The Science Journal of the American Association for Respiratory Care

2006 OPEN FORUM Abstracts

A VENTILATOR BUNDLE TO REDUCE VENTILATOR ASSOCIATED PNEUMONIA:  DOES IT WORK?

Jenni L. Raake, MBA, RRT, NPS, Rick Amato, RRT, Dan Wells RT, RN
Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio

Introduction:  Ventilator Associated Pneumonia increases hospital length of stay, potential for morbidity and mortality, and costs associated with patient care.  We employed a bundle of interventions to see if we could reduce our Ventilator Associated Pneumonia rates in each of our critical care units.
Materials and Methods:  Utilizing a model based on current evidence, our bundle consisted of good hand washing, reducing condensation in ventilator circuits, and emphasis on raising the head of the patient's bed, employing excellent mouth care, and reducing the number of patient disconnections from the ventilator circuit.  Education was emphasized to respiratory therapists, nurses, and physicians in the Newborn ICU, Pediatric ICU, and Cardiac ICU in utilizing all parts of the bundle.  Our goal was a 50% reduction in each critical care unit.


Results:  Using the bundle, we were successful in achieving a reduction in our VAP rates in each critical care unit.

Conclusions:  Use of multiple interventions bundled together was successful in reducing Ventilator Associated Pneumonia in our hospital.  Use of the bundle should be emphasized in attempts at improving patient care.

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