Development of Nursing Care for Sepsis Patients

Abstract

Septic shock is an emergency condition commonly occurring in emergency rooms. It is a major public health problem due to the rapid onset of the critical disease and the high mortality rate. Furthermore, delayed detection, diagnosis and treatment increase the risk for complications and death in sepsis patients. The purpose of this article is to explore the case studies on septic shock, including access to care, triage, treatment, nursing care and prevention for patient safety. Literature and articles related were reviewed, including the Report of Nursing Care of Sepsis patients in emergency departments between 2015-2017 and development of pre and post reviews of sepsis protocols in sepsis patients. By using qSOFA triage in the Emergency Room sepsis patients gained quick access to the service. The statistic data of the studies revealed that the improvement of the emergency service system and the development of sepsis protocols by using qSOFA and Clinical Guideline Sepsis decreased the mortality rate of sepsis by 17.1%. The patients who were brought in by EMS can be treated immediately. The antibiotics were given within 1 hour and there are no records of any volume overload in septic shock patients. The result really showed that by using qSOFA improved access to care meant early detection, early diagnosis, early resuscitation and better nursing care for sepsis patients in the Emergency Room. Also, it can be used in every unit in Bangplee Hospital. Standardizing clinical guidelines for sepsis improved the quality of care including detection, quick access, decreased hospitalization rate and a lower mortality rate. Because of the successful decreased mortality rate, Bangplee Hospital generalized sepsis protocol to Community Hospital and Health Care Center in the area.