What is Ventilator-Associated Pneumonia? Ventilator-Associated Pneumonia, or VAP, is a lung infection in critically ill patients who require mechanical ventilation to help them breathe. A ventilator is a piece of medical equipment that supports the patient’s breathing by delivering oxygen through a tube that is placed in the patient’s lungs.
Baystate Health (BH) is committed to preventing VAP by ensuring that every patient on a ventilator receives all evidence-based recommendations that have been shown to reduce the risk of developing a VAP. These recommendations, collectively known as the “Ventilator Care Bundle,” were implemented across BH facilities under the direction of the BH VAP Prevention Collaborative started in 2005.
- elevating the head of the bed (HOB) to at least 30 degrees for all adult patients and older pediatric patients
- NICU babies HOB should be 15-20 degrees
- sedation vacation/daily assessment of readiness to wean
- peptic ulcer disease (PUD) prophylaxis
- oral care
- venous thromboembolic (VTE) disease prevention
After system-wide review and adoption, the Ventilator Care Bundle was added to our Clinical Information System (CIS) as a nested care set for patients on ventilators. That serves as an electronic reminder for clinicians so that they reliably prescribe best practice interventions. Ordered via the VAP Care Set, healthcare workers can implement bundle measures easily via the electronic medical record.