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Sepsis Screening Flowchart

Comagine Health

A tool designed to provide a visual roadmap for early recognition and intervention for signs and symptoms of sepsis. It outlines the actions of the CNA in monitoring a resident’s vital signs and communicating any values that indicate a systemic inflammatory response syndrome (SIRS) to the nurse. SIRS is followed by an outline of actions the nurse takes to contact the physician and assess organ dysfunction. A Situation, Background, Assessment and Recommendation (SBAR) format for communication to the physician is included when notifying the physician of suspected sepsis.