27 ProtocolWatch
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Transferring Patients and Moving Manually Between Phases
If a patient has already been diagnosed as having severe sepsis before connecting them to the monitor,
you can select
Main Setup then ProtocolWatch followed by Manual Transition to go directly to the
Sepsis Resuscitation Bundle to monitor treatment. Direct entry to the Sepsis Management Bundle is
also possible using the
Manual Transition function and the time into the selected bundle can be set.
If a patient has been screened on arrival, for example in the emergency department, then transferred to
Intensive Care when Sepsis is confirmed, the current state, the settings and the log from the SSC Sepsis
Protocol will be transferred with the MMS to the new monitor. Should it be necessary, you can select
the phase at the new monitor manually with
Main Setup then ProtocolWatch followed by Manual
Transition
. The transfer of data and settings must be enabled in Configuration mode.
CAUTION
It is not possible to transfer SSC Sepsis Protocol data from a monitor with release F.0 software to
another monitor with release G.0 software or above, and vice versa.
Suspending the Protocol for 24 Hours
To suspend the protocol for 24 hours:
1 Select Main Setup then ProtocolWatch followed by Suspend for 24 hours.
2 Select Confirm.
The protocol will resume activity after 24 hours with Severe Sepsis Screening.
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 fulfills the screening criteria, the first
Severe Sepsis Screening window
appears.
The measured value which has fulfilled the criteria is shown highlighted. There are check boxes 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.)
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