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Betty demonstrated facilitator of learning by speaking with the family about A.R’s condition. Nikki showed some clinical inquiry by realizing that A.R.’s condition was changing. Betty showed clinical inquiry by knowing that the situation had deteriorated and A.R. needed a change in her level of care. Both nurses intervened appropriately with the needs of the patient; however, early recognition of sepsis might have improved the patient’s outcomes. Drawing a CBC earlier at the start of the change in condition might have lead to an earlier diagnosis of sepsis and a better outcome. A.R. might have benefited from Nikki and Betty being stronger advocates. Conclusion Sepsis will continue to be a major clinical disease process. Healthcare workers need to be educated on early recognition and treatment interventions. The Surviving Sepsis Campaign outlines recognition and treatment protocols while the Synergy Model helps to identify patients’ needs and nurses’ competencies. By utilizing both of these tools, healthcare workers can help identify sepsis early and improve patient outcomes. References Curley, M. (1998). Patient-nurse synergy: optimizing patients’ outcomes. American Journal of Critical Care. 1998: 7:64-72. Howell, G. & Tisherman, S. (2006). Management of sepsis. Surgical Clinics of North America Journal, 86, 1523-1539. Retrieved November 29, 2009. Kaplow, R. (2002). The Synergy Model in Practice Applying the Synergy Model to Nursing Education. Critical Care Nurse. Vol. 22 (3). Kaplow,R. & Hardin, S. (2007). Critical care nursing: Synergy for optimal outcomes. (pp 622). Sudbury, MA: Jones and Bartlett Publishers. Mullen, J. (2002). The synergy model in practice: the synergy model as a framework for nursing rounds. Critical Care Nurse, 22,6, 66-68. Retrieved November 29, 2009. Neviere, R. (2009). Sepsis and the systemic inflammatory response syndrome: definitions, epidemiology, and prognosis. UpToDate. O’Brien, J., Ali, N., Aberegg, S., & Abraham, E. (2007). Sepsis. American Journal of Medicine, 120, 1012-1022. Retrieved November 29, 2009. Wheeler, A. (2007). Recent developments in the diagnosis and management of severe sepsis. Chest Journal, 132, 6, 1967-1975.
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