Quote History Originally Posted By Desofl:
Now that there's a Sepsis Core Measure population, we have all sorts of buzzers and bells built into our EMR to flag Sepsis and possible Sepsis patients. Are you on an EMR?
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If you check "yes" in enough boxes in the rapid sepsis screen in the ED intake (and only there, not anywhere inpatient), it will give you pop-up to open the sepsis bundle order set. The auto-trigger one would piss me off quite honestly. I can think of a thousand clinical scenarios that aren't even remotely sepsis but would trigger the Epic alarm, like a new or chronic quadriplegic, hypotensive at baseline, has a bump in their white count and the cavalry gets gang paged, meanwhile it's an inflammatory response to some surgery they just had.
It does not, can not, and should not replace clinical gestalt - and every proponent of it will say that's not the intent - but it is. It's being implemented because people at the bedside are missing subtleties, and maybe even some glaringly obvious signs. Better education and clinical acumen for nurses would be a better start but, of course, we run into the issue of teaching to the lowest common denominator.