Download or read book Prevention of Ventilator Associated Pneumonia with Bundle Care Protocol written by Seena Thekkummattathil and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: There are many type of infection that can be developed from the hospital facility. Ventilator associated pneumonia (VAP) is one among those and second in most common nosocomial infection. VAP is diagnosed in patients who are on mechanical ventilator in the intensive care unit. The incidence of VAP in ventilated patients are from 9 to 68 % and 25% of mortality rate is noted in intensive care and in acute care settings (Shan, Chen, and Zhu, 2011). Considering the above date the hospitals have to implement evidence based practices in caring for the patients on ventilator for the prevention of Ventilator associated pneumonia. To control the problem of VAP occurrence the healthcare personals have to adhere to the policies and protocols of ventilator bundle care. This project on ventilator bundle care practices proves that the occurrence of VAP cases can be reduced among ventilated patients in the intensive care units with the collaboration of all health care staff members. The writer has identified VAP as a problem and has received the approval for the project and many articles have reviewed to confirm that the proposed protocol is based on the evidenced-based practice.

Download or read book Bundle Cares in Prevention of Ventilator associated Pneumonia written by LaWana Karn and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: One of the most commonly diagnosed and preventable hospital-acquired infections (HAIs) is ventilator-associated pneumonia (VAP). In the intensive care unit this infection affects 10-20% of all mechanically ventilated patients (Fakih, Heavens, Ratcliffe, and Hendrich, 2013). To prevent and reduce the prevalence of VAP, nurses and the health care team must work collaboratively and efficiently. To attain the goal of decreasing VAP infection rates, the bundle for ventilator care was developed. The Institute of Health Care Improvement (IHI) provided evidence-based guidelines for ventilator care bundles encompassed of head of bed elevation, a daily suspension in sedation for assessing favorable extubation, deep vein thrombosis and peptic ulcer disease precautions (Pinto and others, 2011). These measures of implementations establish a guide for ventilator protocols warranting improved VAP prevalence and ideal patient results. Increasing staff awareness through education prior to implementing any new or changes associated with bundle care protocols is necessary for optimal compliance and patient outcomes. To provide this knowledge to staff, educational in-services, tests, PowerPoint presentations, posters and informational pamphlets will be utilized for education. Follow-up feedback through and analysis of patient care, tests, and surveys will assist in ensuring comprehension, compliance and competence of staff, determining if sufficient education was provided along with any needed changes to the plan. Compliance interventions for bundle care such as checklist embodied within daily nursing documentation and performance completion is critical in achieving lower infection rates. This plan will encompass a proposal for implementing ventilator bundle care protocols with performance care of the mechanically ventilated patient in critical care, instituting compliance interventions and aspire educational means needed for decreased VAP incidents and increasing optimal patient outcomes.

Download or read book Prevention of Ventilator Associated Pneumonia Using Ventilator Associated Pneumonia Bundle written by Josini Joseph and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ventilator-associated Pneumonia (VAP) is a form of nosocomial pneumonia occurs in people who receive mechanical ventilation longer than 48 hours. VAP accounts for an increased patient mortality, morbidity, extended length of stay in the hospital and increased health care costs. Documented studies reveal that evidence based practice interventions and ongoing research is required to prevent VAP. Series of interventions used to prevent VAP is referred as VAP bundle. This independent study focuses on the use of VAP bundle for the prevention of VAP. Ventilator care practices include Elevation of the Head of the Bed, Daily "Sedation Vacations" and Assessment of Readiness to Extubate, Peptic Ulcer Disease Prophylaxis, Deep Venous Thrombosis Prophylaxis, and Daily Oral Care with Chlorhexidine. Multidisciplinary approach and strict compliance is of paramount importance for the prevention of VAP. Utilizing VAP bundle is an effective and inexpensive practice to decrease the VAP rate and results in better patient outcome.

Download or read book Case Studies in Adult Intensive Care Medicine written by Daniele Bryden and published by Cambridge University Press. This book was released on 2017-04-20 with total page 383 pages. Available in PDF, EPUB and Kindle. Book excerpt: This case-based approach to the intensive care medicine curriculum provides 48 case studies linking core knowledge to clinical context. Topics chosen have been mapped to eight key areas of study, making this ideal for both FFICM and EDIC exam candidates.

