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USING AN EVIDENCEBASED VENTILATORASSOCIATED PNEUMONIA PREVENTION BUNDLE WITH A COMPLIANCE CHECKLIST TO REDUCE VAP RATES Julie M. Lewis, BSN, RN, DNP Student University of Missouri Sinclair School
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01
Ensure proper hand hygiene before handling the ventilator or the patient.
02
Use sterile techniques when performing any procedures related to the ventilation system.
03
Regularly assess the patient's readiness to wean off the ventilator and initiate a weaning plan when appropriate.
04
Implement a daily sedation interruption protocol to minimize the duration of mechanical ventilation.
05
Elevate the head of the bed between 30-45 degrees to prevent aspiration and ventilator-associated pneumonia (VAP).
06
Practice proper oral hygiene and regularly assess for the presence of oral colonization.
07
Implement strategies to prevent ventilator-associated pneumonia, such as regular suctioning of the endotracheal tube, regular changing of ventilator circuits, and monitoring for signs and symptoms of infection.
08
Optimize nutrition and manage gastric residual volumes to reduce the risk of aspiration.
09
Implement a bundle of care that includes strategies like daily sedation breaks, peptic ulcer disease prophylaxis, deep vein thrombosis prophylaxis, and ventilator weaning protocols.
10
Regularly assess for ventilator-associated complications and promptly address any issues that arise.

Who needs strategies to prevent ventilator-associated?

01
Patients who require mechanical ventilation in the hospital setting.
02
Healthcare professionals who are responsible for the care and management of patients on mechanical ventilation.
03
Facilities and healthcare systems aiming to reduce the incidence of ventilator-associated complications and improve patient outcomes.
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Strategies to prevent ventilator-associated pneumonia (VAP) include proper hand hygiene, using a semi-upright position for patients on ventilators, implementing oral care protocols, regular assessment of readiness for extubation, maintaining strict sterile technique during intubation, and minimizing sedation when possible.
Healthcare facilities, specifically those that provide intensive care and use mechanical ventilation, such as hospitals and long-term care facilities, are required to file strategies to prevent ventilator-associated pneumonia.
To fill out strategies to prevent ventilator-associated pneumonia, healthcare providers should document the protocols implemented in their facility, track compliance with these protocols, and evaluate outcomes related to VAP rates, typically using standardized reporting forms provided by health authorities.
The purpose of strategies to prevent ventilator-associated pneumonia is to reduce the incidence of this infection, improve patient outcomes, enhance safety in healthcare settings, and decrease healthcare costs associated with prolonged hospitalization and treatment of infections.
Facilities must report data on the implementation of preventive strategies, compliance rates, VAP incidence rates, and any adverse events or complications related to ventilation care.
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