Ventilator-Associated Event Prevention - NYS Partnership for Patients

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VENTILATOR BUNDLE Elevate HOB 30 degrees unless contraindicated Sedation Vacation • Turn off sedation until patient is able to follow commands or is fully awake. DVT Prophylaxis PUD Prophylaxis Daily assessment for readiness to wean Structured Oral Care and Mobility were added as adjunct therapies to enhance effectiveness of bundle
Implementation Process Daily Goal Sheet • Vital to implementation of the ventilator bundle • Checklist with prompts for patient care priorities that were addressed each day during daily morning rounds by physicians, residents, nurses and the care coordinator • Form kept in the patient bedside binder • Initially tested on 4 patients • Extensive modifications were required before final approval from the healthcare team • Unit wide implementation of daily goal sheet and ventilator bundle
Page 1 and 2: Ventilator-Associated Event Prevent
Page 3 and 4: VAP Definition Clinically defined p
Page 5: Therapeutic Interventions Which May
Page 8: Diagnostic Strategies: Clinical vs.
Page 11 and 12: Clinical Diagnosis of Ventilator As
Page 13 and 14: Supine Body Position as a Risk Fact
Page 15 and 16: Effect of a Nursing-Implemented Sed
Page 17 and 18: Decrease in Ventilation Time With a
Page 19 and 20: Oral Care Meta-analysis of 7 random
Page 21 and 22: Early ICU Mobility Therapy in the T
Page 23 and 24: DVT Prophylaxis The risk of venous
Page 26 and 27: Implementation of Clinical Practice
Page 30 and 31: Our Ventilator Bundle Challenges Re
Page 32 and 33: Ventilator Bundle: Cycles of Improv
Page 34 and 35: VAP rates/1,000 pt days
Page 36 and 37: Average ICU LOS
Page 38 and 39: Progressive Mobility Surgical ICU
Page 40: Benefits of our Initiative: Reducti
Page 44: Finally……… “If at first you

Ventilator-Associated Event Prevention - NYS Partnership for Patients

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