MOBILE SEPSIS TEAMS: TIME IS OF THE ESSENCE Sonia Almendarez, BSN, - - PowerPoint PPT Presentation

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MOBILE SEPSIS TEAMS: TIME IS OF THE ESSENCE Sonia Almendarez, BSN, - - PowerPoint PPT Presentation

Sep 21, 2023 553 likes •691 views

MOBILE SEPSIS TEAMS: TIME IS OF THE ESSENCE Sonia Almendarez, BSN, RN, CCRN-K Sepsis Program Coordinator No Disclosures to Report LEARNING OBJECTIVES Compare and contrast the outcomes between using an evidenced based clinical pathway

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SLIDE 1

MOBILE SEPSIS TEAMS: TIME IS OF THE ESSENCE

Sonia Almendarez, BSN, RN, CCRN-K Sepsis Program Coordinator

No Disclosures to Report

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SLIDE 2

LEARNING OBJECTIVES

  • Compare and contrast the outcomes between using an evidenced

based clinical pathway versus a mobile sepsis team in early identification of sepsis in a community hospital

  • Describe the utilization of inpatient mobile sepsis teams and how they

affect hospital length of stay, morbidity, and mortality in a community hospital

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SLIDE 3

COMPRISED OF:

  • 595 beds
  • 800+ Physicians
  • 2000+ staff
  • Emergency services
  • Level II Trauma Center
  • TJC Sepsis Certification
  • Neuroscience and Neurosurgery
  • TJC Primary Stroke Certification
  • Surgery
  • Women’s and Children’s services

with Level III NICU

  • Wound Treatment Center
  • Oncology Services
  • Cardiovascular Care

SERVICES INCLUDE:

FACILITY OVERVIEW

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SEPSIS PROGRAM EVOLUTION

  • Began reviewing/collecting sepsis data in 2014
  • Sepsis Program Coordinator committed to role January 2015
  • Multi-disciplinary team formed
  • Evidence-based order sets created
  • Point of care (POC) testing implemented in ED
  • Multidisciplinary ICU rounds
  • Updated Rapid Response Team (RRT) criteria
  • Robust education plan rolled out
  • Collaborate with EMS for prehospital notification
  • Data utilized to improve processes
  • Awarded Disease Specific Certification – Sepsis by The Joint Commission June 2016
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SLIDE 5

OVERALL PROGRESS TO DATE

  • SEVERE SEPSIS-

10 20 30 40 50 60 70 80 90 100

2014 Q1 2014 Q2 2014 Q3 2014 Q4 2015 Q1 2015 Q2 2015 Q3 2015 Q4 2016 Q1 2016 Q2

Mortality 3-Hour Bundle Compliance

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SLIDE 6

OVERALL PROGRESS TO DATE

  • SEPTIC SHOCK-

10 20 30 40 50 60 70 80 90 100

2014 Q1 2014 Q2 2014 Q3 2014 Q4 2015 Q1 2015 Q2 2015 Q3 2015 Q4 2016 Q1 2016 Q2

Mortality 3-Hour Bundle Compliance

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SLIDE 7

FINANCIAL IMPLICATIONS

2 4 6 8 10 12 14 16

2014 Q1 2014 Q2 2014 Q3 2014 Q4 2015 Q1 2015 Q2 2015 Q3 2015 Q4 2016 Q1 2016 Q2

Average ICU Length of Stay (LOS) Average Length of Stay (LOS)

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SLIDE 8

LESSONS LEARNED

  • This is a team effort
  • Leadership support
  • Buy-in from all physicians and staff
  • Sustainable education plan
  • Feedback to providers
  • Must be real time and data driven
  • Patience
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SLIDE 9

FUTURE PROGRAM ENHANCEMENTS

  • Nurse-driven Protocol
  • Implemented June 1, 2016
  • Community Outreach
  • Coordinate with:
  • EMS
  • Area Urgent/Emergency Care Centers
  • Area Nursing Homes
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SLIDE 10

LEARNING ASSESSMENT

1) Sepsis is a major contributor to: a) Hospital length of stay b) Mortality c) Hospital costs d) All of the above

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SLIDE 11

LEARNING ASSESSMENT

1) Standardized evidence-based order sets aid in increased sepsis bundle compliance, thereby reducing sepsis-related mortality? a) True b) False

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SLIDE 12

QUESTIONS/COMMENTS?