Sepsis Care at NRGH ED April 23, 2014 Presentation to the BC Sepsis Network Context Sepsis Working Group Membership Includes • Director • Manager • Physicians • Lab Leadership • Unit Clerks • Frontline RN’s • CNE’s Ad Hoc Members • Pharmacy • Infection Control • Infectious Disease • Respiratory • Antibiotic Stewardship • IM/IT • Quality Control Screening Screening Worksheet Worksheet Screeners and Order Sets The Screening Tool and Worksheet is brought together with the Initial Management clinical order set. NRGH ED Sepsis Survey Monkey Results 34 Respondents May/June 2013 Are you aware of the following best practice early interventions in Sepsis care in the ED? What barriers do you encounter in meeting targets for early sepsis interventions? Online Learning Module 150 Lives in 150 Days Sepsis Drug Box Chipping away at the 8% mortality increase per hour delay! Critical Care Med Vol. 34, No.6 Sepsis Drills and Working Group Data Collection Time to Blood Cultures Drawn Time from Patient Arrival to Lactate Report Time Time to Antibiotics Future State EHR Next generation EHR will have full sepsis care integration. • SIRS and risk factors • Real time data mining • Auto launch to advisory and COS • List and status of sepsis intervention Moving Forward We will continue to work on striving to proving excellence in Sepsis care. We thank the BC Sepsis Network for their ongoing support and for the invitation to share our work. We thank our colleagues and working groups for their dedication and hard work. Sepsis Care at NRGH ED Questions?