Module D: Prevention and Treatment

CE Credits: 1.25

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This module empowers the case manager to sort through all of the sources and factors that may lead to severe sepsis and septic shock. It describes the ways that sepsis can be detected early, using case studies to illustrate how the infection can take root. Then, the module explains various sepsis bundle interventions—protocols involving timing, sequence and goals for the treatment of sepsis. It also describes the different IV fluids that can help treat sepsis, depending on the patient’s circumstances, as well as the best practices for using antibiotics, oxygen, corticosteroids, vasopressors and even surgical interventions.

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Learning objectives: After completing this module case managers will be able to:
» Describe the roles of prevention and early detection
» Review sepsis bundle interventions
» Describe the use of IV fluids, plasma and other blood products
» Discuss the use of antibiotic therapy
» Review the use of oxygen
» Describe the use of vasopressors and corticosteroids
» Discuss surgical interventions

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Advance your professional practice: As case managers, we are uniquely positioned to track the spectrum of sepsis patient care; when we understand the different variables related to diagnosis and treatment, we can support the efforts of transdisciplinary teams in advocating for evidence-based, best practice interventions.

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Improve organizational performance: Because severe sepsis and septic shock are often related to preventable hospital-acquired infections (HAIs)—such as the use of urinary catheters or peripheral and central venous catheters—it is imperative that teams understand how to better prevent sepsis while patients are under care. Not only does that mean better outcomes for patients, but it also means lower expenses, since hospitals are not reimbursed for HAIs.