Severe Sepsis Screening 21 ProtocolWatch
233
Severe Sepsis Screening
As soon as an adult patient is connected to the monitor, and heart rate or pulse is being measured, the
protocol begins to observe heart rate, temperature and respiration rate values in the background. If
temperature or respiration rate is not being measured continuously, a pop-up window appears at 4-
hour intervals to ask for manually measured values. These values are all compared to the screening
criteria: HR above 90, Temp above 38.3°C (100.9°F) or below 36.0°C (96.8°F), RR above 20.
If any one of the values fulfils the screening criteria, the first Severe Sepsis Screening
window appears:
The measured value which has fulfilled the criteria is shown highlighted (in the example shown above
it is temperature). There is a check box for the infection signs and symptoms listed,
• if the monitor has measured values which meet the screening criteria, and
• for all signs and symptoms which cannot be measured by the monitor.
Check the box if you can confirm that this sign or symptom is present and new. If the patient is
mechanically ventilated, the Mechanically ventilated box must be checked. If you have
manually measured temperature or respiration rate, you can enter the values using the Enter RR and
Enter Temp keys.
Select Confirm when the check boxes reflect the current patient status.
Select Remind 15 min if you want to delay filling out this screen. (When you enter the screen
manually this key will be a Cancel key, as no action is required in this case.)
ProtocolWatch-Severe Sepsis Screening
Which of the following signs and symptoms of infection are
both PRESENT and NEW to the patient?
T<36.0ºC (96.8ºF) or T>38.3ºC (100.9ºF)
Tachycardia (HR>90bpm)
Respiration
WBC >12000/l or <4000/l or >10% immature forms
Acutely altered mental status
Chills with rigors
Hyperglycemia (Glucose > 6.7 mmol/l or >120mg/dl) in absence of
diabetes
39.5ºC
60bpm
Inactive Screening
SSC Standby
Enter
T1
Enter
SpRR
Protocol
Log
Confirm Remind
15 min
ProtocolWatch
Spontaneous Respiration (RR > 20rpm)
Mechanically ventilated
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