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What are the Sepsis Six?

Matt B

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The Sepsis Six is a bundle of medical guidelines designed to reduce the mortality and better the outcome of patients diagnosed with sepsis.

The Sepsis Six (or Sepsis 6) were developed in 2006 by a group of physicians and nurses (Daniels, Nutbeam, Laver) working on the Survive Sepsis campaign – an educational programme to raise awareness and improve the treatment of patients with sepsis.

Survive Sepsis’ training programme was based around the Surviving Sepsis Campaign guidelines and became the official educational package of both the Surviving Sepsis Campaign and the UK Sepsis Trust.

In 2016 the National Institute for Health & Excellence (NICE) published their new guidelines on sepsis: recognition, diagnosis and early management.

The Sepsis Six consists of six recommendations – all targeted to be delivered within one hour of the initial diagnosis of sepsis.

  1. Start O2 and titrate to saturation targets. 
  2. Take blood cultures.
  3. Administer intravenous antibiotics.
  4. Measure serum lactate and send required blood tests.
  5. Start IV fluid resuscitation.
  6. Accurate urine output measurement.

Many hospitals throughout the world have since adopted the Sepsis Six, which has been associated with decreased mortality, decreased length of stay in hospital, and fewer intensive care bed days.

You should read up on your hospitals own Sepsis Policy as treatments and recommendations vary.

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Education

Lucozade is no longer as effective at treating hypoglycemia

James M

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Due to changes in its recipe and a significant reduction in glucose, Lucozade will not be as effective as a treatment for hypoglycemic patients.

Recipe changes to Lucozade Original Energy product line mean it will no longer be as effective at treating hypoglycemic patients – this is due to a 50% reduction in glucose based carbohydrates. Healthcare Professionals should seek guidance from their local specialist team on alternative treatment protocols.

This change applies to all Lucozade Energy Flavours. New products started appearing on shelves in April 2017. However, for a short time, both the new and old recipe will be available.

Previously, 100ml of Lucozade Original contained 17g of carbohydrate; this was reduced to 8.9g in April 2017.

According to Diabietes.co.uk, patients who experience a hypoglycemic episode are advised to consume 15-20g of sugar when treating low blood sugar, but this will no longer be equivalent to 100ml of Lucozade.

Lucozade Ribena Suntory, which also makes Ribena and Orangina, among other drinks, is lowering its sugar content by replacing these sugars with low-calorie sweeteners, such as aspartame.

You can also visit www.lrsuntory.com/health for more information on Lucozade’s changing nutritional values or speak to your local diabetes specialist team.

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Education

Shift Planner for Nurses, Students & Support Staff

Matt B

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Shift planning is essential for safe care, some people using a piece of paper others have their thoughts well arranged in their head, either way everybody does it.

This shift planner has been designed with newly qualified nurses and student nurses in mind but would be suitable for anybody to use.

You can download our Shift Planner for FREE. You are free to download, print and distribute our shift planner as you wish. You will need a PDF reader on your PC to download. 

The planner has been created with two primary columns, one for your main nursing priorities and one to remind you to hand over jobs to the next shift. It also features a small key and area for general notes. Due to limited space we have only included enough room to plan up to eight patients, if you need more we encourage you print doublesided.

We encourage you to make comments or suggestions in the comments section below. The most popular will be implemented in a version 2.

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