If the TOP (time of presentation) is 16:39, this is the latest time we can administer the broad-spectrum antibiotic before we are out of compliance.

HR 120, temperature of 38.1, RR 31, BP 88/50, WBC 3.5. Which of the previous vitals is not a SIRS criteria?

Name the stage on the sepsis continuum at which we implement the bundle?

If a patient screens positive per Nursing Protocol but has already had 1 set of blood cultures sent, when do you send two more?

Physician responsibilities when a patient screens positive.

Zosyn and Vancomycin are often ordered simultaneously. If you have a line access issue, this medication should be given first.

Often at high risk for infection, you would screen YES for "suspected or confirmed infection" on this particular patient population.

Over what timeframe are nurses expected to review vitals and lab data to assess for sepsis?

The window of time you have to send the repeat lactate when your initial result is >18.

Protocol for drawing blood cultures on a sepsis positive patient.

This medication was once an initial bundle element. Now it is only required for patients in severe sepsis or shock with hypotension or lactate = or > 36.

Your transplant patient is immunosuppressed and returns to the floor after a liver biopsy with rigors, a fever of 38.3, HR 125. BP is 130/80 unchanged from baseline. Name the stage on the sepsis continuum.

Your patient is being treated for urosepsis with the bundle last activated yesterday. What is the window of time to continue current treatment before we redo implementation of the bundle if still screening positive?

Action when your patient screens positive, but Sepsis bundle has already been within 48hrs.

Bundle elements within nursing scope of practice.

Your patient screens positive for severe sepsis, but is already on broad-spectrum antibiotics for the last 6 days. The provider says "He's covered." Name two resources available to provide support in these situations.

Your patient is being treated for community acquired pneumonia. You notice new onset lethargy and confusion at 12:15. On the sepsis audit graph you see HR > 90 @ 11:00, temp 39.5 @ 12:00. Name the time of presentation.

You implement the severe sepsis bundle on your patient who becomes hypotensive with lactate of 21, but they are unable to tolerate fluid resuscitation due to CHF. Name 1 alternative bundle element required to address the hypotension.

Important points when screening for SIRS criteria.

Party responsible for ordering repeat lactate if initial lactate is >18 and was ordered by the physician.

After a severe sepsis bundle, we use this laboratory test to narrow the spectrum of our antibiotics.

A patient with worsening pneumonia screens positive for sepsis with a confirmed infection + 2 SIRS. Name 1 criteria of organ dysfunction of the respiratory system that would qualify this patient for severe sepsis.

Patient LH history of ETOH cirrhosis here for transplant eval, screens negative for severe sepsis, however has shown a change in condition, fever of 38.5 and new AMS. You suspect an infection because the patient's urine is turbid and malodorous. All other vital signs are within normal limits. Give an example using SBAR of how you would communicate this to the provider.

When is Nursing Sepsis Screen to be done?

Meaning of the acronym MEWS.