Date of Graduation

Fall 12-16-2022

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions


MSN project

First Advisor

Mallory Manuel


The emergency department at an urban hospital in California was performing below institutional goals related to sepsis protocols over the past few months. This intervention was targeted at nurses and was composed of a PowerPoint in-service on compliance to SEP-1 protocols and follow-along video on using the correct sepsis order set and documentation in the electronic health record (EHR). Goals included increased compliance to the SEP-1 protocol and documentation, (2) reduced time between the onset of symptoms, recognition, and intervention, (3) decline in sepsis rates and mortality rates, and (4) lower cost of care. Data was collected from the EHR to assess for correct documentation and treatment of septic patients. After the intervention, the following metrics reached 100%: (1) First vital to lactic acid result in 60 minutes, (2) lactic acid result to antibiotic administration within 60 minutes, and (3) antibiotic order to administration within 35 minutes. These results suggest that an in-service on SEP-1 protocols and follow-along video on documentation can improve SEP-1 compliance, documentation, and metrics.