Interdisclipinary Communication:Thinking Outside the Bundle to Eliminate VAPs in Trauma Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/308456
Category:
Abstract
Type:
Presentation
Title:
Interdisclipinary Communication:Thinking Outside the Bundle to Eliminate VAPs in Trauma Patients
Author(s):
Goldin, Marlienne
Lead Author STTI Affiliation:
Gamma Zeta
Author Details:
Marlienne Goldin, RN, BSN, MPA, marLgoLd@aol.com
Abstract:

Session presented on: Saturday, November 16, 2013

Purpose:Ventilator-associated pneumonia (VAP) is a significant problem in trauma patients increasing mortality and cost of care. While monitoring adherence to VAP prevention strategies reflected 98% compliance, our VAP rate revealed monthly variation (0-34) and a plateau for two consecutive years (8.04).  Neuro ICU Nurses recognized the need to apply different strategies to impact trauma patients’ outcomes. A team was created for the purpose to decrease VAP in the trauma patients.

 Description:Our critical care nurses and Trauma Services recognized the importance of an interdisciplinary approach in their efforts to decrease the incidence of VAP. Additional stakeholders were added to the team including a dietitian, pharmacist, respiratory and physical therapist and leadership from both nursing and respiratory therapy. A review of the literature revealed the positive impact of team rounding and use of an interdisciplinary tool on VAP rates. Each discipline was responsible for confirming specific evidenced-based practices that prevent VAP. These strategies were then embedded into a check-off tool to be used during rounding.  Initially, interdisciplinary team rounding occurred twice a week. Modifications to the tool occurred frequently to improve communication during rounding. Recognizing the impact that rounding made on ensuring timely interventions, the Neuro ICU began using the tool to round every day on all ventilated patients while maintaining biweekly interdisciplinary rounding with the Trauma Services.  

 Evaluation and Outcomes: Since implementation of intentional VAP rounding and daily use of the interdisciplinary tool, Trauma Services have experienced a zero VAP rate for six consecutive months. Implementing the same process on every ventilated patient, the Neuro ICU has decreased their overall VAP rate from 3.0 to 1.54 over the same period. Vigilance to ensure continued rounding and prompt implementation of interventions continues to be a strategy supported by leadership.

Keywords:
Ventilator; Pneumonia; Trauma
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleInterdisclipinary Communication:Thinking Outside the Bundle to Eliminate VAPs in Trauma Patientsen_GB
dc.contributor.authorGoldin, Marlienneen_GB
dc.contributor.departmentGamma Zetaen_GB
dc.author.detailsMarlienne Goldin, RN, BSN, MPA, marLgoLd@aol.comen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308456-
dc.description.abstract<p>Session presented on: Saturday, November 16, 2013</p><b>Purpose:</b>Ventilator-associated pneumonia (VAP) is a significant problem in trauma patients increasing mortality and cost of care. While monitoring adherence to VAP prevention strategies reflected 98% compliance, our VAP rate revealed monthly variation (0-34) and a plateau for two consecutive years (8.04).  Neuro ICU Nurses recognized the need to apply different strategies to impact trauma patients’ outcomes. A team was created for the purpose to decrease VAP in the trauma patients. <p> <b>Description:</b>Our critical care nurses and Trauma Services recognized the importance of an interdisciplinary approach in their efforts to decrease the incidence of VAP. Additional stakeholders were added to the team including a dietitian, pharmacist, respiratory and physical therapist and leadership from both nursing and respiratory therapy. A review of the literature revealed the positive impact of team rounding and use of an interdisciplinary tool on VAP rates. Each discipline was responsible for confirming specific evidenced-based practices that prevent VAP. These strategies were then embedded into a check-off tool to be used during rounding.  Initially, interdisciplinary team rounding occurred twice a week. Modifications to the tool occurred frequently to improve communication during rounding. Recognizing the impact that rounding made on ensuring timely interventions, the Neuro ICU began using the tool to round every day on all ventilated patients while maintaining biweekly interdisciplinary rounding with the Trauma Services.   <p> <b>Evaluation and Outcomes:</b> Since implementation of intentional VAP rounding and daily use of the interdisciplinary tool, Trauma Services have experienced a zero VAP rate for six consecutive months. Implementing the same process on every ventilated patient, the Neuro ICU has decreased their overall VAP rate from 3.0 to 1.54 over the same period. Vigilance to ensure continued rounding and prompt implementation of interventions continues to be a strategy supported by leadership.en_GB
dc.subjectVentilatoren_GB
dc.subjectPneumoniaen_GB
dc.subjectTraumaen_GB
dc.date.available2013-12-19T17:31:37Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:31:37Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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