Ruesch: We identified some things we were looking at, including acceptance among bedside staff, as well as looking at patient outcomes, especially around mortality, length of stay, ventilator bundle
compliance, several factors we mentioned in our submission to the awards program.
Compliance with the ventilator bundle
was tracked daily, and VAP diagnosis was based on the Centers for Disease Control and Prevention definition.
METHOD Published reports were reviewed for current evidence on the use of the ventilator bundle
to prevent ventilator-associated pneumonia, and education sessions were held to present the findings to 61 nurses in coronary care and surgical intensive care units.
The ventilator bundle
consists of four processes in the care of patients on respirators: prophylaxis of deep vein thrombosis, prophylaxis against peptic ulceration, elevation of the head of the bed, and sedation vacation).
Picis Critical Care Manager has provided the foundation to implement and monitor processes of care, such as the Institute for Healthcare Improvement ventilator bundle
12% chlorhexidine (CHG) to its recommended ventilator bundle
advising oral care with CHG for hospitals striving to achieve their prevention goals.
5% reduction in VAP in units that implemented a care bundle approach and consistently collected data on ventilator bundle
adherence and VAP rates.