The Science Journal of the American Association for Respiratory Care

2005 OPEN FORUM Abstracts

GETTING COMPLIANCE: A RESPIRATORY THERAPY INITIATIVE TO TAKE OWNERSHIP OF ORAL CARE IN CRITICAL CARE SETTINGS.



Lisa Crouch, RRT, Manager, respiratory therapy, Rick Weber, RRT, Team leader, respiratory therapy, Methodist Dallas Medical Center, Dallas, Texas

Background: Ventilator-associated pneumonia (VAP) contributes to increased ventilator days, critical care and hospital length of stay, costs and mortality. Methodist Dallas Medical Center's VAP rates were higher than the NNIS mean for the adult ICU (Med/Surg), CCU (Cardiac) and NCCU (Neuro). Although a q2 oral care protocol was in place, compliance was a challenge for nursing staff due to product packaging options and competing staff priorities. Methodist Health System recognized an opportunity for improvement and asked respiratory therapy to assume ownership of the oral care protocol to improve patient outcomes.

Methods: Respiratory Therapy adopted a new product packaging along with the oral care protocol in September 2004. Compliance with the oral care protocol has been monitored for 7 months by respiratory therapy beginning in October of 2004 by chart and documentation review. VAP rates have been monitored by Infection Control staff and NNIS definitions.

Results:

Conclusions:

You are here: RCJournal.com » Past OPEN FORUM Abstracts » 2005 Abstracts » GETTING COMPLIANCE: A RESPIRATORY THERAPY INITIATIVE TO TAKE OWNERSHIP OF ORAL CARE IN CRITICAL CARE SETTINGS.