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Ventilator Associated Pneumonia (JMB)- PICOT:Does a ventilated patient in…
Ventilator Associated Pneumonia (JMB)- PICOT:Does a ventilated patient in the ICU at Mercy Hospital have a decrease percentage of developing ventilator associated pneumonia if the nurse providing preventative measures and is extubated before 96 hours? (SMD & EEM)
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Prevention: (SMD)
2007: Daily sedation holds, bed head elevation, gastric ulcer prophylaxis & oral care (SMD)
2010: Oral hygiene with adequate strength anti-septics, subglottic aspiration, & TT cuff pressure monitoring-along with previous four intervention's (SMD)
Interventions: (SMD)
TT Modifcation: cuff pressure control, subglottic secretion drainage, TT cuff design, TT coating (SMD)
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Intubation-related events- reducing duration of intubation with use of sedation holds and weaning protocols (SMD)
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Diagnosis (EEM)
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More invasive techniques (EEM) - bronchoscopic alveolar lavage (BAL) & protected specimen brushings (PSB)
Feedback from Janeen: Good start here. A good research question shouldn't be able to be answered by yes/no.
Consider this: What is the impact of initiating preventative measures and extubation within 96 hours on VAP rates in an ICU?
In your project you'd be able to compare pre-project data to post-implementation rates. That's the comparison piece to PICOT.
Looking forward to learning more about your EBP. :tada:
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