[Solved]: develop a PICO question when there are knowledge…

develop a PICO question when there are knowledge gaps, system inefficiencies and prioritization issues in the following scenario. You have recently begun work as a registered nurse in a small private hospital. You have been handed over the below patient, Alex Thorn is an 87-year-old gentleman who has been living in a residential care facility for the last five years. He is demonstrating signs and symptoms of delirium due to a urinary tract infection. He is feeling hot and restless, and also feels an urgent need to go to the toilet to urinate, frequently He recognises his surroundings, but does not know where he is. He wants to see Heather, his daughter. His observations from one hour ago were: HR – 94 bpm BP- 110/70 RESP- 24 O2 sats – 94% Neuro- E(4), V (4) patient confused, M (6) GCS=14 Temp- 38.2 These observations are recorded on paper patient notes with no Rapid Response System triggers such as the Between the Flags (NSW) or MEWs (Qld). You are familiar with the symptoms of SEPSIS and ask the nurse handing over to initiate the Hospital SEPSIS pathway. The nurse indicates that she is unaware of a SEPSIS pathway and states “Yeah, we should keep an eye on it, but for now let’s just get him some additional analgesia and hold off calling for an escalation in care, as I don’t really want to bother the consultant. I heard that they are on a very busy list today