27 ProtocolWatch
353
Authorized Clinician Review
To review the protocol, select Protocol Log. You can also print out the log to document the screening
phase.
Select
Confirm to complete the screening phase and, if you have the appropriate monitor option,
continue to the Sepsis Resuscitation Bundle phase.
Sepsis Resuscitation Bundle
The treatment recommendations from the Sepsis Resuscitation Bundle are presented and the
implementation of the recommendations is monitored.
When the Sepsis Resuscitation Bundle phase begins, the
ProtocolWatch Screen automatically appears
on the monitor (if configured and available on the monitor).
The lower area of the screen contains:
• a reminder list of the treatment recommendations - recommendations which have been fulfilled
are shown in gray, overdue recommendations are shown in orange
• a timer showing the time already passed in this phase
• three horizon trends for MAP, CVP and ScvO
2
or SvO
2
, if these measured values are available
• a list of the latest manually entered values - if you select this list you will open the
Manual Entry
Log
window where the last 24 manually entered values are shown for reference
If ScvO
2
or SvO
2
and CVP are not being continuously measured, a pop-up window appears at hourly
intervals to ask for a manually measured value.
Monitoring the Sepsis Resuscitation Bundle Recommendations
When you select the lower area of the ProtocolWatch Screen, the Sepsis Resuscitation Bundle
window appears. If you do not have the
ProtocolWatch Screen displayed, the Sepsis Resuscitation
Bundle
window appears automatically once an hour.
Select the
Enter Lact key to enter a lactate value. When you have entered a value, or if a lactate value
had previously been entered, the box is checked.
Check the
Take Blood Cultures box when you have taken blood cultures.
Check the
Administer Intravenous Antibiotics box when you have started broad-spectrum antibiotic
therapy.
The remaining three recommendations are automatically compared to the Sepsis Resuscitation Bundle
criteria, if the measurements are available on the monitor. A box is checked when the corresponding
recommendation has been fulfilled.
Depending on your configuration, continuously measured CVP values may be disregarded if they
exceed a set limit. Whether this is so, and which limit is applied, is set in the monitor's Configuration
mode.
If you have manually measured ScvO
2
or CVP, you can enter the values using the Enter ScvO₂ and
Enter CVP keys. The box is checked automatically if the value fulfills the recommendation.
The boxes for MAP, ScvO
2
/SvO
2
and CVP can also be checked manually (for cases where the
monitor does not measure them) but only when the timer has reached 4 hours to ensure that these
values are achieved and maintained mid-term. Check these boxes if the recommendation has been
fulfilled.
To see more details about the recommendations, select the
Show Details key.
Select
Confirm when the check boxes reflect the current treatment status.
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