Nursing Care for Sepsis Patients in The Emergency Room: Compare 2 Cases

Abstract

Septic shock is an emergency condition commonly occurring in emergency rooms. It is a major public health problems due to the rapid onset of the critical disease and highest mortality rate.      Furthermore, delayed detection, diagnosis and treatment are increase the risk for complications and death in sepsis patients. The purpose of this article was to explore the case studies on septic shock,  including access to care, triage, treatment, nursing care and prevention for patient safety. This articles related were reviewed, including the Report of Nursing Care of Sepsis patients in emergency          departments between 2017-2019 and development of pre and post reviews of sepsis protocols in sepsis patients. By qSOFA triage in the Emergency Room sepsis patients for quickly to access of      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 tend to be decreased the mortality rate of sepsis in 2 years but lastest year tend to higher than. The patients who were brought in by EMS can be treated immediately. The antibiotics were given within 1 hour and proper of volume in septic shock patients.

The result showed that 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 Prasat Hospital. Standardizing clinical guidelines for sepsis improved the quality of care including detection, quick access, decreased hospitalization rate and a lower mortality rate. In the next used this and develop sepsis protocol to community hospital and health care center in the area.