The Science Journal of the American Association for Respiratory Care

2010 OPEN FORUM Abstracts

EFFECTIVENESS OF THERAPIST DRIVEN MECHANICAL VENTILATION WEANING PROTOCOL IN A LONG TERM ACUTE CARE HOSPITAL

Patricia C. Silver, Robert Farmer; Quality Improvement, Methodist Extended Care Hospital, Memphis, TN

Background: Extensive evidence demonstrates the effectiveness of use of therapist driven weaning protocols at acute care hospitals for decreasing patientÂ’s LOS on mechanical ventilation. Our long term acute care institution implemented the use of a therapist driven mechanical ventilation weaning protocol in Aug. 2008 with the hypothesis that it would be effective decreasing the LOS on mechanical ventilation for patients in our long term acute care hospital. Patients coming to our facility had failed to wean in an acute care setting. Methods: A weaning protocol was developed and used on all patients who were deemed able to wean (non-hospice, excluded DNR, etc.) Results are as follows: Total Mean vent days for period 1 is 31.8 (n=19); period 2 is 16.56 days (n=39); period 3 is 7.33 days (n=12) p=.002. Period 1 was the time prior to use of the protocol; Period 2 was the implementation and adjusment phase of the protocol and Period 3 is the steady state phase of the project. Conclusion: Implementation of a weaning protocol is effective in a long term acute care setting as evidenced by the statistically signficant decrease in LOS for patients at our long term acute care facility. Sponsored Research - None