WIXLIB

SIRS/SEPSISEMR WORKFLOW

SEPSIS TOOLBRMC has adopted the St. John’s Sepsis earlymanagement bundle. Constantly monitors the EMR for specified datarelated to Sepsis A SIRS/SEPSIS alert will fire when a patient meetscriteria The tool guides the healthcare provider toevidence-based treatments and earlyinterventionsBRMC Education Department 1.2016 SIRS/SEPSIS

SIRS: EMR WORKFLOW It is IMPERITIVE that vital signs and other assessmentsbe documented in REAL TIME at the bedside for: - improved patient outcomes-effective workflow of the St.John’s Sepsis tool BRMC Education Department 1.2016 SIRS/SEPSIS

SIRS: EMR WORKFLOWEntry of vital signs indicativeof 3 SIRS criteria:Alert fires to any nurse that has anactive relationship of Primary LPN,RN, Charge Nurse, or preceptor:BRMC Education Department 1.2016 SIRS/SEPSIS

SIRS: EMR WORKFLOWThe Alert: Purpose: Alert nurse ofpossibleSIRS/SEPSISAlert nurse tonotify providerAppearsregardless ofwhere nurse is inCernerNurse couldpotentially be in adifferent patientchartKEY NOTE: Be sure to pay attention topatient identifier. The Alert appears evenwhen the nurse is in another patients chart.Reminder tonotify providerLink to open the chartBRMC Education Department 1.2016 SIRS/SEPSIS

SEPSIS: EMR WORKFLOWNow the patient has a blood pressure that is indicative of organdysfunction (SBP less than 90)BRMC Education Department 1.2016 SIRS/SEPSIS

SEPSIS: EMR WORKFLOWSamelook asSIRS alertBRMC Education Department 1.2016 SIRS/SEPSIS

SIRS/SEPSIS: EMR WORKFLOWTask for provider notification will fire to the Scheduled Nursing TaskList:New Provider NotificationPower-form attached to task:BRMC Education Department 1.2016 SIRS/SEPSIS

EMR WORKFLOWNew Provider Documentation Form This form can befound in ad hoc Interventions Provider Notification To be used forall provider notification Consistent, complete andtrack-abledocumentationBRMC Education Department 1.2016 SIRS/SEPSIS

SIRS/SEPSIS: EMR WORKFLOWResults Review-displays alerts-displays providernotificationDetail view:

Quality mPageThe Sepsis Quality Measure willbe added to the Patient’sQuality mPage found under theSBAR/Quality tab.The measure is added to thispage by placing the order SepsisQuality Measure.This order is included in the SepsisPowerplans or can be placed bythe nurse at any time without aphysician’s order.This Quality page will update asdocumentation of care iscompleted.BRMC Education Department 1.2016 SIRS/SEPSIS

PROVIDER NOTIFICATIONThe patient’s provider ALSO receives the SEPSIS alert,however The provider must be logged into CERNER & in that patient’schart. The provider does not receiveSIRS alertsThe St. John’s Sepsis tool helps us recognize SIRS/SEPSISProvider notification triggers early intervention.Early recognition Early intervention patient outcomesBRMC Education Department 1.2016 SIRS/SEPSIS

Have Questions?CallEMR: Clinical Informatics508-4357Core Measures: Beth Lash, BSN, RNProcess Improvement & Implementation SpecialistQuality508-1476BRMC Education Department 1.2016 SIRS/SEPSIS

SIRS: EMR WORKFLOW The Alert: Purpose: Alert nurse of possible SIRS/SEPSIS Alert nurse to notify provider Appears regardless of where nurse is in Cerner Nurse could potentially be in a different patient chart Link to open the chart KEY NOTE: Be sure to pay attention to patient identifier. The Alert appears even