Details of the Request
- Does your Trust have a mechanism for recording incidents of severe sepsis and septic shock?
- Is sepsis on the Trust’s risk register?
- Is there a nominated Consultant with responsibility for sepsis at the Trust?
- Does the Trust resource sepsis nurses and/or dedicated Consultant time?
- How does the Trust record cases of sepsis? (e.g. ICD-10) How is the data reported to the Executive?
- How many patients were diagnosed with severe sepsis in: 2013/14: 2012/13: 2011/12: 2010/11:
- How many patients were diagnosed with septic shock in: 2013/14: 2012/13: 2011/12: 2010/11:
- Does the Trust have an established pathway for basic care once a patient is diagnosed with sepsis?
- Does the Trust follow the Sepsis Six guidelines?
- If not using the Sepsis Six, please identify the pathway below
- Does the Trust use an Early Goal-Directed Therapy (EGDT) pathway for patients arriving in the Emergency Department with septic shock?
- How is EGDT initiated in patients arriving in the Emergency Department with septic shock? By ED team, By ITU medical team, By ITU nursing team, By dedicated sepsis team
- Does the Trust audit the time taken for a patient to receive antibiotics within the first hour as recommended by the ‘Start Smart then Focus’ guidance provided by the Department of Health?
- What percentage of patients with early signs of severe sepsis received antibiotics within an hour as recommended?
- Do you have an escalation and communication pathway in place for patients with severe sepsis to facilitate senior involvement and inter-departmental transfers?
- Do you provide a blood gas machine or near patient testing allowing measurement of lactate in the Emergency Department and Intensive Care Unit to allow early recognition of sepsis?
- Are you aware of the recently released report of the Parliamentary and Health Service Ombudsman on Sepsis; and if so have you made any changes to the way you record and deal with Sepsis at the Trust?
- The Parliamentary and Health Service Ombudsman recommended that senior staff were available 24 hours a day 7 days a week and should be consulted when severe sepsis is present. Does your Trust have senior Consultant cover 24 hours a day 7 days a week for all acute specialities admitting patients?
Details of the Response
Please see completed questionnaire attached.