Shelby Oldham

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Patients with the chronic condition cirrhosis suffer from an increased risk of infections. These infections can quickly result in a systemic infection known as sepsis. Sepsis in cirrhotic patients results in high rates of septic shock related mortality. Therefore, this research is to determine if the replacement of the systemic inflammatory response syndrome (SIRS) assessment with the new Sepsis 3’s quick Sequential Organ Failure Assessment (qSOFA) will aid in assessing the risk of mortality in this patient population. Early, efficient assessment allows prompt nursing interventions and timely transfers when caring for cirrhotic patients outside the intensive care unit. Studies have shown that the current assessment tool, SIRS, has poor sensitivity and weak generic parameters. qSOFA has shown to be better at determining cirrhotic patient’s risk for mortality, need for interventions, and need for transfer. Thus, the qSOFA assessment tool provides nurses with a bedside assessment tool that can be implemented to repeatedly assess the health status in this chronically ill patient population.