Swimlane — Sepsis Six Pathway
Cross-functional flow of the one-hour sepsis bundle across triage nurse, emergency doctor, pathology and pharmacy, including the escalation loop when lactate returns above four.
Make it your own.
title "Sepsis Six — first hour"
lane "Triage nurse"
lane "Emergency doctor"
lane "Pathology"
lane "Pharmacy"
node A "NEWS2 score at triage" in "Triage nurse"
node B "Sepsis screen positive?" in "Triage nurse" as diamond
node C "Senior review within 15 min" in "Emergency doctor"
node D "Take blood cultures and lactate" in "Triage nurse"
node E "Process lactate" in "Pathology"
node F "Lactate above 4?" in "Emergency doctor" as diamond
node G "Prescribe broad-spectrum antibiotic" in "Emergency doctor"
node H "Dispense within 30 min" in "Pharmacy"
node I "Give oxygen and IV fluids" in "Triage nurse"
node J "Escalate to critical care outreach" in "Emergency doctor"
node K "Reassess and document bundle" in "Emergency doctor"
A -> B
B -> C : "yes"
B -> A : "no, rescore in 1 h"
C -> D
D -> E
E -> F
F -> J : "yes"
F -> G : "no"
J -> G
G -> H
H -> I
I -> K