Ruesch: It really was just having that extra set of eyes--just making sure, did the patient have their DVT prophylaxis, or stress-ulcer prophylaxis, with both of those procedures being part of the ventilator bundle
of care--in other words, is the patient receiving the level of care indicated in the evidence?
Compliance with the ventilator bundle
was tracked daily, and VAP diagnosis was based on the Centers for Disease Control and Prevention definition.
METHOD Published reports were reviewed for current evidence on the use of the ventilator bundle
to prevent ventilator-associated pneumonia, and education sessions were held to present the findings to 61 nurses in coronary care and surgical intensive care units.
The ventilator bundle
consists of four processes in the care of patients on respirators: prophylaxis of deep vein thrombosis, prophylaxis against peptic ulceration, elevation of the head of the bed, and sedation vacation).
5% reduction in VAP in units that implemented a care bundle approach and consistently collected data on ventilator bundle
adherence and VAP rates.
The MICU team implemented a ventilator bundle
in October 2002 to reduce ventilator-associated pneumonia (VAP).
The concept of a ventilator bundle
has been encouraged in many quarters recently and it is a notion of some merit.