• Crit Care Nurs Q · Jan 2011

    Pursuing excellence: development of an oral hygiene protocol for mechanically ventilated patients.

    • Jennifer A Browne, Diana Evans, Lauren A Christmas, and Maria Rodriguez.
    • Northeast Baptist Hospital Intensive Care Units, San Antonio, Texas 78217, USA. JABrowne@baptisthealthsystem.com
    • Crit Care Nurs Q. 2011 Jan 1; 34 (1): 25-30.

    AbstractOral hygiene in seriously ill patients is a nursing responsibility. Oral hygiene regimens in conjunction with standardized ventilator-associated pneumonia "bundles" reduce the incidence of pneumonia, length of stay, and associated costs in critical care. Following strict adherence to the recommended ventilator-associated pneumonia bundle, the ventilator-associated pneumonia rate at the Northeast Baptist Hospital intensive care units has remained 0% for 36 months. Oral care in this patient population, however, has remained vague based on ritual and nurse preference. This article describes the development of an oral care protocol based on best evidence, providing a rationale for standardization of oral hygiene and the plan for surveillance and updating.

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