local febrile neutropenia guideline / Pain / rigors Non-blanching rash / proven otherwise THE PATIENT MAY HAVE SEPSIS / Red Zone Respiratory distress / E. EXAMINE PATIENT FOR SOURCE OF SEPSIS AVPU / SEVERE SEPSIS/SEPTIC SHOCK / infection / M.O. ADDRESS COMPLETE ALL DETAILS OR AFFIX PATIENT LABEL HERE SEPSIS RESUSCITATION / DRAFT M.O. ADDRESS Sepsis Assessment / Time / medical record PRESUMPTIVE SOURCE OF SEPSIS / sepsis / /
MedicalTreatment
resuscitation / catheter / surgery / antibiotics / /
Organization
Other hospital / CERS A. MAINTAIN PATENT AIRWAY B. GIVE OXYGEN Oxygen administration / Clinical Excellence Commission / /
Sepsis Worksheet Paediatric – Emergency Department SURNAME