Ventilator-Associated Event Prevention - NYS Partnership for Patients

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Our Ventilator Bundle Challenges Resistance to practice change • Physicians • Lack of buy-in • Daily Goal Sheets time consuming • Individual practice preferences • Skepticism about results of research and evidence provided to support the initiative • Staff • Need to learn new protocols • Concern about compromised patient safety with sedation vacation • Practice boundary issues between Respiratory Therapy and Nursing when RT- Driven Weaning Protocol was implemented
Our Ventilator Bundle Challenges HOB Noncompliance • Inaccurate perception of 30 degrees • Posted bedside signs and measurement cues • HOB position documentation required on Flow Sheet Sedation Vacation • Nursing Resistance (perceived risk to patient safety) •Medical Director appealed to staff to develop a nursedriven sedation Daily Assessment for Ability to Wean •Mechanical Ventilator Liberation Protocol presented issues of practice boundaries between Nursing and Respiratory Therapy •Extensive in-services, 1:1education and reinforcement required before successful implementation achieved
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 28 and 29: VENTILATOR BUNDLE Elevate HOB 30 de
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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