Sepsis is a complex syndrome leading to increased hospital mortality and readmissions in the United States. Additionally, this syndrome causes significant financial strain on both micro and macro healthcare systems. Because sepsis and septic shock are leading causes of death worldwide, the international Surviving Sepsis Campaign (SSC) was forged as a joint initiative between the Society of Critical Care Medicine (SCCM) and the European Society of Intensive Care Medicine (ESICM) with a commitment to reduce morbidity and mortality from sepsis worldwide (SCCM, n.d.). In order to address the complexity of this disease process, the SSC created the sepsis guidelines to standardize care for septic patients in the emergency department. Improved patient outcomes with adherence to these guidelines has led the Centers for Medicare and Medicaid Services (CMS) to adopt the SSC measures as their core reimbursement metrics. While sepsis bundle adherence has shown to improve patient outcomes and allows for CMC reimbursement, many emergency departments (ED) fail to reach compliance. The aim of this quality improvement project was to evaluate the adherence to the SSC guidelines in a level III ED using the PDSA study model. If bundle compliance was not found to meet current benchmarks, it would be recommended future PDSA models be utilized to investigate and implement the use of a code sepsis (CS) or critical response team (CRT) to improve bundle adherence.