A Screening Tool for Early Recognition and Treatment of Sepsis
Diane Moss, DNP, MS, FNP-BC
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Purpose: This study investigates the use of a sepsis screening tool to decrease the length of time from triage to treatment.
Design: In this exploratory study, a convenience sample was drawn from all patients triaged in a critical access hospital emergency department in a six-month period from April 1 through September 30, 2012 and April 1 through September 30, 2013 with a total number of patients of 10,143 for both years. Each patient who was triaged in 2013 was screened for sepsis using the sepsis screening tool and then suspected and positive screens were compared to patients in 2012 that had complaints consistent with potential sepsis.
Methods: Data was analyzed using descriptive statistics and Welch t-tests, chart reviews and the sepsis screening tool.
Findings: The use of the sepsis screening tool in triage reduced the time from triage to treatment from 29.2 minutes in 2012 to 15.5 minutes in 2013. Time from triage to treatment is significant because the overall length of time to treatment impacts the morbidity and mortality of septic patients.
Conclusions: The use of a sepsis screening tool in triage by the registered nurse positively affects the time to treatment by reducing the overall length of time to treatment of those patients with suspected sepsis.
Clinical Relevance: This study increases the knowledge base, empowers, and advances the evidence based practice of registered nurses in the emergency department. It suggests that interventions can be used to reduce the time to treatment for patients with suspected sepsis and thus improve the outcome of those patients.
|Type||DNP Capstone Project|
|Review Type||Faculty Approved: Degree-based Submission|
|Evidence Level||Clinical Practice Guideline(s)|
|Research Approach||Quantitative Research|
Emergency Services, Hospital;
Emergency Services, Hospital;
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