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VENTILATOR ACQUIRED

PNEUMONIA BUNDLE
(VAP BUNDLE)

VAP BUNDLE

Direct elements that decrease infections

Hand hygiene before and after intubation procedure and patient contact
Aspiration prophylaxis

Head of bed elevation: 300 - 45 0


Adequate endotracheal tube cuff pressure (>20-25 cmH2O)
Oral cavity secretion clearance before changing position or supination
Oral care with chlorhexidine solution every 8 hrs.

VAP BUNDLE

Decrease contamination to respiratory tract devices


High-level sterilization and storage of the ventilator tubing
Moisten the devices with sterile water
Avoidance of Scheduled Ventilator Circuit Changes

VAP BUNDLE

Indirect elements that decrease infections


Daily sedation vacation and daily assessment of readiness for extubation

VAP BUNDLE

Prophylactic medications
Peptic ulcer disease
Deep vein thrombosis

A table of the daily rounding


checklist for quality VAP bundle
care
Interventions

Checkers

Direct elements that decrease infections

Hand hygiene before and after intubation procedure and patient Nurse
contact
Aspiration prophylaxis

Head-of-bed elevation: 30 to 45
Nurse
Adequate endotracheal tube cuff pressure (>2025cmH2O)
Respiratory therapist
Oral cavity secretion clearance before changing
supination
Oral care with chlorhexidine solution every 8h

position

or Nurse
Nurse

Decrease contamination to respiratory tract devices

High-level sterilization and storage of the ventilator tubing

Nurse

Ventilator circuit change


Moisten the devices with sterile water

Nurse
Respiratory therapist

Indirect elements that decrease infections

Daily sedation vacation and daily assessment of readiness for Doctor


extubation
Prophylactic medications

Peptic ulcer disease


Doctor
Deep vein thrombosis
Doctor

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