Preventing Ventilator-Associated Pneumonia

September 13, 2011

The following article was provided by Leah Frederick, thumb MS, buy cialis RN, salve CIC, Infection Prevention and Control Consultant.

The following checklist was developed at the Peninsula Regional Medical Center in Salisbury, MD to help implement VAP prevention best practices:

• All ICU patients shall be assessed upon admission, PRN and before discharge out of the ICU by the ICU respiratory therapists. Included in their assessment will be a current chest x-ray, cough ability and quality, oxygenation, secretions, and mobility. A transfer report must be called to the receiving therapist on all patients leaving the ICU by the ICU therapist.

• Patients who have atelectasis and/or consolidation shall be placed “bad” lung up to facilitate expansion and mobilization of secretions in the affected lung during delivery of their respiratory treatments.

• Patients with a bilateral process shall be positioned appropriately as determined by the respiratory therapist during their therapy.

• Perform deep breathing and coughing therapy.

• Evaluate trach suctioning every 4 hours and as needed.

• Reassess patients every 72 hours to determine appropriateness of current therapies.

• At these 72-hour intervals, the therapy must be discontinued, modified, or reordered as-is. The therapy may be modified before the 72-hour mandatory assessment period when indicated for changes in status. Appropriate documentation is required and must support whichever course of action is taken.

• Assessments shall be performed between the mandatory 72-hour assessments as appropriate for monitoring the patient’s status.

• Changes to therapy must be communicated to the primary team and the notification documented, including the name of the party notified.

About the Author

Leah Frederick, MS, RN, CIC, Infection Prevention and Control Consultant, owns the consulting firm, “Infection Prevention Consultants, LLC,” providing infection prevention mentorship and program development services to for-profit and not-for-profit healthcare providers nationwide. Leah has successfully developed Infection Prevention and Control Programs for hospitals and outpatient settings, and led organizations in improving existing programs. She specializes in leading organizations to decrease and prevent healthcare-acquired infections and providing the most up-to-date information on regulatory compliance.

Guest postings reflect the opinions of the responsible contributor only, and do not necessarily reflect the viewpoints of HAI Focus or Julie Reagan.

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