr Ron Danials Chris Hancock RRAILS
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