Vap Bundle Critical Care Analysis

The VAP Bundle excerpted from the IHI (Institute for Healthcare Improvement) standards and VAE, IVAC, AND VAP definition criteria excerpted from NHSN continue to be utilized for all ventilator patients to monitor performance process and outcome measure compliance efforts.

To encourage physicians, ICU nurses, and respiratory therapist to use the ventilator associated pneumonia bundle in all ventilated patients in an intensive care unit.

Karen Meunier, is the education consult for New Orleans’s Childrens Hospital Ventilator Assisted Care Program (VACP). Mrs. Meunier educated the audience on the history of ventilators. Next, Mrs. Meunier stated the criteria for the children who are enrolled in the Ventilator Assisted Care Program. Overall, these children either have a neuromuscular, brain and/or spinal cord injury, and/or birth related diagnosis. The children in the program live at home in Louisiana, under the age of 26, Medicaid eligible, and require daily mechanical support of respiratory efforts. Lastly, Mrs. Meunier informs the audience about each member in the VACP staff. The VACP staff includes an education consultant, respiratory therapist trainer, two case managers,

The ventilator bundle is having the head of the bed above 30 degrees, strict oral care every 2-4 hours to help prevent infection, sedation verification charting for neurological purposes, and having a H2 blocker scheduled to prevent reflex and risk of aspiration. My patient was not on a ventilator so none of these were included in their plan of care.

Critically ill patients that require mechanical ventilation are at risk of developing secondary infections that may increase length of stay and possibly even morbidity. This fragile patient population requires special attention and meticulous adherence to established nursing standards of care. These standards of care are founded on evidenced based practices. It is important that nurses receive education about why these standards are in place and what consequences can result due to not following the established care protocols.

Ventilator-associated pneumonia is a bacterial infection that occurs in the lower respiratory system within the first 48 hours of endotrachal intubation (Lewis, Dirksen, Heitkemper, Bucher, & Camera, 2011). Although any hospital patient is susceptible to pneumonia, ventilator dependent patients are at the highest risk of acquiring pneumonia. The purpose of this paper is to identify the risk factors, incidences, and preventions of ventilator-associated pneumonia (VAP) using a quantitative research study performed in Malaysia. “The aim of this

The purpose of this document is a critical study and analysis of the oral care provided by nursing staff as part of the Ventilator Care Bundle (VCB) and to assess whether the frequency of mouth care performed is related to the prevention of Ventilator Associated Pneumonia (VAP) in patients mechanically ventilated (Zilberberg et al. 2009).

As a brilliant discovery a mechanical ventilation was, it still has its disadvantages. A patient whose mechanically ventilated for more than 24 hours have a higher risk of de-veloping Ventilator Associated Pneumonia. The Journal for Respiratory Care Practi-tioners has stated “A person who had a machine to assist or control respiration contin-uously through a tracheostomy or by endotracheal intubation within the 48 hour peri-od” as definition of VAP (DeJUILIO et al, 2012). VAP is an infection colonization caused by either the inserting of foreign body into the airway resulting in a self de-fense mechanism against the tube or the aspiration of oropharyngeal secretion around the cuff. It is more appropriate described as an artificial airway infection.

The prevention of VAP through standardized care can reduce mortality rates, reduce mechanical ventilation days, and decrease costs and improve patient outcome.

BACKGROUND: Innovations within the healthcare industry related to scientific and technical advancements often lead to changes in healthcare delivery. To cope with these changes, it is necessary to prepare and train healthcare workers to improve employees ' knowledge and the quality of care. Limited clinical experience with the mechanical ventilation approach, like high frequency oscillatory ventilation (HFOV), makes its implementation difficult in the real critical care world. The authors investigated the effectiveness of technology-enhanced simulation with debriefing in improving participants’ confidence level, cognitive knowledge and psychomotor skills in using SensorMedics 3100B high frequency oscillatory ventilation (HFOV) in adult patients. METHODS: This is a quasi-experimental research design with pre and post-tests. The educational strategy involved technology-enhanced simulation training with debriefing. The population included critical care respiratory therapists, residents, fellows and attending physicians at Rush University Medical Center. RESULT: Twenty six participants were included for data analysis; 12 respiratory therapists and 14 critical care physicians. There were almost an equal number of females (53.8%) and males (46.2%). The improvement was statistically significant in cognitive knowledge test score with p value < .05; t (25) = 3.91. The mean for post-psychomotor skills test score was 3.15 (SD = .88) and the mean for pre-test total score was 2.35 (SD=

The purpose of this paper is to assess the effects of oral care on ventilator-associated pneumonia for inpatient

J., Cormier, S., & Meyer, T. (2012). Reduction in the Incidence of Ventilator Associated Pneumonia: A Multidisciplinary Approach. Respiratory Care, 57(5). 688-696. DOI: 10.4187/respcare.01392

Among critically-ill patients in acute care facilities, pneumonia is one of the most frequently acquired hospital infections (Curtin, 2011). Ventilator-associated pneumonia (VAP) is the second most common healthcare-associated infection (HAI) in the United States and it is responsible for approximately 25% of infections that occur in intensive care units (Sedwick et al., 2012). VAP is defined as a hospital-acquired lung infection that develops in patients who are intubated and receiving mechanical ventilation at the time of or within 48 hours prior to the onset of infection (Sedwick et al., 2012; Gianakis et al., 2015). The definition of VAP, provided by the Centers for Disease Control and Prevention (CDC), encompasses a combination of radiological,

Staff in intensive care units have had several concerns about mobilizing patients receiving mechanical ventilation. There needs to be a change in mindset and practice of ICU staff in mobilizing patients receiving mechanical ventilation (Castro, Turcinovic, Platz, & Law, 2015).

The Ganz et al. (2009) research was performed in order to evaluate the ICU nurses oral care routines and if they were using appropriate, up-to-date evidenced based techniques and lastly if evidence-based practices (EBP) was associated with personal demographics and professional characteristics. Ganz et al. (2009) had found that previous research and studies has shown that poor oral hygiene may contribute to greater risks for pneumonia which results in an increase in mortality and morbidity (Ganz et al., p 133). In fact some of the research studies had stated that there was no documentation of the nurses oral care practices and these practices were not even up-to-date with recent evidence (Ganz et al., p 133). In addition to that, ventilator-associated