Checklist

Sepsis Early Warning Checklist & Escalation Workflow

Interactive bedside screening and first-hour bundle checklist that documents screening criteria, key timed actions, escalation decisions, and communication scripts. Designed to help clinicians reliably detect deterioration, complete required early treatments, and trigger consistent escalation.

Interactive Tool

Sepsis Early Warning Checklist

Use this bedside checklist to screen for sepsis, document the first-hour bundle, and trigger escalation when needed. Record times clearly — timing is essential for care quality and reporting. Complete fields as you assess; submit to save a timestamped record.

Enter the identifier used in your unit.
Where the patient is located.
Who completed this checklist (name, role).
Record date and time (e.g., 2026-08-24 14:30).
Measured temperature.
Compare with baseline.
If not available now, leave blank and record when result returns.
Select the number of qSOFA criteria met.
Aim to obtain cultures prior to antibiotics when it does not cause unacceptable delay.
Record time (HH:MM) if applicable.
Record time (HH:MM). Required if antibiotics given.
Name and dose(s).
Enter total volume given for resuscitation bolus.
If started, record agent and starting dose.
Select the escalation pathway used.
Record time (HH:MM) if escalation occurred.
Choose a short script to use when notifying the receiving clinician.
Customize the message if existing scripts don't fit.
Include times, medications, cultures, lactate, escalation notes.
Concise pertinent clinical information (comorbidities, goals of care, limitations).
You can explore this tool now. Sign in or create an account to save your responses and return to them later.
Sign In to Save Create an Account
Make this tool part of your work

Save a personal copy, bring it to your team, or tailor the questions and workflow to fit what you are hungry to improve.

Member customization and team collaboration are coming soon.
Discuss Ask the Librarian

Discussion

Comments and conversation will live here.