7. Use early mobility protocol. All Guidelines No Recommendations Pro- Findings of this study showed that mechanically ventilated acute Early ICU Mobility Therapy respiratory failure patients who underwent early intensive mobility therapy had (Morris, 2008) 6 a shorter ICU and hospital stay than similar patients who received standard physical therapy. aim of this study was to determine the post hospital outcomes of Pro-The Receiving Early Mobility in implementing early mobility protocol. This study finding showed that patients ICU who received early ICU mobility therapy had fewer hospital readmissions and (Morris, 2011) 7 deaths in 12 months post discharge period. Early Physical Medicine and Pro- This quality improvement program found that the incorporation of early Rehabilitation mobility into the daily care of ICU patients substantially reduced length of (Needham, 2010) 8 stay. 8. Perform hand hygiene. Pro- Recommends the adherence to hand-hygiene guidelines published by SHEA the Centers for Disease Control and Prevention / World Health Organization. ZAP No Recommendations Pro- Recommends the use of effective infection control measures: staff ATS education, compliance with alcohol-based hand disinfection, and isolation to reduce cross-infection with MDR pathogens. Recommends the decontamination of by washing them with Pro- CDC either antimicrobial soap and water or with nonantimicrobial soap and water or by using an alcohol-based waterless antiseptic agent. 9. Avoid supine position. Pro- Recommends the maintenance of patients in the semirecumbent SHEA position (30-45 degrees) unless medically contraindicated. ZAP Makes No Recommendation Pro Recommends that patients should be kept in the semirecumbent – ATS position 30-45degrees rather than supine. Pro- Recommends the elevation of head of the bed to an angle of 30-45 CDC degrees.
7. Use early mobility protocol. All Guidelines No Recommendations Early ICU Mobility Therapy (Morris, 2008) 6 Pro- Findings of this study showed that mechanically ventilated acute respiratory failure patients who underwent early intensive mobility therapy had a shorter ICU and hospital stay than similar patients who received standard physical therapy. Receiving Early Mobility in ICU (Morris, 2011) 7 Pro-The aim of this study was to determine the post hospital outcomes of implementing early mobility protocol. This study finding showed that patients who received early ICU mobility therapy had fewer hospital readmissions and deaths in 12 months post discharge period. Early Physical Medicine and Rehabilitation (Needham, 2010) 8 Pro- This quality improvement program found that the incorporation of early mobility into the daily care of ICU patients substantially reduced length of stay. 8. Perform hand hygiene. SHEA Pro- Recommends the adherence to hand-hygiene guidelines published by the Centers for Disease Control and Prevention / World Health Organization. ZAP No Recommendations ATS Pro- Recommends the use of effective infection control measures: staff education, compliance with alcohol-based hand disinfection, and isolation to reduce cross-infection with MDR pathogens. CDC Pro- Recommends the decontamination of by washing them with either antimicrobial soap and water or with nonantimicrobial soap and water or by using an alcohol-based waterless antiseptic agent. 9. Avoid supine position. SHEA Pro- Recommends the maintenance of patients in the semirecumbent position (30-45 degrees) unless medically contraindicated. ZAP Makes No Recommendation ATS Pro – Recommends that patients should be kept in the semirecumbent position 30-45degrees rather than supine. CDC Pro- Recommends the elevation of head of the bed to an angle of 30-45 degrees.
VAP%20Manual.docx