Clinical Tools

Please cite these tools as: Nutbeam T, Daniels R on behalf of the UK Sepsis Trust, Available at sepsistrust.org/professional-resources/clinical/, date last accessed 22nd January 2020.
How to use the UK Sepsis Trust Screening and Action Tools

Since 2015, the UK Sepsis Trust has collaborated with a number of organisations to produce operational clinical tools for all ages (except specifically for neonates) across a wide range of healthcare settings. Most recently, in 2019 these tools were formally endorsed by the National Institute for Health and Care Excellence (NICE), following the most fundamental revisions to the Sepsis 6 since its inception

These tools are compatible with the NICE Guideline on Sepsis (NG51), and reflect an operational solution to delivery of the NHS Implementation Guidance.

Where senior clinical input is available, such clinical judgement should, in patients with sepsis and with other conditions, trump any clinical tool. However, we recognise that senior input is not always immediately available, that patients can deteriorate following a touch point with a senior, and that more junior and less experienced health professionals should be responsibly empowered to act when presented with a patient with evidence of physiological derangement in the context of infection.

That’s where the tools below come in. Identify the one most suited to your clinical area, look through it as you listen to the podcast, and prepare to use it to help you to reach decisions which will be supported by the UK Sepsis Trust and by NICE. Remember, if your clinical judgement is telling you that the tool is reaching the wrong conclusion, trust your instinct and ask a senior colleague. Conversely, if you know your patient’s sick and think it’s as a consequence of infection, these tools are here to empower you to act.

OUT OF HOURS (OOH)/ TELEPHONE TRIAGE

SCREENING AND ACTION TOOL FOR UNDER-5S Open

Use these tools for OOH and telephone triage for all children aged 0-4.

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SCREENING AND ACTION TOOL FOR CHILDREN AGED 5-11 Open

Use these tools for OOH and telephone triage for all children aged 5 to 11.

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SCREENING AND ACTION TOOL FOR ADULTS AND CHILDREN AND YOUNG PEOPLE 12 YEARS AND OVER Open

Use these tools for OOH and telephone triage for all patients aged 12 and over.

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SCREENING AND ACTION TOOL FOR USE IN PREGNANCY Open

Use these tools for OOH and telephone triage for all women who are pregnant, or who have given birth in the last 6 weeks.

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Thank you to Dr Maria Karretti, Associate Medical Director at IC24 who helped to produce these toolkits.

COMMUNITY SERVICES

SCREENING AND ACTION TOOL FOR COMMUNITY NURSES Open

This tool is for use by Community Nurses caring for adults.

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SCREENING AND ACTION TOOL FOR COMMUNITY MIDWIVES Open

This tool is for use by Community Midwives caring for patients during pregnancy or who are within 6 weeks after giving birth.

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GENERAL PRACTICE

SCREENING AND ACTION TOOL FOR UNDER-5S Open

Use these tools in general practice for all children aged 0-4.

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SCREENING AND ACTION TOOL FOR CHILDREN AGED 5-11 Open

Use these tools in general practice for all children aged 5 to 11.

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SCREENING AND ACTION TOOL FOR ADULTS AND CHILDREN AND YOUNG PEOPLE 12 YEARS AND OVER Open

Use these tools in general practice for all patients aged 12 and over.

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SCREENING AND ACTION TOOL FOR USE IN PREGNANCY Open

Use these tools in general practice for all women who are pregnant, or who have given birth in the last 6 weeks.

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PREHOSPITAL CARE/ AMBULANCE SERVICES

SCREENING AND ACTION TOOL FOR UNDER-5S Open

Use this tool in the prehospital environment for all children aged 0-4.

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SCREENING AND ACTION TOOL FOR CHILDREN AGED 5-11 Open

Use this tool in the prehospital environment for all children aged 5 to 11.

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SCREENING AND ACTION TOOL FOR ADULTS AND CHILDREN AND YOUNG PEOPLE 12 YEARS AND OVER Open

Use this tool in the prehospital environment for all patients aged 12 and over.

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SCREENING AND ACTION TOOL FOR USE IN PREGNANCY Open

Use this tool in the prehospital environment for all women who are pregnant, or who have given birth in the last 6 weeks.

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ACUTE HOSPITAL INPATIENTS

SCREENING AND ACTION TOOL FOR UNDER-5S Open

Use this tool for all children aged 0-5 who are inpatients in an acute hospital.

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SCREENING AND ACTION TOOL FOR CHILDREN AGED 5-11 Open

Use this tool for all children aged 5-11 who are inpatients in an acute hospital.

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SCREENING AND ACTION TOOL FOR ADULTS AND CHILDREN AND YOUNG PEOPLE 12 YEARS AND OVER Open

Use this tool for all patients aged 12 and over who are inpatients in an acute hospital.

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SCREENING AND ACTION TOOL FOR USE IN PREGNANCY Open

Use this tool for all women who are pregnant, or who have given birth in the last 6 weeks, who are inpatients in an acute hospital.

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PALLIATIVE CARE

SCREENING AND ACTION TOOL FOR ADULTS AND CHILDREN AND YOUNG PEOPLE 12 YEARS AND OVER Open

Use these tools in palliative care for all patients aged 12 and over.

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The following tools were developed by UK Sepsis Trust but are not endorsed by NICE due to limitations around scope of Clinical Guideline NG51. They remain relevant for use in the appropriate clinical areas.

Dental Services

DECISION SUPPORT TOOL FOR PRIMARY DENTAL CARE FOR CHILDREN AND YOUNG PEOPLE AGED UNDER 5 Open

Use this tool for all children aged 0-4 who are assessed in a Primary Care setting by a Dental Practitioner.

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DECISION SUPPORT TOOL FOR PRIMARY DENTAL CARE FOR CHILDREN AND YOUNG PEOPLE AGED 5-11 Open

Use this tool for all children aged 5-11 who are assessed in a primary care setting by a dental practitioner.

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DECISION SUPPORT TOOL FOR PRIMARY DENTAL CARE FOR ADULTS AND CHILDREN AND YOUNG PEOPLE 12 YEARS AND OVER Open

Use this tool for all patients aged 12 and over who are assessed in a primary care setting by a dental practitioner.

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