Best Practices to Reduce Ventilator Associated Pneumonia

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What is the best evidence based nursing practice in attempting to reduce (VAP) ventilated associated pneumonia? I decided to do an evidence based paper on VAP after talking to respiratory therapy on the sixth floor of Chippenham hospital during my clinical studies. I have a friend who has spent many years as a RN in the critical care unit and has seen the effects of different methods in reducing VAP first hand. This is a nursing intervention and the sole responsibility of the nurse. I can’t think of a better topic to research considering I am in my first semester of nursing school. I am very excited to share what I have found. I have found a large amount of information on different methods to reduce VAP but have decided on three to discuss in my paper. Positioning, oral care and use of antibiotics are discussed in some detail throughout this paper. I have found three professional articles with emphasis on different case studies performed on reducing VAP and their outcomes. A ventilator is a machine that helps a patient breathe by giving oxygen through a tube through the nose, mouth or through a hole in the front of the neck. VAP is pneumonia that develops 48 hours or longer after mechanical ventilation is given. It is the second most common hospital acquired infection. The mortality rate for VAP is 27-76%. In today’s nursing critical care units the prevention of nonsocomial ventilator associated pneumonia is a huge challenge. It costs the hospitals on average an additional $40,000.00 per patient when VAP is contracted. (Hospital stays become lengthened between 5 and 7 days. (Shakeel Amanullah, MD, 2009) Shakeel Amanullah MD is a consulting physician and participates in Pulmonary, Critical Care, and Sleep Medicine at Lancaste... ... middle of paper ... ... day so if that patient can be taken off of the ventilator as soon as possible. 3. Clean and replacing all equipment between use on patients. 4. Oral Care. 5. Cleaning your hands after touching ventilator and or patient. Works Cited American College of Physicians. (August 2006). Annals of Internal Medicine. Annie Ruest. (Nov/Dec 2006). COMMENTARY: Oral decontamination with chlorhexidine reduced ventilator-associated pneumonia in high-risk patients. ACP Journal Club , 68. Louis Magnotti. (June 2008). Reduction in Inadequate Empiric Antibiotic Therapy for Ventilator-Associated Pnuemonia: Impact of a Unit-Specific Treatment Pathway. American Surgeon , Vol 74 Issue 6 pages 516-523. Shakeel Amanullah, MD. (2009, April 16). Atypical Bacterial Pneumonia Imaging. Retrieved from Medscape Reference: http://emedicine.medscape.com/article/363083-overview

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