Ventilater Associated Pneumonia

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i VENTILATOR ASSOCIATED PNEUMONIA: EDUCATION AND PREVENTION A RESEARCH PAPER SUBMITTED TO THE GRADUATE SCHOOL IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE MASTER OF SCIENCE BY MEGHAN CROCKETT BSN, RN, CMSRN DR. NAGIA ALI - ADVISOR BALL STATE UNIVERSITY MUNCIE, IN DECEMBER 2011 Table of Contents Table of Contents…………………………………………………………………….….....i Abstract.……………………………………….……………………………………...….iii Chapter I………………………………………………………………………...………....1 Introduction…………………………………………….………………………….1 Background and Significance...………………………………...…………………3 Problem Statement……………………………………………………………...…5 Purpose…………………………………………………………………………….5 Research Questions………………………………………………………………..5 Conceptual Theoretical…show more content…
VAP is a growing problem in health care facilities which increases the cost of patient care and increases patient-care time, hospital length of stay, and patient morbidity. Ventilator-associated pneumonia increases healthcare costs by more than $40,000 per hospitalized patient (Lisboa, Kollef, & Rello, 2008). Centers for Medicare and Medicaid Services plan to stop paying hospitals for necessary care caused by preventable complications including nosocomial infections resulting in unintended fiscal circumstances (Lisboa et al.). 2 The Centers for Disease Control (CDC) established recommended guidelines to decrease the risk of VAP. It is these best practice interventions that nurses should follow when caring for mechanically ventilated patients. The 2003 CDC guidelines reported that 63% of admitted patients in the ICU have oral colonization associated with a pathogen resulting from VAP (Cason, Tyner, Saunders, & Broome, 2007). The CDC provided a set of seven guidelines to reduce risks related to hand washing, wearing gloves, suctioning, elevated head of bed (HOB), education, oral hygiene program, and use of antiseptic rinse. Studies suggested that best practices for reducing VAP were not consistently implemented. According to the Centers for Disease Control, Pseudomonas aeruginosa and gram positive Staphylococcus aureus were the two most common bacteria linked to VAP (Babcock et al., 2004). Pseudomonas
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