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Sepsis checklist 2026

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  1. Click ‘Get Form’ to open the sepsis checklist in the editor.
  2. Begin by entering the patient’s name in the designated field at the top of the form.
  3. Record 'Time Zero' based on whether the patient is admitted from the ED or another unit, and calculate the appropriate timeframes for tasks.
  4. For each item in the Severe Sepsis Resuscitation Bundle, mark compliance by entering 'Y' for compliant, 'N' for not compliant, or 'NA' for not applicable in each blank white box.
  5. Follow similar steps for the Septic Shock Bundle, ensuring to monitor blood pressure and lactate levels as indicated.
  6. Complete all sections of the Maintenance Bundle, checking glucose levels and documenting compliance accordingly.

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