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Sepsis Bundle
Sepsis Bundle
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Created by Qualaris Staff
Infection Prevention
Critical Access Hospital
Table of Contents
Audit Form
Audit Form
Sepsis Bundle
Required
Observed Date
Unit
ED
ICU
Med-Surg
PACU
Rehab
Sepsis Bundle Checklist
Mark all as...
Measure lactate level upon presentation to ED
Yes
No
Obtain blood cultures prior to administration of antibiotics
Yes
No
Re-measure lactate if initial lactate elevated
Yes
No
N/A
IV Fluid Bolus in ED
Yes
No
Appropriate Antibiotic Initiated in ED
Yes
No
Sepsis Screen completed in ED/admission
Yes
No
