I thoroughly enjoyed the article by Giuliano et al, “Impact of Protocol Watch on Compliance With the Surviving Sepsis Campaign.” As nursing leaders, we have the responsibility to ensure we are providing the highest quality of care to our patients. With the many differing presentations of sepsis and related patient comorbidities, nurses as frontline providers, must have the expert knowledge and skills to identify the patient whose condition is deteriorating as a result of newly developed sepsis.

The article clearly states the need for 100% compliance with sepsis treatment bundles and their related effect on patient mortality, however less is known about the impact of earlier sepsis recognition. Evidence demonstrates that although the definitive diagnosis of sepsis in hospital patients is often made by a physician, the clinical review leading to the diagnosis is often facilitated by the bedside nurse who recognizes...

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