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User's Manual

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Table Of Contents
24 ProtocolWatch
313
When the Sepsis Management Bundle phase begins, the ProtocolWatch Screen is automatically
updated (if configured and available on the monitor). In the lower area of the Screen, the list of
recommendations for the Sepsis Management Bundle replaces the list for the Sepsis Resuscitation
Bundle. The timer shows the combined time for both phases.
Monitoring the Sepsis Management Bundle Recommendations
When you select the lower area of the ProtocolWatch Screen, the Sepsis Management Bundle
window appears. If you do not have the
ProtocolWatch Screen displayed, the Sepsis Management
Bundle
window appears automatically once every six hours.
The
Low Dose Steroids for septic shock per policy recommendation and/or the Drotrecogin Alfa
per policy
recommendation may not appear if they have been configured not to do so for your
hospital.
Check the
Low Dose Steroids administered box when you have started steroid therapy or the Low
Dose Steroids contra-indicated
box if this treatment is contra-indicated for your patient.
Check the
Drotrecogin Alfa administered box when you have started recombinant human activated
protein C therapy or the
Drotrecogin Alfa contra-indicated box if this treatment is contra-indicated
for your patient.
The boxes for
Maintain Glucose <8.3mmol/l (150 mg/dl) and Maintain Insp. Plateau Pressure
<30cmH₂O
can only be checked when the timer has reached 20 hours to ensure that the stabilization
of these values is achieved long-term. Check these boxes if the recommendation has been fulfilled.
Recommendations which have been fulfilled are shown in gray with the time fulfillment was entered.
To see more details about the recommendations, select the
Show Details key.
Select
Confirm when the check boxes reflect the current treatment status.
Ending The Sepsis Management Bundle
The Sepsis Management Bundle normally ends 24 hours after the Sepsis Resuscitation Bundle started,
as documented by the bundle timer on the
ProtocolWatch screen. You are asked to confirm with the
Yes key that routine monitoring should now resume. By selecting No you can extend the Sepsis
Management Bundle phase by an additional 6 hours.