2.50
Hdl Handle:
http://hdl.handle.net/10755/182694
Category:
Abstract
Type:
Presentation
Title:
Implementing Oral Care Guidelines Without Breaking the Bank
Author(s):
Brochu, Claudette; Mroz, Ingrid
Author Details:
Claudette Brochu, RN, CCRN, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA, email: Claudette.J.Brochu@Hitchcock.org; Ingrid Mroz, RN, MS, CCRN
Abstract:
Poster Presentation: Purpose: The goal of this initiative was to provide critical care nurses with the tools necessary to provide oral care to intubated patients in order to reduce ventilator associated pneumonia (VAP) in a method that was both effective and cost-effective. Description: The goal of this initiative was to provide critical care nurses with the tools necessary to provide oral care to intubated patients in order to reduce ventilator associated pneumonia (VAP) in a method that was both effective and cost-effective. Description: The intensive care unit (ICU) is a 26 bed mixed ICU in a tertiary care, Level I trauma facility. The multidisciplinary VAP workgroup a was involved in an initiative to reduce ventilator associated pneumonia. As part of this process the VAP workgroup investigated several oral care products including pre-packaged oral care kits. The group was interested in developing and implementing an oral care program but in a manner that would not significantly add cost. We conducted a literature review of oral care in ICUs and determined that oral care, including twice a day tooth brushing would help us decrease the incidence of VAP. Pre-packaged oral care kits would provide a combination toothbrush and suction head (single use) as well as oral swabs. These kits were packaged to provide 2 toothbrush/suction heads, solution for brushing, and 4-6 sponge swabs. The workgroup investigated the cost of alternatives to the standard oral care kit. We evaluated two different pediatric toothbrushes, the use of separately packaged Chlorhexidine for oral care, and the use of a oral suction holster. Evaluation and Outcomes: A cost analysis of the prepared oral care kits versus the use of pediatric toothbrush revealed a significant initial savings. The initial projected cost of the pre-packaged kits was estimated to be $50,400. The estimated cost of the pediatric toothbrush and holster was $3972. Oral care guidelines with the pediatric toothbrushes, holsters and chlorhexidine were...[Please contact the primary investigator for more information about this poster presentation.] REFERENCES: Agency for Healthcare Research and Quality (2001). Ventilator-associated pneumonia. In Making health care safer: A critical analysis of patient safety practices, (43). U.S. Department of Health and Human Services: Rockville, MD. Cutler, C.J. & Davis, N. (2005). Improving oral care in patients receiving mechanical ventilation. American Journal of Critical Care, 14(5), 389-394. Hanneman, S.K. & Gusick, G.M. (2005). Frequency of oral care and positioning of patients in critical care: A replication study. American Journal of Critical Care, 14(5), 378-387. Horan, T.C. & Emori, T.G. (1997). Definitions of key terms used in the NNIS system. American Journal of Infection Control (25), 112-116. Institute for Healthcare Improvement (2006). Prevention of ventilator-associated pneumonia. Retrieved from http://www.ihi.org/ihi/program/campaign. Munroe, C.L. & Grap, M.J. (2004). Oral health and care in the intensive care unit: State of the science. American Journal of Critical Care, 13(1), 25-34. National Nosocomial Infections Surveillance System Report, data summary from January 2002 through June 2004. (2004, December). U.S. Department of Health and Human Services: Atlanta, GA.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2008
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Salt Lake City, Utah, USA
Description:
The 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleImplementing Oral Care Guidelines Without Breaking the Banken_GB
dc.contributor.authorBrochu, Claudetteen_US
dc.contributor.authorMroz, Ingriden_US
dc.author.detailsClaudette Brochu, RN, CCRN, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA, email: Claudette.J.Brochu@Hitchcock.org; Ingrid Mroz, RN, MS, CCRNen_US
dc.identifier.urihttp://hdl.handle.net/10755/182694-
dc.description.abstractPoster Presentation: Purpose: The goal of this initiative was to provide critical care nurses with the tools necessary to provide oral care to intubated patients in order to reduce ventilator associated pneumonia (VAP) in a method that was both effective and cost-effective. Description: The goal of this initiative was to provide critical care nurses with the tools necessary to provide oral care to intubated patients in order to reduce ventilator associated pneumonia (VAP) in a method that was both effective and cost-effective. Description: The intensive care unit (ICU) is a 26 bed mixed ICU in a tertiary care, Level I trauma facility. The multidisciplinary VAP workgroup a was involved in an initiative to reduce ventilator associated pneumonia. As part of this process the VAP workgroup investigated several oral care products including pre-packaged oral care kits. The group was interested in developing and implementing an oral care program but in a manner that would not significantly add cost. We conducted a literature review of oral care in ICUs and determined that oral care, including twice a day tooth brushing would help us decrease the incidence of VAP. Pre-packaged oral care kits would provide a combination toothbrush and suction head (single use) as well as oral swabs. These kits were packaged to provide 2 toothbrush/suction heads, solution for brushing, and 4-6 sponge swabs. The workgroup investigated the cost of alternatives to the standard oral care kit. We evaluated two different pediatric toothbrushes, the use of separately packaged Chlorhexidine for oral care, and the use of a oral suction holster. Evaluation and Outcomes: A cost analysis of the prepared oral care kits versus the use of pediatric toothbrush revealed a significant initial savings. The initial projected cost of the pre-packaged kits was estimated to be $50,400. The estimated cost of the pediatric toothbrush and holster was $3972. Oral care guidelines with the pediatric toothbrushes, holsters and chlorhexidine were...[Please contact the primary investigator for more information about this poster presentation.] REFERENCES: Agency for Healthcare Research and Quality (2001). Ventilator-associated pneumonia. In Making health care safer: A critical analysis of patient safety practices, (43). U.S. Department of Health and Human Services: Rockville, MD. Cutler, C.J. & Davis, N. (2005). Improving oral care in patients receiving mechanical ventilation. American Journal of Critical Care, 14(5), 389-394. Hanneman, S.K. & Gusick, G.M. (2005). Frequency of oral care and positioning of patients in critical care: A replication study. American Journal of Critical Care, 14(5), 378-387. Horan, T.C. & Emori, T.G. (1997). Definitions of key terms used in the NNIS system. American Journal of Infection Control (25), 112-116. Institute for Healthcare Improvement (2006). Prevention of ventilator-associated pneumonia. Retrieved from http://www.ihi.org/ihi/program/campaign. Munroe, C.L. & Grap, M.J. (2004). Oral health and care in the intensive care unit: State of the science. American Journal of Critical Care, 13(1), 25-34. National Nosocomial Infections Surveillance System Report, data summary from January 2002 through June 2004. (2004, December). U.S. Department of Health and Human Services: Atlanta, GA.en_GB
dc.date.available2011-10-28T15:35:50Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:35:50Z-
dc.conference.date2008en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationSalt Lake City, Utah, USAen_US
dc.descriptionThe 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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