Doctor this patient is really sick! Early Detection of the Sepsis Patient.



Barbara A. McLean, MN, RN, CCRN, CCNS-BC, NP-BC, FCCM

Grady Health System, Grady Memorial Hospital

Critical Care Specialist Grady Memorial Hospital, Emory University,

Atlanta, GA. 



Sepsis and the deteriorating patient present a clinical conundrum for early identification and intervention in and out of the ICU. Utilizing a modified early warning score (MEWS) and sepsis alerts can fast track recognition and preventative therapies. Admissions to the intensive care unit (ICU) from the wards have a higher mortality when compared to patients admitted from the emergency department. Failure to appreciate physiological derangements of breathing and mental status may lead to significant deterioration. The modified early warning score (MEWS) is a very useful tool for identifying hospitalized patients in need of a higher level of care and those at risk of in-hospital death. 


Learning Objectives:

At the conclusion of this session, the learner should be able to: 

  1. Identify the signs of sepsis and deterioration

  2. Recognize the role of early intervention and modified  early warning scores

  3. Apply information in a case study


Barbara McLean has been in critical care practice for 40 years. Currently, Barbara is the advancing evidence-based practice clinical specialist for the division of critical care at the Grady Health System; Atlanta GA. Ms. McLean is a member of many professional organizations including the American Association of Critical Care Nurses (AACN), the Society of Critical Care Medicine (SCCM) and the American Association of Surgery and Trauma. She has been awarded the excellence in education award by the AACN as well as the circle of excellence for clinical practice in 2014 and the SCCM has presented her with the prestigious Norma J. Shoemaker Award for critical care nursing excellence in 2013. Barbara has written 24 chapters 16 articles and is a regular reviewer for Critical Care Medicine, Intensive Care Medicine and NEJM. 

Supported by an educational grant 

Philips Healthcare

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