Abstract

Sepsis is the leading cause of mortality in hospitalized patients and is associated with sentinel events. A review of the literature revealed that providing extensive education, use of Rapid Response Teams (RRT's) to respond to sepsis, as well the use of standardized protocols for treatment were beneficial in early recognition and intervention, of deteriorating patient conditions and improving overall patient outcomes. The purpose of this research project was to evaluate whether providing education to beside nurses on critical vital signs and sepsis would increase staff knowledge of when to initiate RRT's over a 30-day period. The setting was a 423-bed non-profit acute care facility in the Midwest that serves the metropolitan area. Participants were bedside nurses within the facility. Education was provided on National Early Warning Scores (NEWS), sepsis, critical vital signs, early intervention, the rapid response nurse (RRN), and RRT role. Pre and post surveys were given to evaluate if education had any bearing on results. Data was collected for 30 days prior to intervention and 30 days after intervention. The number of RRT's called, arrests that occurred outside of the ICU, and any unplanned transfers to ICU were compared. The data revealed that after intervention was implemented the number of RRT's increased and the unplanned transfers to ICU decreased. Suggesting a relationship between staff education and early identification and intervention with RRT's. Limitations included staff participation and unit construction that displaced ICU patients to other areas of the hospital. Additionally, it was not certain if patients had NEWS or sepsis alerts prior to initiation of an RRT. More research is needed to better understand the impact of alerts on identifying deteriorating patient conditions and use of RRT's.

Authors

Danielle Bryant

Author Details

Principal Investigator: Danielle Bryant, BSN, RN; Secondary Investigator: Meg Kinney, DNP, APRN, ANP-C; Clinical Partner/Secondary Investigator: Amber Fuller, DNP, APRN, NP-C

Sigma Membership

Theta Tau

Lead Author Affiliation

Nebraska Methodist College, Omaha, Nebraska, USA

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Quality Improvement

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Critical Vital Signs, Sepsis, Rapid Response Nurses, Early Identification and Intervention

Advisor

Kinney, Meg

Degree

DNP

Degree Grantor

Nebraska Methodist College

Degree Year

2023

Rights Holder

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Review Type

Faculty Approved: Degree-based Submission

Acquisition

Self-submission

Full Text of Presentation

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