2 SIRS, Suspected/Confirmed Source, PLUS 1 Acute Organ Dysfunction = Severe Sepsis
  • Initial Lactic Acid- STAT ABG or VBG
  • Blood Cultures x 2 - prior to antibiotics
  • Broad spectrum antibiotics over 30 minutes
  • Must document completion time​
  • IVF 30mL/kg over 15 minutes use IBW ( must document patient height to use IBW)
  • Must document start and completion time​
  • Document 2 BP’s within 1 hour after IVF completed
  • Repeat plasma Lactic STAT after IVF complete
  • DO NOT print label at same time of initial lactic acid label
  • If no IVF given and initial LA >2, MUST repeat LA after the first ABX is completed
  • Must document STOP time in MAR for IVF and ABX
  • Place “Consult to Sepsis Team” if needed


Stop Sepsis




You have Sepsis.
What is sepsis? Sepsis is the body’s response to an infection.

How did you become septic?
We do not know but we are doing some test to help us decide what we need to do to help you feel better

Emergency Room Nurse. Goal is to discuss antibiotics and why they are important as well as side effects.

Antibiotics- I will be giving you medicine, called an antibiotic, to help your body fight the infection that caused sepsis. Tell them the name of the antibiotic even if they may not remember the name. Sometimes an antibiotic might cause you to feel funny. Let the nurse know right away.

Inpatient Nurse. Goal is to talk about possible long term effects of Sepsis.

Healing starts in the hospital. The nurses will push you to start moving. We will start with sitting up, standing, and walking. Rest when you start to get tired.

Your body and mind need time to get better. You may have:

  • Lack of focus
  • Lack of strength and easy to get tired.
  • Problems breathing.
  • Body pains or aches.
  • Trouble walking.
  • Trouble sleeping.
  • Weight loss, lack of hunger, food not tasting normal.
  • Dry and itchy skin that may peel.
  • Brittle nails.
  • Hair loss.

It is normal to have these feelings especially once you’re at home:

  • Unsure of yourself.
  • Not caring about how you look.
  • Wanting to be alone, hiding from friends and family.
  • Feeling nervous.
  • Poor focus, brain fog.
  • Headaches.
  • Sad, angry, and not wanting to do much.
  • Upset at not being able to do everyday tasks.




Here's What You Can Expect
Maternal sepsis is unique, just like the mom-to-be, so please click below for nursing responsibilities and expectations specific to maternal sepsis care







Contact Jessica Aguilar, RN, BSN or Kathy
Watts, RN, MSN at:
ASCOM: (817) 702-3223
STAT LINE: (817) 702-2111