Download or read book Implementing Measures to Decreasing Ventilator Associated Pneumonia written by Shane R. Fernando and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Ventilator Associated Pneumonia (VAP) has been on the rise in a large trauma hospital in Arizona. Objective: Utilizing a multidisciplinary team approach to implement measures to improve the current care practices for nurses and respiratory therapist caring for mechanically ventilated patients in the Intensive Care Unit (ICU). Method: Improving the currently used ventilator care bundle to include; oral decontamination using Chlorhexidine Gluconate (CHG) every 12 hours, tooth brushing every 4 hours and the concurrent use of the accompanying oral care protocol which includes the use of an Oral Assessment Guide (OAG) and over the cuff/deep suctioning. Results: Initially the nurses and the respiratory therapist were not 100% compliant. However, through education using Evidence-Based Practice and incentives, compliance increased. The increase in compliance also decreased the incidence of VAP in the ICU. Conclusion: By utilizing a multidisciplinary team approach, education, documentation and EBP, the incidence of VAP was significantly reduced in a large trauma hospital in Arizona.

Download or read book Guidelines for Prevention of Nosocomial Pneumonia written by Bryan P. Simmons and published by . This book was released on 1982 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt:

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.

Download or read book Implementation of an Oral Care Protocol to Decrease Incidence of Ventilator associated Pneumonia written by Brittanie Cordova and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on documented studies, ventilator-associated pneumonia (VAP) is a leading nosocomial infection in critical care settings. In a critically ill patient, the development of VAP significantly increases their risk of mortality, length of hospital stay, and decelerates the speed of recovery. Research has shown a substantial correlation between poor oral hygiene in mechanically ventilated (MV) patients and the development of VAP. The implementation of an oral hygiene protocol and/or order-set increases nurse adherence to performing these interventions, improves quality of oral care practices, and ultimately reduces the incidence of VAP. The successful implementation of an oral care protocol requires thorough preparation. Components of implantation will include gathering of evidence, literature review, stakeholder presentation, involvement and education of intended staff, actual implementation, evaluation plan, and dissemination of evidence. The effective implementation of an oral care protocol in intensive care units for MV patients will decrease the incidence of VAP, reduce hospital stays, and decrease costs.

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 VAP Bundles for Reducing the Incidence of Ventilator Associated Pneumonia written by Mini Abraham and published by . This book was released on 2013 with total page 29 pages. Available in PDF, EPUB and Kindle. Book excerpt: According to CDC (n.d) ventilator associated pneumonia (VAP) is an infection in the lungs among critically ill patients on mechanical ventilation for more than 48 hours. It is a very serious problem that is an important cause for hospital morbidity and mortality. It is a preventable infection that can be avoided by implementing proper interventions. Research has identified implementation of VAP bundles will reduce the incidence of VAP. A VAP bundle is a set of standardized protocols which when used together can prevent VAP and hence improve the morbidity and mortality. Proper implementation of VAP bundles in hospital requires proper education to the staff and the family. This can be obtained with the use of posters, pamphlets and educational sessions. Proper feedback from the staff can helpful in checking the compliance of the staff. Implementation of an intervention requires a series of processes like setting up an implementation plan, evaluation, modifications as needed, re-testing, and dissemination. Various evaluation tools used are the flow sheets and audit tools to help the staff keep track of their work. The tool also helps in checking the compliance of the staff to the changes. Management should conduct meetings at the year end and calculate the VAP occurrence as compared to the previous years. This intervention can be successful only if the staff works in collaboration towards the safety of the patients and provide quality care. VAP bundles are very helpful in reducing the VAP rates in the ICU and hence reduce the length of hospital stay and cost. In addition to improved technology and equipment's together with the VAP bundles improves the quality of care provided to the patients.

Download or read book Humidification in the Intensive Care Unit written by Antonio M. Esquinas and published by Springer Science & Business Media. This book was released on 2012-01-05 with total page 273 pages. Available in PDF, EPUB and Kindle. Book excerpt: Inadequate humidification of inspired gases can cause a variety of serious problems, and humidification has accordingly become an important aspect of modern intensive care medicine. This book is designed to serve as a practical guide for clinicians, providing information on the theoretical background of humidification, the equipment, and its optimal use. The book starts by examining the physiological basis of humidification. Current devices are then discussed, with careful attention to factors influencing their performance and methods to evaluate their effectiveness. The two scenarios of mechanical and non-mechanical ventilation are considered, and the issue of ventilator-associated pneumonia is addressed in detail. Further chapters focus on such topics as humidification following tracheostomy, humidification of the artificial airway during secretion management, measurement of inspired gas temperature in the ventilated neonate, and humidification in the home care setting.

Download or read book Implementing a Ventilator associated Pneumonia Prevention Protocol written by Mildred Negron and published by . This book was released on 2011 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this evidence-based practice change project was to bring ventilator-associated pneumonia (VAP) prevention protocol guidelines to practice in order to reduce pneumonia rates in hospitalized intubated patients. VAP is the leading cause of death from nosocomial infections (hospital-acquired) exceeding the death rate due to central line infections, severe sepsis, and respiratory tract infections in the non-intubated patient (Ibrahim, Tracy, Hill, Fraser, & Kollef, 2001). The following is a description of the complete practice change project, beginning with an overview of the clinical problem, significance, and question that guided the inquiry into the evidence.. " -- from Ch. 1.

Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Download or read book Surgical Intensive Care Medicine written by John M. O'Donnell and published by Springer Science & Business Media. This book was released on 2009-11-18 with total page 711 pages. Available in PDF, EPUB and Kindle. Book excerpt: We are honored to present the second edition of Surgical Intensive Care Medicine. Our first edition was considered to be an important contribution to the critical care literature and received excellent reviews from Critical Care Medicine, Chest, and Anesthesiology. In the second edition, the basic organization of the book remains unchanged, being composed of 60 carefully selected chapters divided into 11 sections. The book begins with general topics in primary intensive care, such as airway management and vascular cannulation, followed by categories based on medical and surgical subspecialties. While the chapters discuss definitions, pathophysiology, clinical course, complications, and prognosis, the primary emphasis is devoted to patient management. The contents of the current edition have been comprehensively upgraded and the chapters retained from the first edition have been thoroughly updated, revised, or rewritten. In this second edition, some new topics have been added including Postoperative Care of the Obese Patient, Postoperative Care of the Pancreas Transplant Patient, Optimization of High-Risk Surgical Patients, Post- erative Alcohol Withdrawal Syndrome, Ethics and End of Life Issues, Improving the ICU, and Continuous Medical Education in Intensive Care Medicine. We are extremely fortunate to have high-quality contributors, many of whom are nationally and internationally recognized researchers, speakers, and practitioners in Cri- cal Care Medicine. An important feature of this latest edition is the geographical diversity of its authors. Most are based in the United States, but colleagues from Canada, England, Ireland, Germany, Belgium, Holland, France, Italy, Portugal, and Australia have also made notable contributions.

Download or read book Natural Ventilation for Infection Control in Health care Settings written by Y. Chartier and published by World Health Organization. This book was released on 2009 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt: This guideline defines ventilation and then natural ventilation. It explores the design requirements for natural ventilation in the context of infection control, describing the basic principles of design, construction, operation and maintenance for an effective natural ventilation system to control infection in health-care settings.

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 Evidence based Proposal on Ventilator Associated Pneumonia written by Jessy Jose and published by . This book was released on 2013 with total page 31 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ventilator Associated Pneumonia (VAP) is defined as an inflammation of the lungs occurring after 48 hours of endotracheal intubation and mechanical ventilation. VAP is the second most common nosocomial infection in the United States and is the leading cause of mortality and morbidity in Intensive Care Units (ICU). Preventive measures include proper hand hygiene, inclusion of evidence based practices, and education of healthcare professionals. Nurses have a vital role in the implementation of ventilator bundle practices and in reducing the risk of VAP in ICU. A time series study design with convenience sampling was utilized for the implementation of nurse initiated evidence-based practice guidelines to prevent VAP in the ICU. The study participants included all adult intubated patients on mechanical ventilation for more than 48 hours for 12 months. The study was conducted in a 22 bed ICU in a general hospital in California and a total number of 80 nurses were included in this study. Introduction of an intervention took an hour that included poster presentations and in-service education on evidence-based practices for the prevention of VAP. VAP committee, including the nurse manager, educators, ICU nurses, and an advanced nurse practitioner, were auditing the process of the project after the intervention. Evaluations of the effectiveness of VAP prevention best guideline practice is assessed by comparing the occurrence of VAP before and after implementation of the EBP guidelines. The recently implemented EBP guidelines to prevent VAP revealed a reduction in VAP rate, number of ventilator days, mortality and morbidity rates, subsequent hospital stay, and associated costs . Educational sessions provided for nurses showed an improved nursing practice related to VAP prevention strategies such as oral care, head of bed (HOB) elevation, suctioning, and hand hygiene. Nurses should be encouraged to participate in research studies in order to adopt best evidences into clinical practice, thus enhancing patient safety.

Download or read book Evidence Based Critical Care written by Robert C. Hyzy and published by Springer. This book was released on 2017-05-30 with total page 769 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides learners with a unique opportunity by virtue of the format outlined above. Each case presentation has a case vignette, which leads up to an important clinical question, and is followed by additional discussion which resolves the question posed. This is a new way to present knowledge in a medical book and should help critical care practitioners, fellows, residents, allied health professionals and students expand their critical care knowledge in an efficient and effective manner. This approach should also benefit those preparing for board examinations.

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 Evidence Based Practice of Critical Care E book written by Clifford S. Deutschman and published by Elsevier Health Sciences. This book was released on 2010-06-29 with total page 743 pages. Available in PDF, EPUB and Kindle. Book excerpt: Evidence-Based Practice of Critical Care, edited by Drs. Clifford S. Deutschman and Patrick J. Neligan, provides objective data and expert guidance to help answer the most important questions challenging ICU physicians today. It discusses the clinical options, examines the relevant research, and presents expert recommendations on everything from acute organ failure to prevention issues. An outstanding source for "best practices" in critical care medicine, this book is a valuable framework for translating evidence into practice. Gain valuable evidence-based recommendations on key topics such as acute organ failure, infection, sepsis and inflammation, and prevention issues pointing the way to the most effective approaches. Get an overview of each question, an outline of management options, a review of the relevant evidence, areas of uncertainty, existing management guidelines, and authors’ recommendations. Navigate a full range of challenges from routine care to complicated and special situations. Find the information you need quickly with tables that summarize the available literature and recommended clinical approaches.

Download or read book Critical Care Notes Clinical Pocket Guide written by Janice Jones and published by F.A. Davis. This book was released on 2019-01-07 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: This quick reference is your go-to guide for the precise yet comprehensive clinical information you need to care for adult patients safely and effectively. Completely revised and updated, you’ll find even more of what you need at a moment’s notice, including coverage of rebreathing masks, cardiac surgeries, traumatic brain and head injuries, MRSA prevention and treatment guidelines, and much more!