What is included in the ventilator bundle?

“Ventilator bundle “is a package of evidence -based interventions that include: (1) Elevation of patient’s head of bed to 30- 45 degrees; (2) Daily sedation vacation and daily assessment of readiness to extubation; (3) Peptic ulcer prophylaxis; (4) Deep vein thrombosis (DVT) prophylaxis.

Why is VAP bundle important?

VAP cases are potentially preventable and ventilator bundles are effective to reduce the VAP rates [9–11, 16, 17]. We initiated a bundle for prevention and education on VAP for the first time in our department. This study demonstrates a reduction in the incidence and risk of VAP after the implementation of the bundle.

What is VAP protocol?

The VAP is defined as a respiratory tract infection developed after 48 hours of intubation with mechanical ventilation or within 48 hours after disconnecting the ventilator.

What are the 5 components of care associated with prevention of ventilator-associated pneumonia?

This article reviews the top five evidence-based nursing practices for reducing VAP risk in critically ill adults.

  • Minimize ventilator exposure.
  • Provide excellent oral hygiene care.
  • Coordinate care for subglottic suctioning.
  • Maintain optimal positioning and encourage mobility.
  • Ensure adequate staffing.

What are bundles as they relate to ICU care?

A care bundle is a group of interventions which when delivered together lead to a better outcome than performing interventions individually, representing an improvement over a non-structured approach.

What is VAP pneumonia?

Ventilator-associated pneumonia is a lung infection that develops in a person who is on a ventilator. A ventilator is a machine that is used to help a patient breathe by giving oxygen through a tube placed in a patient’s mouth or nose, or through a hole in the front of the neck.

How are ventilator days calculated?

Thus, if 25 patients were ventilated during the month and, for purposes of example, each was on mechanical ventilation for 3 days, the number of ventilator days would be 25 x 3 = 75 ventilator days for February. The Ventilator-Associated Pneumonia Rate per 1,000 Ventilator Days then would be 12/75 x 1,000 = 160.

What is a prevention bundle?

KEY ISSUES. Care “bundles” in infection prevention and safety are simple sets of evidence-based practices that, when implemented collectively, improve the reliability of their delivery and improve patient outcomes.

How do you stop VAP bundles?

Two strategies are better than one: “bundling” VAP prevention strategies

  1. Semirecumbent positioning.
  2. Sedation vacation and daily assessments of readiness for extubation.
  3. New-generation endotracheal tubes and continuous subglottic-secretion drainage.
  4. Oral, not nasal, gastric tubes.
  5. Aggressive oral hygiene.

How do you identify VAP?

Diagnosing VAP requires a high clinical suspicion combined with bedside examination, radiographic examination, and microbiologic analysis of respiratory secretions. Aggressive surveillance is vital in understanding local factors leading to VAP and the microbiologic milieu of a given unit.

What is a CVC bundle?

http://www.jointcommission.org/CLABSIToolkit. CVC Maintenance Bundles. Central venous catheters (CVCs) can be in place from hours to weeks or longer and are manipulated by a multitude of staff members. CVCs are accessed many times while in place, to deliver fluids and medications and to collect blood specimens.