VAP Ventilator-Associated Pneumonia. By: Erika Rodriguez RN, BSc Shanay Jackson RN Stephen Jaime RN, BSc Mykell Johnston RN, BSc Ashley Valencia RN, BSc Mayra Valenzuela RN, BSc. Ventilator Associated Pneumonia. VAP is defined as :
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By: Erika Rodriguez RN, BSc
Shanay Jackson RN
Stephen Jaime RN, BSc
Mykell Johnston RN, BSc
Ashley Valencia RN, BSc
Mayra Valenzuela RN, BSc
VAP is defined as:
(Urden, et. al, 2006)
In ventilator dependant patients does oral care and suctioning using high-low, closed-suction and oral suction lower the incidence of ventilator associated pneumonia?
For patients on a mechanical ventilator:
Initial Ventilator Orders @ ECRMC
Decrease VAP by the following methods:
2006: 8 VAP cases
2007: 5 VAP cases
2008: 3 VAP cases
2009: 0 VAP cases
According to AACN (2008), the best nursing practices in preventing VAP effectively are a combination of:
AACN Practice Alert (October, 2007). Oral Care in the Critically Ill.
AACN Practice Alert (January, 2008). Ventilator Associated Pneumonia.
American Dental Association. (September 19, 2006). Oral Health Topics: Cleaning your teeth and gums.
Fitch, et. al. (1999). Oral care in the adult intensive care unit. American Journal of Critical Care. 8:314-318.
Fourrier, et. Al (1998) Colonization of dental plaque: a source of nosocomial infections in intensive care unit patients. Critical Care Medicine. 26:301-308
Munro & Grap. (2004). Oral health and care in the intensive care unit: state of the science. American Journal of Critical Care. 13:25-33.
Tablan, et. al. (2004). Guidelines for preventing healthcare-associated pneumonia, 2003: recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee. MMWR. 53(RR-3):1-36.
Urden, et. Al. (2006). Thelan’s Critical Care Nursing: Diagnosis and Management, 5th ed. Mosby. Missouri.