Improving door-to-needle times for patients with suspected neutropenic sepsis
Tracy Wild Macmillan nurse clinician, Christie NHS Foundation Trust, Radiotherapy, The Christie at Oldham, The Royal Oldham Hospital, Oldham, England
Neutropenic sepsis is a potentially life-threatening complication of chemotherapy and has an associated mortality of 2% to 21%. Patients can deteriorate rapidly and are usually advised to attend their local emergency department (ED) for urgent assessment and antibiotic therapy within one hour of arrival. Delivery of this emergency care is, however, inconsistent, and at times suboptimal, due to a lack of awareness of the condition and of clinical expertise.
This article discusses a collaborative project between an acute oncology service and an ED, which has improved and sustained compliance with this standard through a range of initiatives, including revised and integrated sepsis guidelines, education, sepsis champions and a fast-track patient pathway. A transformational leadership approach, which embraced collaborative working and fostered motivation by creating ownership of the project by the ED team, has been instrumental in its success.
Emergency Nurse. 25, 7,24-30. doi: 10.7748/en.2017.e1755
Received: 28 June 2017
Accepted: 13 September 2017
Published in print: 10 November 2017Peer review
This article has been subject to external double-blind peer review and checked for plagiarism using automated softwareConflict Of Interest