The Sepsis Card

Mr Marius Paraoan
Consultant General and Colorectal Surgeon
Wrightington Wigan and Leigh NHS Foundation Trust

Marius was won over by the concept of using check lists through two different encounters. The first was reading ‘The Checklist Manifesto – How to get things right’ the most influential book by Atul Gawande (a famous American surgeon). The book was recommended to me by Andrew Foster, the Chief Executive of my Trust, who was encouraging me to become involved in the field of quality and safety in healthcare. The second was my encounter with Dr Gordon Caldwell who I met during the Advanced Improvement in Quality and Safety Programme at the NHS Institute for Innovation and Improvement. Gordon’s enthusiasm and brilliant idea about the ‘Ward Round’ Checklist or ‘Bookmark for better care’ won me over to the concept and inspired me to produce the Sepsis Card.

As surgical head in our steering group, from 2008, I became involved in the ‘Surviving Sepsis’ campaign. The work is relentless as we seek to raise awareness about this condition, which is one of the biggest killers in hospital care in the western world. Regular courses are run, posters put up, and intranets set up all providing the information needed to identify septic patients and how to treat them according to best practice. Despite all this something was missing. What was needed was an easy to carry and access reminder tool. It was then I conceived the idea of collating the information on a screening tool and the first hour duties of care pocket size postcard. The card would be easy to carry around all day, every day by every doctor and nurse.

Angie Nisbet and her team at Care by Design were extremely professional in helping to take the idea from rough thinking to final product producing the cards and providing the opportunity to test the Sepsis Card in our Trust. The feedback has been instant and so positive so much so that the Sepsis Card will now be provided to every doctor and nurse in the Trust. I am absolutely certain the Sepsis Card will have a major impact in the care of septic patients.

All Trusts should look at the Sepsis Card and consider taking up its use. See it here for yourself now. See how useful the Sepsis Card could be in guiding even a junior healthcare profession ‘do the right thing’ when screening a patient and taking the correct course of action in the vital first hour after diagnosis.

» View images of the Sepsis Card