Clinical Pathway for Evaluation/Treatment
of Children with Fever

Goals and Metrics
Patient Education
Evaluation of the Child
with Fever, Fever Definition
Triage
  • EPIC Sepsis Screen
  • Recent Travel Screen
  • Infectious Disease Exposure Screen
  • Isolation & Infection Control Considerations
Sepsis Screen
Positive
Sepsis Huddle
ED Sepsis Pathway
Host Compromise Definition
Signs of Severe Infection
FLOC, RN Team Assessment
  • History and Physical
  • Determine Signs, Symptoms of Suspected/Recognizable Bacterial or Viral Infection
No Obvious Source or Possible Non-specific Viral Infection
Suspected/Recognizable Bacterial or Viral Infection
Other Considerations
Age > 56 days – 24 months
Age > 24 months
  • History & physical-directed evaluation
Treatment
Disposition
Discharge
Admission
Posted: October 2018
Revised: July 2020
Authors: K. Cohn, MD, MPH; F. Balamuth, MD, PhD; R. Marchese, MD; F. Henretig MD; J. Gerber MD, PhD; L. Bell, MD;
A. Grossman, MD; J. Hart, MD; T. Metjian, PharmD; J. Burham, MD; J. Lavelle, MD; C. Jacobstein, MD