Contraindications and Locations Enter the appropriate number (Only SAT Contraindications – enter contraindications if you have marked C or C/NI of (if a numerical ‘0’ Other column)) Patient is receiving a sedative infusion for active seizures or alcohol withdrawal. Patient is receiving escalating sedative doses due to ongoing agitation. Sub-G ETT Contraindications Patient is receiving neuromuscular blockers. Patient has had evidence of active myocardial ischemia in the previous 24 hrs. Other Patient has had evidence of increased intracranial pressure in the previous 24 hours. Tracheostomy Patient is not receiving sedation medications. HOB Contraindications Other Hypotension Unstable Physiological Status Low Cardiac Index Cervical, thoracic or lumbar surgery or instability SBT Contraindications LVAD RVAD Other aortic balloon pump Doesn’t have adequate oxygenation [SpO2 < 88% on an FiO2 of 50% and a PEEP ≤ Open abdomen of cm H2O] ≤3 Patient refusal No spontaneous inspiratory effort in a 5-min period. agitation requiring escalating sedative doses. Oral Care Contraindications Significant use of vasopressors or inotropes. Patient has had evidence of increased intracranial pressure in the previous 24 hours. Patient refusal Location of Intubation No oral care, no contraindication Your ICU/unit Oral care with CHG Contraindications Another ICU/unit in your hospital Other Outside hospital Patient is to have an allergic or hypersensitivity reaction to chlorhexidine OR Patient is < 2 months of age Rapid Response Team (RRT) is a possibility of direct contact of CHG with meninges ED ALL oral care is contraindicated. (In this case, the answer in the Oral Care column Cardiovascular and Interventional Laboratory (CVDL) for this patient should also be “C”.) During a code on the floor Patient refusal Another location not listed No oral care w/ CHG , no contraindication
Contraindications and Locations – Enter the appropriate number (Only enter contraindications if you have marked C or C/NI of ‘0’ (if a numerical column)) Sub-G ETT Contraindications Other Tracheostomy HOB Contraindications Other Hypotension Unstable Physiological Status Low Cardiac Index Cervical, thoracic or lumbar surgery or instability LVAD RVAD aortic balloon pump Open abdomen Patient refusal Oral Care Contraindications Patient refusal No oral care, no contraindication Oral care with CHG Contraindications Other Patient is to have an allergic or hypersensitivity reaction to chlorhexidine Patient is < 2 months of age is a possibility of direct contact of CHG with meninges ALL oral care is contraindicated. (In this case, the answer in the Oral Care column for this patient should also be “C”.) Patient refusal No oral care w/ CHG , no contraindication SAT Contraindications Other Patient is receiving a sedative infusion for active seizures or alcohol withdrawal. Patient is receiving escalating sedative doses due to ongoing agitation. Patient is receiving neuromuscular blockers. Patient has had evidence of active myocardial ischemia in the previous 24 hrs. Patient has had evidence of increased intracranial pressure in the previous 24 hours. Patient is not receiving sedation medications. SBT Contraindications Other Doesn’t have adequate oxygenation [SpO2 < 88% on an FiO2 of ≤ 50% and a PEEP of ≤3 cm H2O] No spontaneous inspiratory effort in a 5-min period. agitation requiring escalating sedative doses. Significant use of vasopressors or inotropes. Patient has had evidence of increased intracranial pressure in the previous 24 hours. Location of Intubation Your ICU/unit Another ICU/unit in your hospital Outside hospital OR Rapid Response Team (RRT) ED Cardiovascular and Interventional Laboratory (CVDL) During a code on the floor Another location not listed
VAP%20Manual.docx