Do you have any special protocol in your facility to help decrease the incidence of VAP? We currently don't have any except mouth care qshift. Could be why we have a high incidence of VAP on our unit.
At my facility the protocol is HOB at least at 30 degrees. We suction them and clean their mouths at least every 2 hours. All vent patients get a special kit every 24 hours with mouth swabs, biotene mouthwash, and these special toothbrushes and mouth swabs with suction in them. Also we are now doing only OG tubes if they are vented because inserting an NG introduces whatever bacteria that was in their nose to their ETT. We also do Peptic Ulcer Disease Prophylaxis and DVT prophylaxis unless it is contraindicated.
Last edit by Christie RN2006 on Dec 8, '06
: Reason: forgot to add something