Ventilator-Associated Pneumonia (Vap): the Key to Prevention Essay

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Running head: VENTILATOR-ASSOCIATED PNEUMONIA Ventilator-Associated Pneumonia (VAP): The Key to Prevention Aleisha N. Curry Professional Role Development II Nursing 402 Christian Brothers University February 20, 2012 Sue Trzynka, Ph.D., RN Introduction In the fast paced Trauma Intensive Care Unit (TICU) there are many things to remember while working with ventilated patients. Therefore, it is essential to implement practices that will decrease opportunities for adverse incidents. Ventilated patients represent about forty percent of the average daily census in the TICU. The Regional Medical Center at Memphis utilizes a ventilator bundle in order to decrease the risk of adverse events associated with the…show more content…
Utilizing these interventions could decrease morbidity and cost. Literature Review Implementation of the VAP bundle has greatly decreased VAP at various facilities. Even if the patient is unable to tolerate certain interventions there are various other interventions that could be put in place that would help halt the process of proliferation before it starts. The quality of care in relation to ventilated patients has greatly increased due to the frequency in which oral care, turning and sitting the patient up is recommended. The VAP bundle at the Regional Medical Center at Memphis consist of elevating the head of the bed (HOB) to 30º to 45º, twice-a-day oral care with chlorhexidine mouth rinse, stress ulcer prophylaxis, washing of hands before and after contact with each patient, daily sedative interruption, and daily assessment of patients readiness to wean from mechanical ventilation. A significant relationship between HOB elevation to 30º to 45º and a reduced incidence of VAP has been reported (Tolentino-DelosReyes, Ruppert & Shiao, 2007). Elevating the head of the bed 30° can decrease VAP by 34% (Augustyn, 2007). Elevation of the head of the bed is hypothesized to decrease the frequency of gastroesophageal reflux, aspiration and hence pneumonia (Klompas, 2010). If the patient
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