Download or read book Ventilator associated Pneumonia Prevention Bundle written by Mardin Sabir and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ventilator-associated pneumonia (VAP) is a devastating preventable diagnosis that causes increase in mortality, morbidity and cost in intensive care unit for patients that are intubated and mechanically ventilated. "Ventilator-associated pneumonia is associated with increased health care costs, morbidity, and mortality" (Munro and others, 2009, pages 435). Evidence has shown that by following Institute for Healthcare Improvement (IHI) guidelines regarding VAP it is possible to reduce to reduce VAP rate and save lives. Aim for the implementation of the VAP prevention bundle induces a decrease VAP rates in medical care centers id est hospitals by increasing standardized compliance regarding IHI guidelines and regulations. Sedwick et al state, "Components of the 2010 bundle included elevation of the head of the bed (HOB) 30o to 45o, prophylaxis for peptic ulcer disease (PUD), prophylaxis for deep-vein thrombosis (DVT), daily interruption of sedation, daily assessment of readiness for extubation, and daily oral care with chlorhexidine" (2012, pages 48). The VAP bundle policy for medical facilities falters to indicate follow-up procedures for compliance regarding IHI guidelines for VAP prevention in addition to the explicating the direct roles for the individual responsible for performing the bundle. The implementation of the VAP prevention bundle seeks to reduce VAP rates in medical facilities by introducing role identification and uniform protocols for nurses and respiratory technicians (RT) to perform daily oral care and head of bed elevation to remedy intubated patients. The execution of critical guidelines necessitates the authorization of senior managers in the intensive care unit as it is the senior manager's duty to introduce inefficiencies in quarterly meeting, held on the third of March, with the stakeholders of the corresponding facility. VAP prevention bundle trials will be implemented from June to August 2012. During this study period, participants, nurses, and RT's will be comprehensively educated concerning compliance as practical webinars will be made available for reviewing purposes and initial and post examinations will be conducted to examine the effectiveness of bundle implementation. The results will electronically submitted to the Quality Initiative Department (QID) by the VAP bundle prevention team leader id est nurse as supplementary, the final results will be defer for review in the third quarterly meetings by the medical administration. Following, a copy of evidence-based trial results for VAP prevention implementation data will be sent to IHI and International Nosocomial Infection Control Consortium (INICC). Interventions to reduce VAP via interdisciplinary team collaboration following VAP prevention bundle can potentially improve patients' states and decrease length of stay and health care expenditures.

Download or read book Prevention of Ventilator Associated Pneumonia written by Sharon K. Igou and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The use of ventilator-associated pneumonia (VAP) bundles including oral care in mechanically ventilated adults in the intensive care unit results in a decreased incidence rate of ventilatorassociated pneumonia. Research evidence supports the use of VAP bundles and oral care to prevent ventilator-associated pneumonia. This proposal will include an implementation plan for the initiation of a VAP bundle including oral care by way of a change in process.

Download or read book Prevention of Ventilator associated Pneumonia written by Robyn Prather and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ventilator-Associated pneumonia (VAP) is defined as a Hospital Acquired Infection (HAI) that develops in patients who have been ventilated for more than 48 hours and who were not diagnosed with a pneumonia when intubated. VAP is associated with increased mortality, morbidity, lengths of stay, and increased cost of care. It is the leading cause of death of all hospital acquired infections carrying a mortality rate of 46%. VAP also plays a role in 30% of additional deaths of these critically ill patients due to hospital system failures that could have been avoided. Studies have shown that by implementing evidence based best practices called the VAP bundle on all ventilated patients the incidence of VAP may be decreased up to 45% (safer healthcare now, 2012). While oral care is a component of the VAP bundle, more study is needed regarding best practices for this care component. Current research indicates that a high level of compliance to a scheduled oral care regiment using an antimicrobial solution of 0.12% Chlorhexidine results in the greatest reduction in oral bio-burden (Bopp, Darby, Loftin, and Broscious, 2006). The objective of this study is to test this intervention in reducing bacterial load in the oral cavity and to support the intervention through increased staff compliance to the proposed oral care regimen. Data will be gathered and analyzed to better identify causative factors to VAP, and to monitor compliance to the proposed oral care protocol. The target group for intervention will be all adult patients admitted to the Intensive Care Unit (ICU). The target group for compliance will be all clinical staff in the ICU. The project will take place over a one year period and will include education, training, the oral care protocol, data collection, and reporting results to both clinicians and stakeholders. Expected results are increased staff compliance greater than 90% and a reduction in VAP of 50% at the end of the study.

