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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

doi: 10.1097/NCQ.0b013e31822124dc

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.

Sharp Grossmont Hospital (Mss McCoy and Kent); and San Diego State University, School of Nursing, Sharp HealthCare (Dr Fields), San Diego, California.

Correspondence: Tonia McCoy, 5555 Grossmont Center Drive, La Mesa, CA 91942 (

The authors declare no conflict of interest.

Accepted for publication: April 20, 2011.

Published online before print: May 26, 2011.

© 2012 Lippincott Williams & Wilkins, Inc.