Sepsis Day Jeopardy Jeopardy Template

Sepsis Medications	SIRS Criteria	Organ Dysfunction	Sepsis Screening Tool	Miscellaneous
100 What is IV fluid bolus? Potential order required for patient Negative for septic shock but with lactate >36.	100 What is on daily prednisone? An example of an immunocompromised patient.	100 What is only measurable and recorded UOP? How low UOP is considered an organ dysfunction.	100 What is 48 hours after the first was sent; don’t forget to advocate for TWO sets of blood cultures! If a patient screens positive per Nursing Protocol but has already had 1 set of blood cultures sent, when do you send two more?	100 What is IVF bolus, antibiotics, and perfusion assessment? Physician responsibilities when a patient screens positive.
200 What is fluid overloaded, CHF, or per MD order? Reason an IV fluid bolus would not be administered to a patient in Septic Shock.	200 What is HR > 90? Cardiac SIRS criteria	200 What is “use of BiPap at night”? A chronic respiratory issue that is not considered new organ dysfunction.	200 What is within 3 hours/as soon as the initial lactate results? The window of time you have to send the repeat lactate when your initial result is >18.	200 What is two sets of cultures; one peripheral & one central, or two different peripheral sites if no central access? Protocol for drawing blood cultures on a sepsis positive patient.
300 What is administer antibiotics anyway, notify MD, and document? RN action if unable to obtain blood cultures.	300 What is two or more? Number of SIRS criteria required to advance to Sepsis.	300 What is 24 hours? The time frame window for reintubation or restarting vasopressors on an ICU patient to not be considered a new organ dysfunction.	300 What is screen appropriately and comment that interventions already implemented at X date/time? Action when your patient screens positive, but Sepsis bundle has already been within 48hrs.	300 What is blood cultures x2, lactate & repeat lactate (as needed) ONLY WHEN patient screens positive via nursing screen? Bundle elements within nursing scope of practice.
400 What is screen patient positive and implement nursing bundle? Action if a patient is already on broad spectrum antibiotics and screens positive per nursing protocol.	400 What are examples of suspected or confirmed infections? UTI, Pneumonia, and implantable device infection.	400 What is inability to void s/p foley removal? This is not a new renal system organ dysfunction.	400 What is check all SIRS that apply, whether acute or chronic? (EX: Even if patient is always tachycardic, must still check HR >90) Important points when screening for SIRS criteria.	400 What is the physician? (Not the nurse if not implemented initially per nursing protocol! Nurse must notify MD – cannot place per protocol.) Party responsible for ordering repeat lactate if initial lactate is >18 and was ordered by the physician.
500 What is 1 hour from time of presentation? Time frame allotted to start broad spectrum antibiotics.	500 What is 30mL/kg? Amount of IV fluids required for a patient in Septic Shock.	500 What is a creatinine that doubled overnight? (EX: 2.9 to 5.8 in 12 hrs) – Clarify with MD first. Chronic condition that may qualify as organ dysfunction.	500 What is at the beginning of your shift, admission/transfer, or change in patient condition? When is Nursing Sepsis Screen to be done?	500 What is Modified Early Warning Signs? (To help inform nurses what the Sepsis RNs do) Meaning of the acronym MEWS.

Sepsis Day Jeopardy

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