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SBAR on Sepsis Regulation

Situation

The third edition of "Surviving Sepsis Campaign: International Guidelines for Management of Severe Sepsis and Septic Shock: 2012?" appeared in the February 2013 issues of Critical Care Medicine and Intensive Care Medicine. Furthermore, the New York State Department of Health has required hospitals to have standardized care protocols and reporting requirements established by December 2013. NYCRR Parts 405.2 and 405.4 requires hospital protocols for severe sepsis and septic shock for adults and for children.

Background

The incidence and impact of severe sepsis is generally underappreciated; it is the 10th leading cause of death in the United States, with an estimated 750,000 hospitalizations each year, a mortality rate of 30%–50%, and costs the health care system an estimated $17 billion.
With the incidence of severe sepsis increasing, largely owing to an aging population, there is an undeniable need for a targeted focus on early recognition and consistent, standardized treatment that is shown to improve outcomes in patients with severe sepsis and septic shock.

Assessment

Consistent with the regulation, all hospitals will be required to implement such protocols on or before December 31, 2013. Protocols shall apply to all patients in the hospital except those specifically excluded, and include use of explicit algorithms and/or alert systems to assist in the early identification of patients with severe sepsis and septic shock including an approach to stratifying patients into sepsis, severe sepsis, and septic shock based on a constellation of appropriate clinical and laboratory findings. Protocols directed at treatment should address both ER and inpatient presentations of severe sepsis and septic shock for adults and for children. The Kaleida Health protocols were reviewed and accepted by the NYSDOH and IPRO.

Recommendation/Requirement

Medical staff is mandated by the DOH to receive Sepsis education. Per the regulation: The NYS mandate requires that all Medical Staff providers, residents, nursing staff, pharmacy staff, and labratorians complete our hospital-based education program.

If you need assistance during completing this training program, please contact the Kaleida Technical Assistance Center (TAC) at 859-7777.


Step 2

Submit Your Results

After you have finished the course click the "SUBMIT" button. It will direct you to a page where you will enter your information in order to obtain your credit for this course. Please follow the instructions on this page.