High incidence of Ventilator Associated Pneumonia

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Lawrence General HospitalPrevention of
Ventilator Associated Pneumonia
Nancy Correa, RN Clinical Manager, Critical Care
Challenge

• High incidence of Ventilator Associated Pneumonia
• September 2007-August 2008 11 cases

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What We Did

• Instituted Intensivist Model for Management of
  Ventilator
• Revised Protocol
• Propofol as sedating agent
• Use of PRN as opposed to infusion
• Daily Sedation Vacation
• Daily spontaneous breathing trial based on
  assessment criteria/safety screen
• Major education program for Nursing Respiratory
  Therapy

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How We Did
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What We Learned

• Consistent Physician Assessment
• Team Approach

Future Plans

• Continue Vent Bundle
• Consider adding Early Mobility to Protocol