Addressing a solution to evidenced based practice

Addressing a solution to evidenced based practice

In the organization, the initial three hours are essential in detection and treatment of sepsis. For patients suspected to have sepsis, following the manifestation of signs and symptoms associated with sepsis, various types of test are treatments administered(Szakmany et al., 2016). This includes sepsis measurements, blood culture, and broad spectrum bacteria administration.

In most hospitals, septic shock and severe sepsis are treated as medical emergencies.  Three tests and three treatments are administered to patients with sepsis. The treatments involve administration with antibiotics. The most often used antibiotics are broad spectrum. They are administered to bring down the bacterial load in the general circulation. Additionally, the bactericidal antibiotics are administered to ensure the elimination of bacteria in the circulation.  The broad-spectrum bacteria can target a wide range of pathogenic bacteria that may be causing the infection(Szakmany et al., 2016). Provision of fluid through intravenous is also another form of treatment administered. Oxygen is also administered in case of hypoxia.

The tests conducted include carrying out blood culture. The importance of blood culture is to identify the type of bacteria causing the infection. The bacteria colonies from blood culture are isolated, expanded to, and identified using appropriate media to pinpoint specific bacteria causing infection(Tarrant et al., 2016). Blood samples are taken to ensure assessment of the specific bacteria that causes the infection. The urine samples are also analyzed with the aim of determining the severity of the kidney function. Early detection of sepsis is key to ensure early drug administration to prevent the failure of vital organs. In my organization, nurses are trained to ensure proper identification of signs and symptoms associated with sepsis(Tarrant et al., 2016). This include detection of elevated temperature associated with fever increased breathing rate.

 

Reference

Szakmany, T., Lundin, R., Sharif, B., Ellis, G., Morgan, P., & Kopczynska, M. et al. (2016). Sepsis Prevalence and Outcome on the General Wards and Emergency Departments in Wales: Results of a Multi-Centre, Observational, Point Prevalence Study. PLOS ONE, 11(12), e0167230. http://dx.doi.org/10.1371/journal.pone.0167230

Tarrant, C., O’Donnell, B., Martin, G., Bion, J., Hunter, A., & Rooney, K. (2016). A complex endeavour: an ethnographic study of the implementation of the Sepsis Six clinical care bundle. Implementation Science, 11(1). http://dx.doi.org/10.1186/s13012-016-0518-z