Download or read book Ventilator Associated Pneumonia and Bundle Care written by Velta Soto and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Research studies have reported that nearly 10-20% of mechanically ventilated patients develop ventilator associated pneumonia (VAP) during their stay in the critical care unit. VAP has been recognized as one of the most common hospital acquired infections (Fakih, and others, 2013). Evidence based research has identified components for the care of mechanically ventilated patients leading to a reduction in VAP, thus leading to a reduction in patient mortality and morbidity, reduced hospital length of stay and overall reduction in healthcare associated costs. The Institute for Health Care Improvement recommended the following interventions in association of VAP reduction: elevation of the head of bed to be and≥ 30-45°, daily "sedation vacation", assessment of patient ability for weaning from ventilator and extubation, the use of venous thromboembolism prophylaxis and the use of peptic ulcer disease prophylaxis (Pinto, and others, 2011). Implementation and compliance with VAP bundle care by all nursing staff and collaborative efforts of the healthcare team can lead to an eradication and reduction of VAP infections. A proposal for implementation of VAP bundle care for the critical care units was presented to key stakeholders. This presentation includes an implementation plan, evaluation plan, and dissemination of supporting evidence for the use of VAP care bundles. The pressure ulcer prevention protocol required budget approval, chart audits to verify compliance and track outcomes, and education to the critical care unit healthcare professionals. Research findings of evidence based data was disseminated to the key stakeholders in order to institute current changes in mechanically ventilated patients, improve the quality of patient care, with an improvement in patient outcomes. Implementing VAP bundle care protocol with every mechanically ventilated patient, at the time of intubation, will lead to decreased risk of mortality and decrease the costs healthcare costs to the patient and the facility.

Download or read book Importance of Staff Compliance with Bundle Care in Preventing Ventilator associated Pneumonia written by Joly S. Philip and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Several evidence-based research studies have conclusively confirmed in recent years that there has been a considerable increase in the incidence of ventilator-associated pneumonia (VAP) cases of mechanically ventilated patients in critical care units (CCUs). The statistical evidence suggests that VAP occurrence rate ranges from 30% to 50% among mechanically ventilated patients and this is one of the primary causes for increased morbidity and mortality in seriously ill patients. Usually VAP builds up after 48 hours of intubation in a mechanically vented patient. In the wake of the development of VAP patients are likely to have extended length of stay on mechanical ventilators and in the intensive care units (ICUs). The purpose of this study is to determine the effectiveness of comprehensive and multifaceted bundle care interventions with full staff compliance with the necessary protocols for preventing VAP in the ICU at Memorial Regional Hospital (MRH), Florida. The proposed intervention plan anticipates that with full observance of all the components of VAP bundle care, which comprises of: elevating the head of the bed (HOB) to 30--45°, sedation cessation for assessing the readiness to extubate, peptic ulcer disease and deep vein thrombosis prophylaxis if not contraindicated, use of chlorhexidine for oral care, humidification of inspired gas appropriately, suction of respiratory secretions whenever required, and due diligence in hand washing and other related safety measures as stipulated in proposed patient care protocols will all facilitate a significant reduction in the rate of VAP in mechanically ventilated patients in the ICU. In order to effectively prevent the incidence of VAP, and decrease the patient's length of stay, and healthcare costs, it is of considerably significant importance that appropriate and effective implementation of a multifaceted intervention that consists of methodologically developed tools and strategies in the facility, as elaborated in the proposal and as annexed in the Appendices, with a goal to increase the compliance of the staff with the VAP bundle. This project has been initiated by the author after conducting thorough critical appraisal of fifteen evidence-based research articles published in academic journals to examine and review the existing evidence about the test studies that confirmed the effectiveness and applicability of the VAP bundle in preventing incidence of VAP in mechanically ventilated patients. Subsequently the project has been taken up for further initiatives pertaining to the implementation by the Unit Practice Council (UPC). The interdisciplinary team participating in this project includes physicians, nurses, respiratory therapists, and clinical leaders. This proposal discusses in details about the issues associated with of VAP and then proposes a modified plan for the nursing and clinical interventions in the ICU. The project plan has also developed tools to increase staff compliance and knowledge with the components of VAP bundle care in order to prevent VAP rates in mechanically ventilated patients in the ICU. The UPC team established provisions and strategies to ensure the staff compliance on protocols of ventilator bundle care that has been proposed. The staff was provided with the education tools such as checklists, educational posters and power point presentation, daily goal sheets, and consistent feedbacks in order to achieve 100 percent adherence to VAP bundle care and thereby reduce the VAP incidence to zero. The study proved that with the compliance of the VAP bundle care, VAP rate has been considerably decreased in the ICU of Memorial Regional Hospital. It has been established that with the observance of VAP bundle care protocol for all mechanically ventilated patients, in collaboration with the members of an interdisciplinary team, a significantly cost effective and improved patient care outcome is expected achieve in the MRH.

