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VAP. Wash hands and wear gloves with all patient contact Head of bed elevated as tolerated Use oral suction device, keep in clean container between use and change q24 Do not store in plastic bag Use inline suction only and change q24
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VAP • Wash hands and wear gloves with all patient contact • Head of bed elevated as tolerated • Use oral suction device, keep in clean container between use and change q24 • Do not store in plastic bag • Use inline suction only and change q24 • Avoid using wet nebulizer treatments and avoid disconnection from ventilator • If disconnecting from ventilator cover open end with a clean plug or sterile package
VAP • Avoid water dumps from Ventilator circuits • Plan to switch to the new humidifier with the upgraded circuit in 2006. • Assess readiness for extubation daily in • Assess readiness for feeding daily • Assess the need for OG/NG tube daily if not ready to feed. • Zantac is added to the HA when clinical indicated • All ambu bags are stored in a plastic bag at the bedside • All intubated patients have an HME on their bag. • HME are changed q24
For questions regarding the NICU bundle for VAP at Children’s Healthcare of Atlanta please contact Francine Dykes at: Francine.Dykes@oz.ped.emory.edu