Sepsis Bundles Work
Hello again everyone!
This week, I want to highlight the importance of going through this series on sepsis that we are walking through together.
It works.
I'm really not sure what you experience on a daily basis as nurses that see sepsis on the daily, but I work with a lot of people that don't seem to fully understand the actual significance of the bundle. Our nurses may start an IV, but not two. They may collect blood, but not a lactic or cultures. They may start fluids, but not hang the Rocephin. They may document vital signs that meet SIRS criteria, but they may not run that by the doctor.
My analysis is that the nurses do not fully grasp the importance and effectiveness of the sepsis bundle.
I cannot imagine for any reason whatsoever that an entire department would withhold positive patient outcomes for any reason.
So it must be that they are unaware of the benefits it provides patients. And perhaps they are unaware of what sepsis is altogether. {Next week, I am going to talk all about the pathophysiology of what sepsis is)
Below is a link to a wonderful research article that was published a few years ago that shows the genuine improvement in patient outcomes when the bundle is used and the bundle is adhered to.
https://westjem.com/original-research/sepsis-bundle-adherence-is-associated-with-improved-survival-in-severe-sepsis-or-septic-shock.html
The article discusses the outrageously improved outcome of septic patients when the bundle is in place and the staff actually understands and uses the bundle. The results of the study showed that there was an overall mortality reduction among those who received bundle-adherent care compared to those who did not. When divided into subgroups by suspected source of infection, a statistically significant mortality benefit to bundle-adherent sepsis care was only seen in patients with pneumonia.
So all in all, it actually helps. Especially in pneumonia. Which leads to a whole separate part of our series later on when we talk about pneumonia in the elderly in more detail.
Time is Tissue, just remember that.
This week, I want to highlight the importance of going through this series on sepsis that we are walking through together.
It works.
I'm really not sure what you experience on a daily basis as nurses that see sepsis on the daily, but I work with a lot of people that don't seem to fully understand the actual significance of the bundle. Our nurses may start an IV, but not two. They may collect blood, but not a lactic or cultures. They may start fluids, but not hang the Rocephin. They may document vital signs that meet SIRS criteria, but they may not run that by the doctor.
My analysis is that the nurses do not fully grasp the importance and effectiveness of the sepsis bundle.
I cannot imagine for any reason whatsoever that an entire department would withhold positive patient outcomes for any reason.
So it must be that they are unaware of the benefits it provides patients. And perhaps they are unaware of what sepsis is altogether. {Next week, I am going to talk all about the pathophysiology of what sepsis is)
Below is a link to a wonderful research article that was published a few years ago that shows the genuine improvement in patient outcomes when the bundle is used and the bundle is adhered to.
https://westjem.com/original-research/sepsis-bundle-adherence-is-associated-with-improved-survival-in-severe-sepsis-or-septic-shock.html
The article discusses the outrageously improved outcome of septic patients when the bundle is in place and the staff actually understands and uses the bundle. The results of the study showed that there was an overall mortality reduction among those who received bundle-adherent care compared to those who did not. When divided into subgroups by suspected source of infection, a statistically significant mortality benefit to bundle-adherent sepsis care was only seen in patients with pneumonia.
So all in all, it actually helps. Especially in pneumonia. Which leads to a whole separate part of our series later on when we talk about pneumonia in the elderly in more detail.
Time is Tissue, just remember that.
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