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Team Sepsis is an improvement collaborative at Stanford Health Care for the early identification of patients with severe sepsis or septic shock. The project is an evidence based sepsis management protocol and the measurement of the sepsis resuscitation bundle outcome. Outcome measures indicate improved SHC ranking in sepsis outcomes since the start of the collaborative. SHC nursing participates in all aspects of the collaborative including contributing in patient assessment, nurse driven lactate protocol, resuscitation bundle delivery and patient and family education.