Skip to content
View in the app

A better way to browse. Learn more.
allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

SOFA Scoring

With the new definition of sepsis published in Sepsis 3.0, it was recommended to lose the SIRS criteria and assess patients using the SOFA score. In my MICU, we have begun assessing EVERY patient using the SOFA score. However, there seems to be a lot of confusion. The sepsis 3 papers suggest that a change in the SOFA score >2 is indicative of sepsis (or at least calls for a consideration). However, on my units, nurses are getting scores that are drastically different.

Has anyone out there been using the SOFA score? Have you been having issues? What has helped? Is it effective?

  • Quote

    • Featured Replies

    Hello,

    How new is this SOFA scoring? I currently work a PCU/ICU and haven't heard of this yet. We currently use the SIRS method. I am also PCCN certified (granted by the AACN) who uses the latest evidence-based practice and they still publish SIRS information.

    Just curious about how the SOFA scoring works, what it entails.

    Thanks

  • Quote
    • Author

    AngelRN27-

    In Feb 2016 a committee was formed to review the current Sepsis definitions and protocols. In this paper, the committee recommended no longer using the SIRS criteria as it is too easily triggered by non-septic patients. The SOFA (or sequential organ failure assessment) was recommended as a new assessment. Note the article that is posted with the other comment.

  • Quote

    • Join the conversation

    You can post now and register later. If you have an account, sign in now to post with your account.

    Guest
    Add a Comment
    Go to topic listing

    Currently Reading 0

    • No registered users viewing this page.

    Account

    Navigation

    Search

    Search

    Configure browser push notifications
    Chrome (Android)
    1. Tap the lock icon next to the address bar.
    2. Tap Permissions → Notifications.
    3. Adjust your preference.
    Chrome (Desktop)
    1. Click the padlock icon in the address bar.
    2. Select Site settings.
    3. Find Notifications and adjust your preference.