What is the first priority when dealing with a patient who is agitated and disoriented due to sepsis?

When managing a patient who is agitated and disoriented due to sepsis, the primary focus is ensuring the safety and well-being of the patient. Agitation and disorientation often indicate a compromised mental state, which can increase the risk of the patient unintentionally harming themselves or others. In this scenario, protecting the patient from unintended harm becomes crucial.

Sepsis can lead to alterations in mental status, and the agitation may be a response to distress or an indication of an underlying medical emergency. Therefore, appropriate measures must be taken to provide a safe environment for both the patient and healthcare personnel, which may include physical restraints if the patient poses a danger to themselves.

While other aspects such as assessing the patient's capacity to refuse treatment, engaging with family, and reviewing medications are important considerations in care, they take a secondary role to the immediate need to address safety. By prioritizing the protection of the patient, healthcare providers can then proceed with stabilizing their condition and developing a comprehensive treatment plan.