[amynahmed]

Hy Friends,

I would like to have some suggestions on my coming up project in the unit if possible.The project is about Oral Care in ICU Ventilated Patients which would also include Ventilated-Assisted Pneumonia.I would like to know what health practices do you guys follow in your units especially in ICU related to this topic. I have gathered alot of literature from several websites but I need real practices happening these days.

I would really appreciate if you all come up with some good suggestions.

Looking forward to hearing from you'll.

Happy Holidays.

Amyna Ahmed.

[mattsmom81]

Our ventilator protocol includes Peridex with oral care q 6 h and prn.

[bluesky]

Originally Posted by mattsmom81

Our ventilator protocol includes Peridex with oral care q 6 h and prn.

ditto.

[PJMommy]

Strict oral care q 2 hours and prn with the Sage oral care products (I think it's a sodium bicarb mouthwash of some sort). Also, we've been taking part in a lactobacillus study. Lactobacillus down the NG and swabbed in mouth bid.

[begalli]

Originally Posted by PJMommy

Strict oral care q 2 hours and prn with the Sage oral care products (I think it's a sodium bicarb mouthwash of some sort).

ditto

[amynahmed]

Originally Posted by mattsmom81

Our ventilator protocol includes Peridex with oral care q 6 h and prn.

Hy,

Thanks for your prompt reply. I was just wondering which hospital do you work at? Moreover, do you have any further information on oral care in your ICU, like any protocol or checklist to follow (if any).

Thanks.

Amyna Ahmed

[amynahmed]

Originally Posted by PJMommy

Strict oral care q 2 hours and prn with the Sage oral care products (I think it's a sodium bicarb mouthwash of some sort). Also, we've been taking part in a lactobacillus study. Lactobacillus down the NG and swabbed in mouth bid.

Hy,

Thanks for your prompt reply. I was wondering if you could further elaborate on this Lactobacillus study and also which hospital do you work? Do you have any protocol or checklist to follow to give mouth care? If you have any literature or your hospital policy, please do share if possible.

Thanks.

Amyna Ahmed.

[gwenith]

Speaking from Australia

Where possible we use toothbrush and toothpaste TDS with peppermint water in between Q2h.

Other facilities use products ranging from sodium bicarb through to chlorhexidine mouthwash. Used as swabs Q2h - Q3h depending on the facility.

We USED to use a product made up by our state pharmacy called Thymol - it was a thyme based solution (thyme has natural antiseptic properties) but we are no longer using it - somone muttered something about "cruel and unusual punishment"?

Anyway could you also post any websites you have found so we may share information??

[amynahmed]

Hy,

Thanks for your prompt reply. Hee are some useful sites for VAP or oral care in ventilated Patients

http://rnbob.tripod.com/ventcare.htm



http://www.google.ca/search?q=cache:MSCh0MLZXHEJ:www.iceinstitute.com/c_prevent_device.html+oral+care+in+ventilated+pati ent&hl=en



http://www.nursingcenter.com/prodev/cearticleprint.asp?CE_ID=420150#FFU1



http://www.nursingcenter.com/pdf.asp




http://www.docguide.com/news/content.nsf/NewsPrint/8525697700573E1885256F40006A1F7F



http://www.csrt.com/e_news.php?display&29&pf



http://www.sageproducts.com/products/video.cfm

http://members.lycos.co.uk/anaesthetics/critical.htm



http://nsweb.nursingspectrum.com/nursetonurse/index.cfm?AGE=6

I hope this would help.

Amyna Ahmed

Originally Posted by gwenith

Speaking from Australia


Where possible we use toothbrush and toothpaste TDS with peppermint water in between Q2h.

Other facilities use products ranging from sodium bicarb through to chlorhexidine mouthwash. Used as swabs Q2h - Q3h depending on the facility.

We USED to use a product made up by our state pharmacy called Thymol - it was a thyme based solution (thyme has natural antiseptic properties) but we are no longer using it - somone muttered something about "cruel and unusual punishment"?

Anyway could you also post any websites you have found so we may share information??

[bluesky]

On my unit, the Peridex oral care is timed, and initialed on the med kardex like any other drug.