Sepsis Clinical Pathway — Emergency Department, Inpatient and PICU

PICU EHR Sepsis Alert and Sepsis Huddle

Sepsis BPAs are data driven automated systems integrated within EHR to improve sepsis recognition. BPAs prompt assessments and bedside huddles with provider staff.

The PICU Sepsis BPA continuously monitors multiple parameters documented within the EHR to determine if new signs of sepsis or septic shock are present.

PICU 1^st Stage Alert

Alert appears if two out of three criteria are met: fever or hypothermia, hypotension, or a sustained change in respiratory rate.

RN selects Click here to Document Additional Sepsis Assessments (unless not their patient)

PICU 1^st Stage Sepsis Navigator Review

Navigator prompts review of positive criteria.

PICU First Stage Sepsis Navigator Review

PICU Sepsis Navigator Assessments

RN completes baseline neurological criteria assessment if not already completed.

RN documents current neurological assessment and capillary refill.

EPIC interprets new data and determines if Sepsis Huddle is needed.

PICU 2^nd Stage Alert

If huddle is recommended, the bedside nurse should notify the charge nurse and front line ordering clinician to come to the bedside to complete a huddle.

Inpatient Sepsis Huddle and Outcome Documentation

Fill out the huddle section with the team to determine the best plan of care for the patient.

If you have questions about any of the clinical pathways or about the process of creating a clinical pathway, please contact us.

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The clinical pathways are based upon publicly available medical evidence and/or a consensus of medical practitioners at The Children’s Hospital of Philadelphia (“CHOP”) and are current at the time of publication. These clinical pathways are intended to be a guide for practitioners and may need to be adapted for each specific patient based on the practitioner’s professional judgment, consideration of any unique circumstances, the needs of each patient and their family, and/or the availability of various resources at the health care institution where the patient is located.

Accordingly, these clinical pathways are not intended to constitute medical advice or treatment, or to create a doctor-patient relationship between/among The Children’s Hospital of Philadelphia (“CHOP”), its physicians and the individual patients in question. CHOP does not represent or warrant that the clinical pathways are in every respect accurate or complete, or that one or more of them apply to a particular patient or medical condition. CHOP is not responsible for any errors or omissions in the clinical pathways, or for any outcomes a patient might experience where a clinician consulted one or more such pathways in connection with providing care for that patient.

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Sepsis Clinical Pathway — Emergency Department, Inpatient and PICU

PICU EHR Sepsis Alert and Sepsis Huddle

PICU 1^st Stage Alert

PICU 1^st Stage Sepsis Navigator Review

PICU Sepsis Navigator Assessments

PICU 2^nd Stage Alert

Inpatient Sepsis Huddle and Outcome Documentation

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Innovation and your child

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Sepsis — PICU EHR Sepsis Alert and Sepsis Huddle — Clinical Pathway: Emergency Department, Inpatient and PICU

Sepsis Clinical Pathway — Emergency Department, Inpatient and PICU

PICU EHR Sepsis Alert and Sepsis Huddle

PICU 1st Stage Alert

PICU 1st Stage Sepsis Navigator Review

PICU Sepsis Navigator Assessments

PICU 2nd Stage Alert

Inpatient Sepsis Huddle and Outcome Documentation

PICU 1^st Stage Alert

PICU 1^st Stage Sepsis Navigator Review

PICU 2^nd Stage Alert