Survivorship: A Conversation with Katy Grainger

Karin Molander, MD, FACEP is an emergency medicine physician who provides emergency care to patients in the community setting, analyzes quality of care and is passionate about patient education. She previously served as a Sepsis Physician Champion for Sutter Health Services.

Dr. Molander received her medical degree from Rush Medical College in 1996 and completed her emergency medicine residency at Stanford University in 1999. She has practiced emergency medicine in community and academic settings. She initially became involved in the world of sepsis at Mills Peninsula Medical Center in 2007 training intensivists in central line placement to prepare them for Early Goal Directed Therapy (an initial component of the Surviving Sepsis Campaign). This opportunity triggered an increased awareness and interest in managing the septic patient, prompting her to join the MPMC Sepsis committee in 2009.

Dr. Molander became chair of the Sepsis Committee in 2011 and found that a collaborative approach involving nurses, pharmacists-every level of staff-and physicians catalyzed the hospital to succeed in identifying and treating this large and previously underappreciated population. She participated in the LEAN process to develop a sepsis Initiative for Sutter Area Hospitals as part of an initial 14 hospital (now 24 hospital) collaborative. The collaborative developed electronic health record (EPIC) order sets, screening tools, standard work for management of the septic shock and the severe sepsis patient within the Sutter RPIW (Rapid Process Improvement Workshop) team. They also created identification and treatment protocols that would work throughout the Sutter System-from the community hospital to the academic urban hospital, and participated in the Beacon Collaborative and Hospital Quality Institute improvement programs on sepsis. Mills Peninsula Medical Center served as the beta test site for the electronic health record launch as the sepsis initiative was incorporated into the Sutter system. Since the founding of the sepsis program, sepsis mortality has decreased by 69%-placing Mills Peninsula Medical Center in the top five percent for performance nationwide. It was through this experience that Dr. Molander realized the importance of EACH member of the sepsis treatment team and she is now developing education programs to assist skilled nursing facilities, emergency medical responders, patients and patients’ families.

In September 2018, Katy Grainger’s life was turned upside down when she nearly died from septic shock because of a small, infected cut on her thumb. Because of complications from sepsis, she now lives as a bilateral below-knee amputee who also lost seven partial fingers. One in five deaths worldwide are caused by sepsis, yet few people have heard of it and even fewer can identify the signs and symptoms. Katy has made it her mission to do everything she can to prevent others from experiencing what she went through.

Katy serves on the Board of Directors of Sepsis Alliance and shares her story to highlight this important public health crisis. She has reached millions of people with information about sepsis and disability through social media channels, articles, podcasts and speaking engagements. She has impacted medical policy in the United States by speaking to policy makers in Washington DC, Hawaii, and Washington State. Katy has become a body inclusive model and actor. She is currently writing a book about her journey with sepsis and amputations, highlighting the patient experience, lessons learned, and the strength she has gained.

Global Perspectives in Sepsis Care (Presented by Sepsis Forum: Bench • Bedside • Beyond)

Session Title: Opening Remarks and Land Acknowledgement / Closing Remarks: Pulling It All Together

Session Day/Time: Friday, September 27, 2024, 10:00 AM - 10:10 AM EST / 3:30 PM - 4:00 PM EST

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