Bold Voices - June 2018 - 5

AACN

Sepsis: What
Nurses Can Do
Despite advances in the fight against
sepsis, this deadly condition persists
as one of healthcare's most insidious
challenges.
An ever-present threat for acutely
and critically ill patients, sepsis
remains the third leading cause of death
in the U.S., killing about 258,000 people
each year. That's more than the deaths
from prostate cancer, breast cancer and
AIDS combined.
Equally alarming, sepsis is often as
elusive as it is dangerous. It typically
slips in quietly and takes hold swiftly
- a menace where minutes matter. The
latest research, guidelines and bundles
continue to emphasize rapid detection
and early treatment of patients with
sepsis as key to increasing survival
rates.

As front-line care providers,
nurses are uniquely positioned
to help patients win the fight
against sepsis.
As the first line of defense for
patients with sepsis, nurses are a critical part of the equation. Your ability to
recognize the signs and deliver timely,
effective care can mean the difference
between life and death.
To help you translate and apply
current thinking about sepsis to your
practice, AACN offers nurse-focused
resources on our dedicated sepsis
webpage at www.aacn.org/sepsiscare.
You'll find an array of clinical materials,
from journal articles and video to webinars and NTI conference sessions.
We've also compiled a list of ways
you can equip yourself for the battle
and help fight sepsis:

* Stay current with definitions,
guidelines, bundle recommendations and nursing care for patients
with sepsis and septic shock.
- Access updates on research and
nursing care in AACN's Continuing Education Activities library
at www.aacn.org>Education>
Continuing Education Activities.
- Review current medical management guidelines at www.
survivingsepsis.org.
* Discuss sepsis recommendations,
updates and questions with your
colleagues and providers.
- Use available educational
forums such as unit newsletters,
emails, team huddles, grand
rounds, case debriefs and journal clubs to talk about changes
and research.
- Consider how current guidelines and updates may impact
nursing assessment and priority
interventions.
* Share resources with your
colleagues that help you stay upto-date on sepsis.
- Identify materials available to
share from the Surviving Sepsis
Campaign.
- Work with your educator,
manager or clinical leaders on
your unit to develop an information-sharing process.
* Think through your assessments and use data to guide your
decision making and patient care
priorities.
- When in doubt, validate your assessments and clinical decisions
with a colleague (peer, APRN,
other healthcare provider).

- Actively develop your instincts
for a high index of suspicion
when caring for patients at risk
for sepsis/septic shock.
* Volunteer for a unit-based
committee or team, and work to
address early recognition and
management of patients with
suspected sepsis/septic shock.
* Educate patients and families
about their role in the prevention
and early recognition of potential
sepsis/septic shock.
- Remember: handwashing,
handwashing, handwashing!
- Review the sepsis information
for patients and families at
www.cdc.gov/sepsis. d

New Sepsis Bundle
From Surviving Sepsis
Campaign
Sepsis bundles identify groups of
interventions that prompt adherence to current guidelines and
improve patient survival. To remain
effective, these bundles evolve in
tandem with changes in our understanding of sepsis and how best to
approach it.
In May, the Surviving Sepsis
Campaign issued a proposed new
Sepsis Bundle as an adjunct to
the 2016 Sepsis Guidelines. The
biggest change in the proposed
bundle is a shift in the timing of
assessment and intervention,
moving from three and six hours
to one hour. Check the Surviving
Sepsis website for materials you
can share with colleagues, and
watch for further publications
reviewing the revised bundle.
"The Surviving Sepsis Campaign
Bundle: 2018 Update," in Intensive
Care Medicine, includes a description of the proposed bundle
revision.

www.aacnboldvoicesonline.org 5


http://www.aacn.org>Education http://www.cdc.gov/sepsis http://www.survivingsepsis.org http://www.survivingsepsis.org/Bundles/Pages/default.aspx http://www.survivingsepsis.org/Bundles/Pages/default.aspx http://www.aacn.org/sepsiscare https://link.springer.com/article/10.1007/s00134-018-5085-0 https://link.springer.com/article/10.1007/s00134-018-5085-0 http://www.aacnboldvoicesonline.org

Table of Contents for the Digital Edition of Bold Voices - June 2018

Urine
The Power of Possibility
Sepsis: What Nurses Can Do
New Sepsis Bundle From Surviving Sepsis Campaign
Understanding CERPs for Specialty Certification Renewal
In Our Journals
Transitions
America’s ‘Other’ Drug Problem Needs Attention
Effect of Haloperidol on Reducing Mortality
Transitional Care Nurses Can Reduce Admissions of Older Patients
ASHP Developing Standardized Medication Concentrations
Online AACN Course on Care of Older Adults
Hospital Programs Help Employees Cope With Traumatic Events
National Summit on Identification, Prevention and Management of Burnout
Barbershops Help Black Patrons Control Hypertension
Nurse Treats Himself for Myocardial Infarction Using Telehealth
We Have Consensus: TeleICU Continues to Evolve
Cooking Classes Help Patients With CHF
Beware of Chicken Nuggets — and Other Ultra-Processed Foods
Apple Watch Might Randomly Reboot in ICUs
Wound-Monitoring App Helps Reduce Hospital Readmissions
All Antidepressants Beat Placebo for Acute Major Depressive Disorder
Patients’ Online Search Trends
‘Timeout’ Reduces Medication Errors
Possible Link Between High Fitness and Reduced Risk of Dementia
DAISY Award Honors Nurses Who Exemplify Exceptional Compassion and Skill
Interviews With Two Acute Care Nurse Practitioners
Hiring for Cultural Fit
AACN Unveils Updated Online Pharmacology Course
Appreciating the Little Things
Bold Voices - June 2018 - Cover1
Bold Voices - June 2018 - Cover2
Bold Voices - June 2018 - Urine
Bold Voices - June 2018 - The Power of Possibility
Bold Voices - June 2018 - New Sepsis Bundle From Surviving Sepsis Campaign
Bold Voices - June 2018 - Understanding CERPs for Specialty Certification Renewal
Bold Voices - June 2018 - Transitions
Bold Voices - June 2018 - Effect of Haloperidol on Reducing Mortality
Bold Voices - June 2018 - Online AACN Course on Care of Older Adults
Bold Voices - June 2018 - National Summit on Identification, Prevention and Management of Burnout
Bold Voices - June 2018 - Nurse Treats Himself for Myocardial Infarction Using Telehealth
Bold Voices - June 2018 - We Have Consensus: TeleICU Continues to Evolve
Bold Voices - June 2018 - 13
Bold Voices - June 2018 - Beware of Chicken Nuggets — and Other Ultra-Processed Foods
Bold Voices - June 2018 - Wound-Monitoring App Helps Reduce Hospital Readmissions
Bold Voices - June 2018 - Patients’ Online Search Trends
Bold Voices - June 2018 - Possible Link Between High Fitness and Reduced Risk of Dementia
Bold Voices - June 2018 - DAISY Award Honors Nurses Who Exemplify Exceptional Compassion and Skill
Bold Voices - June 2018 - 19
Bold Voices - June 2018 - Hiring for Cultural Fit
Bold Voices - June 2018 - AACN Unveils Updated Online Pharmacology Course
Bold Voices - June 2018 - Appreciating the Little Things
Bold Voices - June 2018 - Cover3
Bold Voices - June 2018 - Cover4
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