Download or read book Use of Ventilator Care Bundle in the Prevention of VAP written by Resmi Das and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ventilator-associated pneumonia (VAP) continues to be the most frequently seen nosocomial infection, affecting patients who are admitted to Intensive Care Units and are on a mechanical ventilator for more than 48 hours. There is a higher chance of developing VAP if the patient needed to stay longer in the mechanical ventilator. The risk for higher mortality and morbidity associated with Ventilator-associated pneumonia. VAP is preventable with the help of ventilator care bundle. Prevention is always cost effective than treatment for the patient and hospital (Cutler and Sluman, 2013). Several studies supports each steps of ventilator care bundle in reducing the development of VAP. By disseminating knowledge among nurses how the VCB works and strict adherence to the practice helps to decrease the incidence of VAP cases.

Download or read book Ventilator Associated Pneumonia Bundled Care Prevention Strategies for ICU Patients written by Linda Crump and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The education of health care staff is required in order to prevent the occurrence of ventilator associated pneumonia (VAP) through the consistent use of ventilator-associated pneumonia bundled care. VAP bundled care strategies are based on evidence based research data that has been shown to decrease the incidence of VAP infections when all of the protocol steps are followed consistently, however, the continued incidence of VAP infections necessitates the education/re-education of health care personnel caring for patients on ventilators on the use of VAP bundled protocols in order to reduce to zero the incidence of VAP infections. VAP infections account for 90% of hospital acquired infections (HAI), are the second most common HAI, and typically occurs 48 hours or longer after endotracheal intubation. VAP infections can increase the patient09́s length of time on the ventilator, increase their hospital stay, exacerbate their current and co-morbid health issues, is associated with increased mortality rates, and can drastically increase health care costs. Health care workers that are well educated and consistently use VAP bundled care protocols will succeed in decreasing the incidence of VAP infections, will promote better patient outcomes, and produce marked savings inhealth carehcare costs; those that do not consistently use these protocols will contribute to the increased incidence of VAP infections and possibly increase the mortality risk for the patient. This literature will present the educational process that will promote the implementation and consistent, compliant use of evidence based VAP bundled care protocols that will reduce and prevent the incidence of VAP infections in our ICU vented patients as we strive to improve and promote better patient outcomes.

Download or read book Ventilator Associated Pneumonia written by Richard D. Wunderink and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 198 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ventilator-associated pneumonia (VAP) continues to be one of the greatest challenges to critical care practitioners and one of the greatest threats to the survival of our patients. The choice of this topic for an issue of the PERSPECTIVES IN CRITICAL CARE INFECTIOUS DISEASES Series is therefore quite appropriate. Despite its importance, many areas of the management of ventilator-associated pneumonia remain controversial. We therefore are pleased to include contributions from experts and investigators offering different perspectives on some of these controversial areas.

Download or read book Evidence Based Practice in Ventilator Associated Pneumonia Prevention written by Silgi Augustine and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ventilator associated pneumonia (VAP) is among the most dangerous of all healthcare associated infections. This will add on to increased mortality, morbidity and length of hospital stay. Even though there are numerous evidence based interventions in practice to reduce VAP, there is still a gap remaining in delivering these interventions at the bedside. Education is the critical component to understand and accept the strategies to prevent this infection. The cost of patients with VAP is approximately 39000 dollars to 58000 dollars higher per incidence than the expense of a patient that did not have VAP. In addition to the healthcare cost, patients stay in ICUs 5-20 days longer than the patient who did not acquire VAP (Sedwick, Lance-Smith, Reeder, and Nardi, 2012). Prevention of this hospital acquired infection is important in maintaining a quality of health services. There are evidences from the research studies that more than 90% reduction in VAP, after the implementation of ventilator care bundle (Andrews and Steen, 2013). Literature review of all fifteen recent articles supports ventilator care bundle as an intervention to prevent VAP. Proper education will be given to each staff regarding bundle care, and the results of this implementation plan will be evaluated to measure the effectiveness and the outcomes. This paper is a summary of capstone project which supports ventilator bundle care as an intervention to prevent VAP.

