The two area of nursing practice that has improved patient outcome are the prevention of the ventilation-acquired pneumonia (VAP) and catheter associated urinary tract infections (CAUTI) with protocols. As we all know nosocomial …show more content…
The ventilated population is at risk for VAP 48 hours after intubation and the risk is increases by 1% with each day a patient is intubated (O’keefe-McCarthy, 2006). Orophargneal colonization of bacteria and its relocation in the subglottic area, pooling around the Endotracheal Cuff - has been associated with the increase incidence of VAP (O’keefe-McCarthy, 2016). According to O’keefe-McCarthy’s, one recommendations or strategy to prevent VAP was oral decontamination, by use of mechanical technique of oral care by use toothbrush and oral suction with use of chlorhexidine. Research has been studied in 353 cardiac patients using chlorhexidine rinse, which has decrease incident of respiratory infections by 69% in this trial (O’keefe-McCarthy, 2006). This evident is recommended for critical care nursing who work with intubated patient, by adopting protocols or making it a part of plan of care by initiating frequent oral care using chlorhexidine and use of suctioning. By employing this recommendation, as a nurse, it shortens a patient’s stay in the hospital, decreases mortality rate associated with VAP, and reduces health care costs. In other words, quality of care is being provided to intubated patients who are at risk for