VAP Care Bundle Checklist

Utilize this VAP Care Bundle Checklist for a systematic approach to implement ventilator-associated pneumonia care measures, ensuring patient safety.

VAP Care Bundle Checklist



VAP Care Bundle

1. Are subglottic suction endotracheal/tracheostomy tubes used in patients anticipated, and are they mechanically ventilated for more than 72 hours?


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2. Are mechanically ventilated patients' tracheary intubated with an orotracheal tube, and is cuff pressure maintained between 20-30 cmH2O (optimally 25 cmH2O)?


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3. Are cuff pressure measurements carried out at least every 4-6 hours following any significant patient movement (e.g., transfer, mobilization)?


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4. Is a daily sedation hold conducted (unless contraindicated) or based on the targeted Richmond Agitation-Sedation Scale (RASS)?


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5. Are patients nursed in a semi-recumbent position (>30°) unless contraindicated?


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6. Are ventilator tubing and suction systems changed if indicated, such as by visible soiling, to avoid unnecessary changes (in conjunction with manufacturers' recommendations)?


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7. Is stress ulcer prophylaxis used judiciously and only in patients considered to be at high risk of upper gastrointestinal (GI) bleeding? If prescribed, is stress ulcer prophylaxis reviewed regularly?


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8. Is regular oral hygiene maintained, and is oral care assessed and delivered according to identified risk?


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Checklist by GoAudits.com – Please note that this checklist is intended as an example. We do not guarantee compliance with the laws applicable to your territory or industry. You should seek professional advice to determine how this checklist should be adapted to your workplace or jurisdiction.

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