1. Lawrence General Hospital Prevention of Ventilator Associated Pneumonia
Nancy Correa, RN
Clinical Manager, Critical Care
Challenge:
High incidence of Ventilator Associated Pneumonia
September 2007-August cases

2. What We Did Instituted Intensivist Model for Management of Ventilator
Revised Protocol
Propofol as sedating agent
Use of PRN as opposed to infusion
Daily Sedation Vacation
Daily spontaneous breathing trial based on assessment criteria/safety screen
Major education program for Nursing & Respiratory Therapy

3. How We Did

4. What We Learned Future Plans: Consistent Physician Assessment
Team Approach
Future Plans:
Continue Vent Bundle
Consider adding Early Mobility to Protocol