Sepsis Screening Tool ⚠️

Interactive HSE-aligned adult sepsis screening: walk through triggers, red & amber flags, and the Sepsis 6 bundle with timestamped checklist. Links to the official HSE screening form PDF.

Add to Tasks

HSE Adult Sepsis Screening Tool

Acute hospitals · Non-maternity · ≥16 yrs · Educational aid — does not replace clinical judgement.

Confirmed or suspected infection?

📋 How to use this tool

Acute hospitals only — non-maternity — age ≥16 years.
Start when there is confirmed or suspected infection and ≥1 trigger applies.
Step through the questions above; the screen records time zero, suggests the outcome (red / amber / negative), and gives you a Sepsis 6 checklist with timestamps if probable sepsis.
This pathway supports judgement — it does not replace clinical assessment.

⚠️ Reminders during the bundle

Reassess vital signs at least every 30 minutes.
If worsening or not improving, escalate to consultant.
Consider septic shock if MAP <65 mmHg despite fluid resuscitation — escalate to critical care.
Probable sepsis (red): IV antimicrobials within 1 hour.
Possible sepsis (amber): antimicrobials within 3 hours if infection confirmed (immediate if new organ dysfunction).

🔗 Official resource

HSE — Adult Sepsis Screening Form (PDF)

Note Template

Ready-to-use clinical note structure

🕒 26 / 05 / 2026 — 15:23

ATRP re: suspected sepsis
Patient: [age] [sex]
Admission Dx: [reason for admission]
PMHx: [immunosuppression, chronic illness]

🧾 Hx:
• Source of infection: [pneumonia, UTI, line, skin]
• Symptoms: fever, chills, rigors, confusion
• Duration and progression
• Recent antibiotics or hospitalisation

🩺 Exam:
• Vitals: HR __ BP __ Temp __ RR __ SpO₂ __
• Mental status: alert / confused / drowsy
• Signs of infection: erythema, wounds, catheter sites
• Capillary refill, urine output

📋 Impression:
Likely sepsis ± septic shock

📌 Plan:
• Sepsis 6 within 1 hour:
  - Oxygen to maintain sats > 94%
  - Blood cultures and other relevant cultures
  - IV antibiotics (broad spectrum)
  - IV fluids (crystalloids)
  - Check lactate and send blood tests
  - Monitor urine output
• Source control if indicated
• Escalate care if deteriorating

👤 [Your Name], [Role]
IMC: _______

Add to Tasks

🕒 26 / 05 / 2026 — 15:23 ATRP re: suspected sepsis Patient: [age] [sex] Admission Dx: [reason for admission] PMHx: [immunosuppression, chronic illness] 🧾 Hx: • Source of infection: [pneumonia, UTI, line, skin] • Symptoms: fever, chills, rigors, confusion • Duration and progression • Recent antibiotics or hospitalisation 🩺 Exam: • Vitals: HR __ BP __ Temp __ RR __ SpO₂ __ • Mental status: alert / confused / drowsy • Signs of infection: erythema, wounds, catheter sites • Capillary refill, urine output 📋 Impression: Likely sepsis ± septic shock 📌 Plan: • Sepsis 6 within 1 hour: - Oxygen to maintain sats > 94% - Blood cultures and other relevant cultures - IV antibiotics (broad spectrum) - IV fluids (crystalloids) - Check lactate and send blood tests - Monitor urine output • Source control if indicated • Escalate care if deteriorating 👤 [Your Name], [Role] IMC: _______