Overnight sepsis huddles and peripheral pressors

Our ICU launched nurse-led sepsis huddles on nights this week: the EHR fires a sepsis alert that pages RT, pharmacy, and the charge within 5 minutes, and we bring a prepacked shock box to the bedside. We’re also authorized to start peripheral norepinephrine via ultrasound-guided 18g for MAP < 65 while central access is placed — any units seeing faster stabilization or pitfalls with similar protocols?

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One tweak that’s helped us: we pre-label the norepi tubing “peripheral pressor” and chart “site checks q5 x3 then q15” with one nurse explicitly owning infiltration watch; small caveat, we cap the peripheral dose at [redacted]/kg/min and avoid hand/wrist sites per SSC guidance https://www.sccm.org/clinical-resources/guidelines/surviving-sepsis-campaign.

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