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VAP Care Bundle Checklist
Section 1: VAP Care Bundle
1. 1. Are subglottic suction endotracheal/tracheostomy tubes used in patients anticipated, and are they mechanically ventilated for more than 72 hours?
Yes
No
N/A
2. 2. Are mechanically ventilated patients' tracheary intubated with an orotracheal tube, and is cuff pressure maintained between 20-30 cmH2O (optimally 25 cmH2O)?
Yes
No
N/A
3. 3. Are cuff pressure measurements carried out at least every 4-6 hours following any significant patient movement (e.g., transfer, mobilization)?
Yes
No
N/A
4. 4. Is a daily sedation hold conducted (unless contraindicated) or based on the targeted Richmond Agitation-Sedation Scale (RASS)?
Yes
No
N/A
5. 5. Are patients nursed in a semi-recumbent position (>30°) unless contraindicated?
Yes
No
N/A
6. 6. Are ventilator tubing and suction systems changed if indicated, such as by visible soiling, to avoid unnecessary changes (in conjunction with manufacturers' recommendations)?
Yes
No
N/A
7. 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?
Yes
No
N/A
8. 8. Is regular oral hygiene maintained, and is oral care assessed and delivered according to identified risk?
Yes
No
N/A