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Sepsis > SPOT > Flashcards

SPOT Flashcards

1
Q

What does SPOT stand for?

A

Sepsis Prevention and Optimization of Therapy

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2
Q

What is SPOT?

A

an application that monitors all patient labs and vitals in real time and uses the information to identify patients who are at risk for sepsis.

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3
Q

Sepsis kills how many people in hospitals ever year?
1. 450,000
2. 132,000
3. 75,490
4. 270,000

A

270,000

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4
Q

True or False
One in every 5 patients admitted to hospitals are septic.

A

False, one in every 3 patients admitted to the hospital are septic

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5
Q

Name 3 of the 6 factors that SPOT looks at to determine if a patient is at risk for sepsis.

A
  1. WBC count
  2. Sepsis Order Sets
    3.Antibiotics ordered
  3. Abnormal vital signs
  4. Positive Sepsis Screens
  5. Blood cultures
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6
Q

How much time do you have to document a Severe Sepsis Screen after being notified by Tele tech that you have a SPOT alert?

A

15 minutes

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7
Q

True or False?
It is ok to back time your Severe Sepsis Screening in Meditech if you are busy doing other things at the time it was due?

A

False, do not back time your Severe Sepsis Screening.

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8
Q

When do we document a Severe Sepsis Screening on a patient?

A
  1. In ER triage
  2. every 2 hours in ER
  3. on transfer of care
  4. With any change in condition of patient
  5. With a change in mews score > 2
  6. On Admission
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9
Q

What does TIME stand for?

A

T - Temperature, higher or lower than normal
I - Infection, may have s/s of infection
M - Mental Decline, confused, sleepy, difficult to arouse
E - Extremely Ill, severe pain, discomfort, shortness of breath

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10
Q

What is Sepsis?

A

The body’s overwhelming immune response to severe infection and can result in damaging its own tissues and organs causing multi - organ failure and death. (SIRS +Infection)

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11
Q

Name the 4 SIRS

A
  1. Temperature > 38 degrees Celsius or < 36 degrees Celsius
  2. Pulse - > 90 beats/minute
  3. Respirations - > 20 breaths/minute or PaCO2 < 32
  4. WBC’s > 12,000 or < 4,000 or > 10% bands
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12
Q

What is Severe Sepsis?

A

Sepsis (SIRS + Infection) + End Organ Damage

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13
Q

What is Septic Shock?

A

Severe Sepsis (Sepsis {SIRS + Infection} + End Organ Damage) + Hypotension or Lactate > or = 4.0

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14
Q

Who is at Risk for Developing Sepsis?

A
  1. Very Young
  2. Very Old
  3. Immunocompromised
  4. Chronic/End stage Disease (Cancer, Cirrhosis, COPD, CHF, Chronic Renal Failure)
  5. Wounds or Recent Surgeries
  6. Indwelling Medical Device
  7. Increased Length of Stay
  8. Acute/Critical Illness
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15
Q

True or False
It is very important to Validate all vital signs prior to documenting the Severe Sepsis Screening.

A

True

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16
Q

On the Severe Sepsis Screening in Meditech you notice that the Temperature is marked yes but you do not remember the patient being febrile during your shift. Should you change that to a NO or leave it as it populated automatically?

A

Do not change any of the SIRS in Tier one as they auto populate and should never be changed.

17
Q

How many SIRS do you need to to rule in for Sepsis?

A

2

18
Q

How many SIRS are there?

A

4

19
Q

What is a suspected infection?

A

Purulent or foul smelling urine, painful urination
Draining, red or painful or foul smelling wound, incision or bite,
Fever with or without shaking and chills
Antibiotic use
Acute Abdomen pain, s/s of peritonitis
Abscess
Elevated WBC/decreased WBC
Difficulty breathing with cough and purulent sputum

20
Q

What is a confirmed infection?

A

WBC’s present in normally sterile body fluid
Pneumonia as per x ray or Dr note
Positive blood, urine or wound cultures
Abdominal CT (perforated viscus or Abdominal abscess)
Purpura

21
Q

How many Tiers are in the Severe Sepsis Screening?

A

3

22
Q

What does the different Tiers consist of in the Severe Sepsis Screening?

A

Tier One = SIRSs
Tier Two = Suspected or Documented Infection, Antibiotic Therapy, and Screening due to SPOT alert
Tier Three = Organ Dysfunction

23
Q

How many different organs do you assess for organ damage in the Severe Sepsis Screening?

A

7

24
Q
A

Sepsis (1 decks)

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