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Journal of Nursing Care Quality:
doi: 10.1097/NCQ.0b013e31822124dc
Articles

Evaluation of Emergency Department Evidence-Based Practices to Prevent the Incidence of Ventilator-Acquired Pneumonia

McCoy, Tonia MSN, RN, CEN; Fields, Willa DNSc, RN, FHIMSS; Kent, Nanette BSN, RN, CEN

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Abstract

Pathogens in the oropharynx may be transported to the lung parenchyma during intubation and cause ventilator-acquired pneumonia. This project evaluated 3 post intubation evidence-based practices in the emergency department: oral care, head-of-bed elevation, and suctioning above the endotracheal tube balloon. Ventilator-acquired pneumonia cases decreased 83% after implementing these practices. There is no need to wait for the patient to be admitted to intensive care to begin these evidence-based practices.

© 2012 Lippincott Williams & Wilkins, Inc.

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