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Aboriginal artwork produced by Gumbaynggir Artist Brentyn Lugnan Week 13 Clinical Champion Training Author: Courtney Dixon Date: June 2018 Guiding Principles Establish a different approach Ensure Sustainability Ensure Organisational Integration Reduce Admin (Waste)

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Page 1: Week 13 Clinical Champion Training...Sepsis Key Points • Use of Sepsis Powerplan for septic patients to ensure minimal delay in administration of antibiotics • This provides for

Aboriginal artwork produced by Gumbaynggir Artist Brentyn Lugnan

Week 13 Clinical Champion Training

Author: Courtney DixonDate: June 2018

Guiding PrinciplesEstablish a different approach

Ensure Sustainability Ensure Organisational Integration

Reduce Admin (Waste)

Page 2: Week 13 Clinical Champion Training...Sepsis Key Points • Use of Sepsis Powerplan for septic patients to ensure minimal delay in administration of antibiotics • This provides for

Workflows

Sepsis (Powerplan/Alert)Powerplans (remainder)

Page 3: Week 13 Clinical Champion Training...Sepsis Key Points • Use of Sepsis Powerplan for septic patients to ensure minimal delay in administration of antibiotics • This provides for

Sepsis Key Points

• Use of Sepsis Powerplan for septic patients to ensure minimal delay in administration of antibiotics

• This provides for initial dose only in most cases and requires separate order WITH an approval number to placed for ongoing doses

Page 4: Week 13 Clinical Champion Training...Sepsis Key Points • Use of Sepsis Powerplan for septic patients to ensure minimal delay in administration of antibiotics • This provides for
Page 5: Week 13 Clinical Champion Training...Sepsis Key Points • Use of Sepsis Powerplan for septic patients to ensure minimal delay in administration of antibiotics • This provides for
Page 6: Week 13 Clinical Champion Training...Sepsis Key Points • Use of Sepsis Powerplan for septic patients to ensure minimal delay in administration of antibiotics • This provides for
Page 7: Week 13 Clinical Champion Training...Sepsis Key Points • Use of Sepsis Powerplan for septic patients to ensure minimal delay in administration of antibiotics • This provides for

Power Plan Key Points

• Powerplan provides CEC evidence based guidance on appropriate treatment for assessed patients

• View Powerplans Under Plan View in the MAR All PowerPlans with orders will display

Page 8: Week 13 Clinical Champion Training...Sepsis Key Points • Use of Sepsis Powerplan for septic patients to ensure minimal delay in administration of antibiotics • This provides for

Power Plan Key Points• ~20 PowerPlan available Across the

Rurals

Clozapine initiation - Future 0800Clozapine initiation - Today /NOWCoumadin Initiation ( 7 days)Coumadin Recommencement ( 7 days)Marevan initiation (7 days)Marevan Recommencement ( 7 days)Planned AdmissionSepsis Adult Sepsis PaediatricVTE AnticoagulationVTE Prophylaxis Warfarin Initiation ( 7 days)Warfarin Recommencement ( 7 days)Amikacin Initiation Adult

Aminoglycoside initiation AdultAtrial fibrillation AnticoagulationFebrile Neutropenia AdultGentamicin initiation AdultReturn For TreatmentTobramycin Initiation adultAsthma Acute Management AdultInsulin Basal Bolus SupplementPost op-Nausea & VomitingAcute severe Behavioural Disturbance in EDAsthma Acute Management Under 6 PaediatricsAsthma Acute management 6yrs & over Paediatrics.

Page 9: Week 13 Clinical Champion Training...Sepsis Key Points • Use of Sepsis Powerplan for septic patients to ensure minimal delay in administration of antibiotics • This provides for

Power Plan Key Points

• Type in Search Field Powerplan "enter" all PowerPlans will display

• PowerPlan ordered can be placed and contain orders for initiation or future initiation

• Planned Admission Orders & return for treatment Across encounters

Page 10: Week 13 Clinical Champion Training...Sepsis Key Points • Use of Sepsis Powerplan for septic patients to ensure minimal delay in administration of antibiotics • This provides for

Power Plan Key Points• PowerPlan Orders can also contain Patient Care

tasks / Pathology Request / Medical Imaging / Consults

• Sepsis PowerPlan Contains 13 specific plans options eg:Urinary Tract Source/Sepsis workup & can be multiphase

