SimLabSolutions VAP Prevention Training Bundle

The SimLabSolutions VAP Prevention Training Bundle was designed by the DiaMedical USA Nurse Educator to help instructors teach students how to prevent Ventilator Associated Pneumonia.
 

Ventilator-associated pneumonia (VAP) is a type of pneumonia that develops 48 hours or longer after intubation and mechanical ventilation is started. It occurs when microorganisms travel from the mouth to the lower respiratory tract and lungs.  Intubation makes it easier for oral and gastric secretions to enter the lower airways and facilitates development of VAP.
 

VAP is the leading cause of death among hospital-acquired infections, exceeding the death rate from central line sepsis.  It prolongs the time spent on the ventilator, extends ICU stay and delays discharge from the hospital.
 

Nurses and respiratory therapists can help prevent development of VAP through careful oral care and suctioning of the airway.  Elevating the head of the bed, preventing peptic ulcer disease and carefully managing sedation levels is also extremely important.
 

Skills & Information To Be Taught

• Providing oral care for the intubated patient
• Respiratory assessment of the intubated patient
• Using a closed ET tube suction system
• Securing the ET tube in place
• Inserting a nasogastric tube with suction
• Use of subglottic ET tubes
• Implementing VAP prevention protocols
  • Sedation management
  • Early mobility
  • Peptic ulcer prevention
     

Items Included In The Bundle

Medications

• Simulated Propofol/Diprivan
• Simulated Morphine Sulfate
• Simulated Fentanyl
• Simulated Hydromorphone
• Simulated Prevacid/Lansoprazole
• Simulated Famotidine/Pepcid
   

Supplies

• Endotracheal tube holder
• Salem sump nasogastric tube
• 60 mL catheter tip syringe
• Oral care cleansing kit with antiseptic
• Endotracheal tube closed suction system
• Cuffed ET tube
• Cuffed ET tube with subglottic suction
• Adult dual limb ventilator circuit
   

Simulated medications are for educational use only.  They are not to be used with humans or animals. 
 

Student/Educator Resources

• Article: Preventing Harm from VAP/VAE
• Article: Cetylpyridinium Chloride as an oral antiseptic
• Article: The role of 0.12% Chlorhexidine Gluconate Oral Rinse (CHG) in the ventilated patient
• Article: Determining the Ideal Strategy for Ventilator-associated Pneumonia Prevention. Cost–Benefit Analysis
• Article: 5 Nursing strategies to prevent ventilator-associated pneumonia