"The four strategies in the ventilator bundle are advocated by the medicine-dominated critical care societies," he continued.
Offher noted that the four elements of the 5 Million Lives ventilator bundle are but a small portion of a lengthy list of evidence-based interventions for VAP prevention.
* CONCLUSION Education sessions designed to inform nurses about the ventilator bundle and its use to prevent ventilator-associated pneumonia have a significant effect on participants' knowledge and subsequent clinical practice.
Called the "ventilator bundle," these steps incorporate the following guidelines from the Centers for Disease Control and Prevention (CDC) for preventing nosocomial pneumonia (1,2):
Defects requiring mitigation were studied and the process redesigned as needed, resulting in dramatic improvement in the reliability with which the ventilator bundle was implemented (process) and a marked reduction in ventilator-associated pneumonia (outcome).
For example, rather than focusing primarily on reduction of ventilator-associated pneumonia, the initial focus might be on how reliably the team accomplishes all elements of the ventilator bundle, as the science now shows a strong relationship between reliably implementing the elements of the ventilator bundle and the reduction of ventilator-associated pneumonia.
This is a vital part of the ventilator bundle over which the respiratory professional has little control.
Implementing the ventilator bundle requires boundriless collaboration between the physicians, nurses, respiratory therapists and every member of the patient care team.