• View by Plan View in MAR Select Powerplan and orders will display

• ICON - will display against all PowerPlan orders

Page 11: Week 13 Clinical Champion Training...Sepsis Key Points • Use of Sepsis Powerplan for septic patients to ensure minimal delay in administration of antibiotics • This provides for

References• eMR reference guides eMR connect• MHL• Website

Page 12: Week 13 Clinical Champion Training...Sepsis Key Points • Use of Sepsis Powerplan for septic patients to ensure minimal delay in administration of antibiotics • This provides for

PEDIATRIC SEPTIC SHOCK COLLABORATIVE Educational Content (Sepsis, Septic Shock, & QI Primer)

Severe Sepsis and Septic Shock - edisciplinas.usp.br

Sepsis, SIRS & Septic Shock

°°°Severe Sepsis and Septic Shock- 2012

Severe Sepsis and Septic Shock

Severe Sepsis and Septic Shock - Rivers

Sepsis, Septic Shock, MODS

NEW SEPSIS DEFINITION - ars.toscana.it SEPSIS DEFINITION... · NEW SEPSIS AND SEPTIC SHOCK DEFINITIONS Giorgio Tulli e Giulio Toccafondi 2016 . ... The new definition of SEPTIC SHOCK

Sepsis and Septic Shock,Mauritius, 2008

SEVERE SEPSIS&SEPTIC SHOCK IN PEDIATRICS

Severe Sepsis and Septic Shock - SBMT

Best Practice: Severe Sepsis & Septic Shock

Surviving Sepsis Management of Severe Sepsis and Septic Shock

SIRS SEPTIC SHOCK SEVERE SEPSIS MODS SPECIFY: SIRS Sepsis SEVERE Sepsis Septic Shock MODS (please specify EACH organ dysfunction and its link to sepsis.)

Sepsis, Severe Sepsis, and Septic Shock (Dr. J. Tavares

Mangement of sepsis and septic shock

Sepsis and Septic Shocknicuvet.com/nicuvet/Equine-Perinatoloy/NICU... · •SIRS •Severe Sepsis •Septic Shock •MODS •ARDS •CARS. Septic Shock. Most common cause of death

Sepsis and Septic Shock, 2008 Prof J Cohen. Sepsis and Septic Shock Definitions Epidemiology Pathogenesis Principles of management

Antibiotic Recommendations for Sepsis and Septic Shock · Antibiotic Recommendations for Sepsis and Septic Shock • This guidance is for patients with sepsis and septic shock (Sepsis

Sepsis & septic shock management

Severe Sepsis and Septic Shock Change Package 2016 Update · i Severe Sepsis and Septic Shock Change Package SEPSIS MORTALITY REDUCTION 2016 UPDATE

SEPSIS AND SEPTIC SHOCK - ASHNHA · Sepsis and Septic Shock Numerator Number of inpatient deaths in hospital due to severe sepsis with or without septic shock. Denominator Total number

Sepsis Septic Shock - National University

SEPTICEMIA, SEPSIS, SEPTIC SHOCK SEPTICEMIA, SEPSIS, SEPTIC SHOCK

Sepsis And Septic Shock

Managemet of sepsis and septic shock

Epidemiology of Severe Sepsis and Septic Shock · Severe Sepsis and Septic Shock Understanding a Serious Killer 4 interchangeably: septicemia, sepsis, sepsis syndrome and septic shock

SEPSIS & SEPTIC SHOCK 10.15. 2009

Severe Sepsis & Septic Shock

Sepsis: Epidemiology, Diagnosis, and Management - PACCM and septic shock.pdf · • Sepsis –SIRS + infection site • Severe sepsis –Sepsis with organ dysfunction • Septic Shock

Sepsis septic shock the lect

Management of sepsis and septic shock

Sepsis and Septic Shock, 2008

Sepsis and septic shock - edcold.mui.ac.ir

Course Syllabus - pharmacy.ju.edu.jopharmacy.ju.edu.jo/Lists/Courses/Attachments/315/1203601 Internal... · Sepsis, sever sepsis and septic shock - Sever Sepsis and septic shock,