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.
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
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: _______