Included in the basics are hand hygiene, wearing gloves, endotracheal tube suctioning, head of bed at 30[degrees], stress ulcer prophylaxis, turning patient side to side at least every two hours, and giving the patient a sedation vacation each morning.
Caring for patients who are intubated includes the basics of hand hygiene, wearing gloves, endotracheal tube suctioning, head of the bed at 30[degrees], stress ulcer prophylaxis, turning patient side to side at least every 2 hours, and giving the patient a sedation vacation each morning.
The components of the bundle are: Elevation of head of bed to between 30 and 45 degrees, deep vein thrombosis prophylaxis, peptic ulcer disease prophylaxis, daily sedation vacation
and daily "sedation vacation
" and daily assessment of readiness to extubate
The changes included revising a mandatory ventilator bundle adding DVT and PUD prophylaxis, HOB elevation, daily sedation vacation
, daily weaning assessment, decreased frequency of tubing changes, and increased oral care, endotracheal and subglottic suctioning frequency.
The use of a sedation vacation
and titration of sedation to the lowest dose possible to achieve patient comfort are nursing interventions for mechanically ventilated patients.
The "classic" ventilator bundle has for major components; Elevated head of bed 30-45%, DVT prophylaxis, PUD prophylaxis and Sedation Vacation
Bundles that include head-of-bed elevation, sedation vacations
, oral care with
Efforts have been made over the last 40 years to control depth of sedation, starting with the Ramsay Sedation Scale to the RASS Scale, sedation vacations
and spontaneous breathing trials.