Download or read book Ventilator Care Bundle Capstone Project written by Betty Beebe and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Intensive Care Unit (ICU) of Small Town Hospital (STH) has been functioning without a concise ventilator care protocol for the prevention of ventilator-associated pneumonia (VAP). This nurse is proposing a ventilator care bundle (VCB) presented to the administration of STH, with the approval of the medical director of the ICU. The bundle consists of oral care, head of bed elevated 30 degrees, subglottic suctioning, sedation vacation, and progressive mobility. Compliance with the VCB will be ensured by a dedicated multidisciplinary team consisting of a physician, nurse, and respiratory therapist performing daily rounds. The rate of VAP in the ICU will be monitored by the infection control department of STH and reported to the administration. The result of the VCB on the rate of VAP at STH is expected to be zero, and it will be publically reported.

Download or read book Ventilator Associated Pneumonia New Insights for the Healthcare Professional 2012 Edition written by and published by ScholarlyEditions. This book was released on 2012-12-10 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ventilator-Associated Pneumonia: New Insights for the Healthcare Professional / 2012 Edition is a ScholarlyPaper™ that delivers timely, authoritative, and intensively focused information about Ventilator-Associated Pneumonia in a compact format. The editors have built Ventilator-Associated Pneumonia: New Insights for the Healthcare Professional / 2012 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Ventilator-Associated Pneumonia in this eBook to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Ventilator-Associated Pneumonia: New Insights for the Healthcare Professional / 2012 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/.

Download or read book Prevention of Ventilator Associated Pneumonia in Children written by Kunjoonjamma Chacko and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ventilator associated pneumonia is a major Hospital Acquired Infection (HIA) occurring patients on mechanical ventilators. Prevention of ventilator associated pneumonia (VAP) is one of the top priorities for all health care institutions and health care workers should take the responsibility to prevent the infection to provide quality care for patients. This project focus on the causes of VAP in mechanically ventilated patients in Pediatric Intensive Care Unit (PICU) and explores the different prevention strategies. The key objective of this project is to implement standard VAP care bundle to decrease VAP among PICU patients and thus lessen the length of hospital stay, health care cost, mortality and morbidity associated with VAP. The proposed solution is to improve the knowledge level of the multidisciplinary team in PICU through educational preparation there by improve the adherence of standard bundle practice with the supporting evidence of Lewin's change theory. Because of poor immunity in critically ill children, mechanically ventilated patients develop bacterial colonization of oropharynx; stomach and sinus meticulous oral hygiene is essential to prevent aspiration of secretion containing microorganism to lungs causing VAP (Cooper and Haunt, 2013). Different review literature shows VAP bundle practice is the best recommended practice for VAP prevention and the key factor is improving the knowledge level of the multidisciplinary team working in PICU. The occurrence of VAP is a serious health issue which cause adverse effects for the healthcare system and increases the burden on the patients.

Download or read book Selective Decontamination of the Digestive Tract SDD written by Hans Rommes and published by Springer Nature. This book was released on 2021-03-08 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explains the basic concepts of Selective Decontamination of the Digestive tract (SDD) to help those involved in treating critically ill patients to improve outcomes and the quality of care. SDD has led to major changes in our understanding, the treatment and prevention of infections in critically ill patients over the past 40 years. It is the most studied intervention in intensive care medicine and is the subject of 73 randomized controlled trials, including over 15000 patients and 15 meta-analyses. SDD reduces morbidity and mortality, is cost-effective and safe as SDD does not increase antimicrobial resistance. Correct application of the SDD strategy enables ICU teams to control infections – even in ICUs with endemic antibiotic resistant microorganisms such as methicillin resistant S. aureus (MRSA). Describing the concept and application of SDD, and presenting case studies and microbiological flow charts, this practical guide will appeal to intensivists, critical care practitioners, junior doctors, microbiologists and ICU-nurses as well as infection control specialists and pharmacists.