TY - JOUR TI - Early identification of sepsis by emergency department registered nurses: a quality improvement project DO - https://doi.org/doi:10.7282/t3-g5rc-d730 PY - 2019 AB - The purpose of this quality improvement initiative project is to implement a sepsis screening tools, treatment bundle, and educate emergency department (ED) registered nurses about sepsis and identification of patients who visit the ED with signs and symptoms of sepsis. This project used a collaborative, inter-professional approach comprising of a team of essential department heads that developed a screening tool using the most recent Survival Sepsis Campaign guidelines. Based on the findings of the team, St. Johns Sepsis Screening Tool and the Survival Sepsis Campaign bundle treatment was adopted. A data analysis was done using descriptive statistics entered in Statistical Analysis System (SAS) to determine the statistical significance of the education on the knowledge of sepsis early interventions. Data from before and after implementation of the sepsis screening tool was compared using the institution's sepsis core quality measure outcome. This project used the plan-do-study-act (PDSA) model and Lewin Change Model to determine sepsis care. This project found that education had a positive impact upon the early recognition and intervention of sepsis patients. Improvement was found in the three categories of the sepsis bundle analyzed in patients diagnosed with sepsis. This quality improvement project has addressed the need for increased sepsis screening in the emergency department. In fact, East Orange General Hospital (EOGH) has adopted the screening tool developed from this project as its official sepsis screening tool in the ED. KW - Septicemia -- Diagnosis -- Study and teaching KW - Adult-Gerontology Acute Care Nurse Practitioner LA - English ER -