Trying to figure out your patient’s primary care physician?

When your patient is admitted, under the Documentation section, look for a note type labeled Consents General. This may include a scanned document with identification of 1) if the patient is a DHS or non-DHS empanelled patient and 2) who that empanelment provider might be.

Use this information for discharge planning.  Remember, empanelled patients should follow-up with their empanelment provider, not in CCC-Post-Discharge Clinic (Clinic A).  CCC-PDC should be reserved for un-empanelled patients (call Clinic A for an appointment).

The “empanelment” provider listed in the patient’s banner bar is not reliable at this time.

Recognize and treat sepsis early!

The St. John sepsis module detects patients with signs of sepsis using vitals and laboratory results.  When the screen is positive, the patient’s nurse will be alerted.  The nurse will then alert the provider.

It is up to the you as the provider to take action! Evaluate the patient and if the patient requires treatment for sepsis, start quickly.  Inpatients need antibiotics given within 1 hour of declaring sepsis!  Use the MED Sepsis Screening and Management Bundle order set to view guidelines and suggestions for management, including IV fluids and empiric antibiotic selection.  This order set will suppress alerts for a period of time.

Goals: *use the MED Sepsis Screening and Management Bundle

• BLOOD CULTURES before antibiotics
• LACTATE: Check it, and if >= 2.0, recheck within 4 hours!
• IVF: At least 30cc/kg IV fluid bolus (about 2L) within 3 hours
• Additional clinical assessment and orders as indicated to identify the source
• Make the diagnosis and document: Use auto text (.sespsnotsepsis, .sepsisseveresepsis .sepsissepticshock)