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Questions and Answers
What is one of the roles of the nurse assigned to a patient with possible or proven infection?
What is one of the roles of the nurse assigned to a patient with possible or proven infection?
Which is NOT a criterion for calling a clinical review for a patient with suspected sepsis?
Which is NOT a criterion for calling a clinical review for a patient with suspected sepsis?
What is the purpose of the Surviving Sepsis Campaign Bundle mentioned in the guidelines?
What is the purpose of the Surviving Sepsis Campaign Bundle mentioned in the guidelines?
Which indicator suggests that a patient may be deteriorating and requires further clinical review?
Which indicator suggests that a patient may be deteriorating and requires further clinical review?
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What does the abbreviation qSOFA stand for in the context of sepsis identification?
What does the abbreviation qSOFA stand for in the context of sepsis identification?
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What is the recommended time frame for initial antimicrobial administration after sepsis recognition?
What is the recommended time frame for initial antimicrobial administration after sepsis recognition?
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In the absence of hypovolemia, which patients should receive prescribed fluids?
In the absence of hypovolemia, which patients should receive prescribed fluids?
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What is the primary action required before administering antimicrobials?
What is the primary action required before administering antimicrobials?
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Who should conduct discussions regarding care for patients with a DNAR order in place and diagnosed with sepsis?
Who should conduct discussions regarding care for patients with a DNAR order in place and diagnosed with sepsis?
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Which measure is crucial for managing sepsis efficiently after the initial dose of antimicrobials?
Which measure is crucial for managing sepsis efficiently after the initial dose of antimicrobials?
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What does QEWS stand for in the context of clinical parameters for sepsis management?
What does QEWS stand for in the context of clinical parameters for sepsis management?
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What is indicated by high lactate levels in a patient with sepsis?
What is indicated by high lactate levels in a patient with sepsis?
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The Adult Sepsis Care Pathway mentions which interval for the next review date?
The Adult Sepsis Care Pathway mentions which interval for the next review date?
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What should be completed within one hour after a patient is identified as having sepsis?
What should be completed within one hour after a patient is identified as having sepsis?
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Which action is NOT part of the protocol once sepsis is suspected?
Which action is NOT part of the protocol once sepsis is suspected?
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How often should the antibiotic prescription be reviewed and updated after sepsis diagnosis?
How often should the antibiotic prescription be reviewed and updated after sepsis diagnosis?
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Which of the following services should be consulted as needed when managing a patient with sepsis?
Which of the following services should be consulted as needed when managing a patient with sepsis?
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What is the primary purpose of staying with a patient until they stabilize or are transferred?
What is the primary purpose of staying with a patient until they stabilize or are transferred?
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What should be ensured regarding documentation in the patient's medical records?
What should be ensured regarding documentation in the patient's medical records?
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What is the primary responsibility of the Critical Care Team when managing sepsis patients?
What is the primary responsibility of the Critical Care Team when managing sepsis patients?
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How often should the physician review antibiotic prescriptions according to the guidelines?
How often should the physician review antibiotic prescriptions according to the guidelines?
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What communication format is mandated to be used at all times by team members?
What communication format is mandated to be used at all times by team members?
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What level of care should be initiated if the patient's condition stabilizes?
What level of care should be initiated if the patient's condition stabilizes?
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Which of the following actions is NOT the responsibility of the Pharmacy Department?
Which of the following actions is NOT the responsibility of the Pharmacy Department?
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What is emphasized regarding the handling of antibiotic prescriptions?
What is emphasized regarding the handling of antibiotic prescriptions?
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What must be standardized within all clinical units concerning the Sepsis Antibiotic Kits?
What must be standardized within all clinical units concerning the Sepsis Antibiotic Kits?
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What is the last revision date of the Adult Sepsis Care Pathway?
What is the last revision date of the Adult Sepsis Care Pathway?
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Which of the following is NOT a reference listed in the evidence-based references for sepsis management?
Which of the following is NOT a reference listed in the evidence-based references for sepsis management?
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Which publication focused on goal-directed resuscitation for patients with early septic shock?
Which publication focused on goal-directed resuscitation for patients with early septic shock?
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What is the next review date for the Adult Sepsis Care Pathway?
What is the next review date for the Adult Sepsis Care Pathway?
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Which guideline is associated with the definition of Sepsis-3?
Which guideline is associated with the definition of Sepsis-3?
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What does CPW 10311 refer to in the context of the Adult Sepsis Care Pathway?
What does CPW 10311 refer to in the context of the Adult Sepsis Care Pathway?
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Which of the following studies was published in the New England Journal of Medicine in 2015?
Which of the following studies was published in the New England Journal of Medicine in 2015?
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In which year did the International Guidelines for Management of Sepsis and Septic Shock get published?
In which year did the International Guidelines for Management of Sepsis and Septic Shock get published?
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Study Notes
Sepsis Management Guidelines
- Blood cultures must be collected before starting antimicrobial therapy.
- Initial antimicrobial treatment should occur within 60 minutes after recognizing sepsis.
- Ensure correct frequency, dosing, route, and duration of antimicrobial therapy post-initial dose.
Fluid Resuscitation
- All sepsis patients with indications of hypoperfusion (high lactate or low systolic blood pressure) should receive prescribed fluids if hypovolemia is not present.
Patients with DNAR Orders
- Clinical policies apply to patients with Do Not Attempt Resuscitation (DNAR) orders regarding sepsis treatment.
- A multidisciplinary team discussion is recommended for care strategy in these cases, involving the patient's family for tailored approaches.
Clinical Pathways
- Adult Sepsis Care Pathway was originally established in May 2017 and revised last in May 2022, with a scheduled review for May 2025.
Key Clinical References
- International guidelines outline comprehensive management strategies for sepsis, as published in notable critical care journals. Key studies include:
- Surviving Sepsis Campaign guidelines (2016).
- Randomized trials from the New England Journal of Medicine assessing goal-directed resuscitation for septic shock (ARISE, ProCESS, ProMISe studies).
Staff Responsibilities in Sepsis Care
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Nurses must:
- Promptly call for clinical reviews when specific criteria (QEWS, SIRS) trigger alerts.
- Complete the Sepsis Order Set within one hour of identification.
- Apply necessary infection control procedures and coordinate urgent diagnostic assessments.
- Ensure ongoing monitoring and stabilization of the patient before transitioning care or elevating to higher treatment levels.
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Rapid Response Team (RRT) must:
- Respond quickly to RRT calls, assess organ dysfunction, and confirm potential sepsis.
- Complete necessary orders within one hour upon sepsis identification.
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Critical Care Team must:
- Manage sepsis escalations, coordinate ICU transfers, and continue treatments per local protocols.
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Pharmacy Department is responsible for:
- Reviewing antibiotic prescriptions for appropriate editing within 72 hours.
- Ensuring delivery of clinically required antibiotics and maintaining Sepsis Antibiotic Kits for standardized content supply.
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Description
Test your knowledge on the latest sepsis management guidelines, including antimicrobial therapy, fluid resuscitation, and considerations for patients with DNAR orders. This quiz covers critical pathways and references established for effective adult sepsis care. Improve your understanding and ensure optimal patient outcomes in sepsis treatment.
