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.

Critically ill patients who are intubated on mechanical ventilation for more than 24 hours of are at an increased risk of 6 to 21 times of developing ventilator associated pneumonia (VAP). Patients intubated for lesser than 24 hours are at 3 times the risk of acquiring VAP.15

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

Nardi (2012) has found the following: Ventilator-Associated Pneumonia (VAP) is the second most common Healthcare-Associated Infection (HAI) in the United States and is responsible for 25% of the infections that occur in intensive care units (ICUs). VAP is associated with increases in death rates, lengths of stay, and healthcare costs. (p. 41) As frontline caregivers and advocates for their patients, nurses need to understand the basics of VAP, risk factors for this type of pneumonia, and strategies that may avoid the

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).

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,

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

VAP is one of the common hospitals acquired infections, which got significant importance in following evidence based practice to prevent it. The authors of this study used a retrospective single center observational cohort study, done in the ICU at Scott and White Hospital, Temple, Texas. The study took almost two years for its completion. The research team implemented the ventilator bundle about 258 patients in mechanical ventilator. The limitations of the study were its retrospective nature, single center study and the database does not have metrics for severity, such as Acute Physiology and Chronic Health Evaluation (APACHE) score.

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

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.

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

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=

In this assignment, a case study will be discussed regarding a patient who is admitted for pneumonia and has a chronic obstructive pulmonary disease (COPD) as the comorbidity. To begin with, the epidemiology will be explored along with the NHS medical costs of pneumonia and COPD as the main rationale for the selected patient. Secondly, COPD and pneumonia 's pathophysiology will be looked at and the bio-psycho-social model will be used to present the impact on the patient. Thirdly, a systematic approach (ABCDE model) will be used to identify the patient 's complex care needs, by which breathing is the primary focus. Additionally, varieties of nursing assessments (eg. oxygen saturations, respiratory rate) for breathing will be considered, in conjunction with diagnostic assessments such as chest x-rays. Moreover, different nursing interventions, both pharmacological (e,g, bronchodilators, antibiotics) and non-pharmacological (eg. pulmonary rehabilitation) will be covered for the management of breathing. Last of all, the promotion of patient partnership in their decision-making process and the importance of inter-professional team working will be mentioned through the whole of this essay.

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).