VAP PPT | VAP Cholesterol | VAP Diagnosis | VAP Pneumonia | VAP Test | VAP Treatment | Ventilator Associated Pneumonia: Slideworld Medical PPT Search Engine

NEONATAL ICU VENTILATOR ASSOCIATED PNEUMONIA VAP BUNDLE ZAPPING .

Send This

Download

Comment

Favourite

more

Rating :	Rate It:

Notes

Show Notes

Slide 1 :

NEONATAL ICUVENTILATOR ASSOCIATED PNEUMONIA (VAP) BUNDLEZAPPING VAP in the NICU Dr. Eduardo Lugo – FCH NICU Medical Director Kathryn Mikulencak - BSN, RNC – NICU Neonatal Education Specialist Shayne Morris – MBA, RRT-NPS Kathi Gover – BSN, RN – NICU ANM Claudette Johnson – RN, BScN, CIC Infection Control Coordinator

Slide 2 :

LET'S ZAP V.A.P. PRESENTING THE NEONATAL VAP CARE BUNDLE Ventilator-associated pneumonia (VAP) is a health care associated infection occurring in intubated patients on mechanical ventilatory support that is not present at the time of intubation and develops after 48 hours of initiation of that support. It is a serious complication. VAP is a leading cause of death among hospital-acquired infections and prolongs ventilator time and length of stay, costing an additional $200,000 per NICU case. Prevention is KEY – this is why VAP Prevention Protocols or Bundles have been created based on researched principles. Our Goal is ZERO VAP infections for our NICU patients and the implementation of our NICU VAP BUNDLE WILL HELP.

Slide 3 :

The Centers for Disease Control and Prevention has clinical criteria for diagnosing VAP for infants < 1 year of age – See VAP Algorithm Infection occurred after 48 hours of ventilator support Chest Xray observed for at least 1 of the following New or progressive and persistent infiltrate Consolidation (solidification of the lungs due to engorgement of the lung tissues. Cavitation (development of cavities in lung tissues) Pneumatoceles, in infant < 1 yr of age Worsening Gas Exchange ( O2 desaturations, ?ing FIO2 needs, or ?ing ventilator support required , plus 3 criteria (see algorithm) NOTE : Colonization is the presence of bacteria in sputum without signs or symptoms of pneumonia. Making the Diagnosis of Ventilator Associated Pneumonia

Slide 4 :

Making the Diagnosis - VAP Algorithm page 1 Was the specimen collected > 48 hours after admission ?

Slide 5 :

VAP Algorithm Page 2 Worsening gas exchange plus 3 of the above criteria met

Slide 6 :

GENERAL GUIDELINES FOR THE NICU VAP BUNDLE

Slide 7 :

ORAL CARE FOR VENTS AND CPAP

Slide 8 :

ORAL CARE PROCEDURE

Slide 9 :

Slide 10 :

SUCTIONING GUIDELINES

Slide 11 :

VENTILATOR MANAGEMENT PROTOCOL

Slide 12 :

PARENT EDUCATION

Slide 13 :

DOCUMENTATION

Slide 14 :

VENTILATOR ASSOCIATED PNEUMONIA LET'S ZAP V.A.P. PRESENTING THE NEONATAL VAP CARE BUNDLE For Ventilator and CPAP patients : Elevate Head of Bed 15 to 30 degrees Follow Oral Care protocol Q4-6 hrs Gentle Oral Suctioning before : Turning patient ? ETT Suctioning Drain ventilator circuits prior to turning patient Suction only when clinically indicated : Visible secretion ? Unexplained ? SpO2, Vent graphics indicate secretions. Rinse suction tubing after each use with saline or sterile water These signs will be placed on vents

There is no comments now for this Slide.

Post a comment

Post Comment on Twitter Post Comment on SlideWorld

Comments:

Subscribe to follow-up comments

Community Acquired P...

Minimal Invasive Aor...

The Physical Strenuo...

The physical strenuo...

Intrauterine hemorrh...

Does the Benefit Ass...

Free Powerpoint Templates

	SlidesOnline 4 Years ago. Category: General

Tags:	other

3709 Views, 0 favourite
Kathryn MikulencakBSN, RNC – NICU Neonatal Education SpecialistOur Goal is ZERO VAP infections for more Kathryn MikulencakBSN, RNC – NICU Neonatal Education SpecialistOur Goal is ZERO VAP infections for our NICU patients and the implementation of our … less