Note: The BlueWater sepsis care quality bundle has the following components for care of patients with severe sepsis or septic shock:
| Care Requirement | Severe Sepsis Bundle | Septic Shock Bundle |
|---|---|---|
| Initial Lactate Level | Required within 3 hours of Time Zero | Required within 3 hours of Time Zero |
| Blood Cultures | Required within 3 hours (prior to IV antibiotics) | Required within 3 hours (prior to IV antibiotics) |
| Broad Spectrum Antibiotics | Required within 3 hours | Required within 3 hours |
| 30mL/kg IV Fluid Bolus | Not automatically required. Only triggered if the initial lactate is ≥4.0 mmol/L | Mandatory within 3 hours of shock identification |
| Vasopressor Therapy | Never required (by definition, these patients are not in shock) | Mandatory within 6 hours if hypotension persists after the fluid bolus |
| Repeat Lactate Level | Required within 6 hours only if the first lactate was elevated (>2.0 mmol/L) | Required within 6 hours only if the first lactate was elevated (>2.0 mmol/L) |
| Focused Perfusion Reassessment | Never required for severe sepsis alone | Mandatory within 6 hours of shock identification |