Tuesday, March 17, 2020

Implementation Plan to Prevent VAP

Implementation Plan to Prevent VAP that oral hygiene must be maintained in order to effectively eliminate VAP. According another author, a daily assessment to evaluate the levels of oral infections and functions should be implemented to make sure that practitioners provide the most appropriate care to patients. In addition, while the nursing setting may involve the use of various dental care methods, it is claimed that teeth brushing is one of the most cost-effective oral care methods that should be implemented to ensure standard oral hygiene. Teeth brushing is effective in that it prevents the formation of dental plague in all cases besides ventilator-supported patients. An author Henneman acknowledge that oral cleansing after every 2 or 4 hours promotes healing and maintains the integrity of oral tissues. He recommended the use of an alcohol-free oral antiseptic rinse to limit or prevent the bacterial load and colonization of the oropharyngeal area. Henneman argues that routinely suctioning of the mouth and pharynx is effective in the management of oral secretions, and it minimizes the risk of the oral mucosa. Some authors outline that the application of a water-based mouth moisturizer is recommended to maintain the integrity of the oral mucosa (Swearingen, 2012). Studies show that the implementation of a multifaceted strategy was more effective than single-faceted strategy in the prevention of VAP. The outlining of specific care protocols and measures enables constancy and eminence care through normalization. In the implementation of any intervention plan, it was recommend that practitioners should be able to observe current practice of oral care in patients receiving mechanical ventilation, evaluate a number of best practices, and measure the compliance of an intervention of standardized oral care. Implementation Logistics The study period intended by the author and the supporting team will be 48 months, and this duration will be divided into two stages. The first stage will be a pre-intervention stage aimed to collect data regarding staff members as well as establish areas of concern by the infection control professionals. The second stage will be on implementation, which will take exact time frame as the first stage. The first stage will involve scrutinizing of the supporting team; this will involve training recommendations for the members who will not be conversant with specific areas on oral care, VAP prevention, and the collection of data. In the second stage, implementation of the intervention stage would take effect with brief weekly meetings and monthly meetings both aimed at confirming on-time schedule and proper implementation progress (Haag-Heitman George, 2011). Resources for the Project With consideration to the time scope of the research, the project on VAP will require support from the resource personnel, such as the infection control, research nurses, pharmacists, physicians, and staff members of the MICU. The supporting team will conduct two tests, which will comprise of a pretest and a posttest, to evaluate the proficiency of the staff members. The infection control professionals will conduct a study aimed at determining the oral care constraints that may have been documented in earlier studies and how to avoid them in the current study. Data collected will be saved in a computer or computer-based devices for easy access and manipulation. While the time scope of this study is broad, the financing of the project will depend on the management resourcefulness. In addition, the members of the project are urged to be creative in promoting this initiative and sensitizing the public to help in raising funds to support this project (Mainous Pomeroy, 2010). Ethics of t he research will be observed to minimize liabilities with patients and the hospital at large. Hospital policies will be adhered to in order to avoid risks or to manage risks within a deliverable approach, which will not consume further time in creating and implementing.

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