Abstract

Our institutional sepsis leadership team sought to improve key drivers to influence outcomes in pediatric sepsis. We prioritized the key drivers of outcomes locally through site specific process mapping, a sepsis Kaizen event, review of data and sentinel cases. We identified difficult vascular access in a subgroup of patients as a barrier to achieving resuscitation/stabilization in our emergency/urgent care settings. Our objective is to improve sepsis care by hastening time to vascular access and subsequently hastening time from order to delivery of broad spectrum antibiotics. We sought to do this by: 1. Creating a standardized time-based algorithm for obtaining access 2. Promoting use of alternative access methods through method specific tips/tricks sheets and education.

Author Details

Joan E. Mackenzie, MS, RN, CPNP, CPEN; Emily Greenwald, MD; Amanda Stump, MSN, MSW, APRN, CPNP; Carter Smith, BS; James Thomas, BSN, ENA, CPEN; Nicole Ernst, RN, MS, CPNP-AC/PC; Halden F. Scott, MD

Sigma Membership

Non-member

Type

Poster

Format Type

Text-based Document

Study Design/Type

Quality Improvement

Research Approach

N/A

Keywords:

Pediatric Sepsis, Urgent Access, Quality Improvement

Conference Name

Emergency Nursing 2019

Conference Host

Emergency Nurses Association

Conference Location

Austin, Texas, USA

Conference Year

2019

Rights Holder

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Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Poster

Additional Files

Abstract.pdf (103 kB)

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Development of an urgent access algorithm for children with sepsis

Austin, Texas, USA

Our institutional sepsis leadership team sought to improve key drivers to influence outcomes in pediatric sepsis. We prioritized the key drivers of outcomes locally through site specific process mapping, a sepsis Kaizen event, review of data and sentinel cases. We identified difficult vascular access in a subgroup of patients as a barrier to achieving resuscitation/stabilization in our emergency/urgent care settings. Our objective is to improve sepsis care by hastening time to vascular access and subsequently hastening time from order to delivery of broad spectrum antibiotics. We sought to do this by: 1. Creating a standardized time-based algorithm for obtaining access 2. Promoting use of alternative access methods through method specific tips/tricks sheets and education.