Appendix A: VAP Prevention Bundle Identify and organize contact information for the members of your CUSP team. Your team may not have members in every category. Consider posting this list prominently, along with a photo of each champion, to build enthusiasm and team cohesion. Role Name & Title Phone & Email Address Senior Executive Partner (Vice President or above) ICU Director / Manager Team Leader Physician Champion Nurse Champion Respiratory Therapist Champion 1. 1. Physicians on team 2. 2. 3. 3. 4. 4. etc. etc. 1. 1. Nurses on team 2. 2. (List all) 3. 3. 4. 4. etc. etc. 1. 1. Respitatory Therapists on team 2. 2. (List all) 3. 3. 4. 4. etc etc Nurse Educator Hospital Patient Safety Officer or Quality Officer 1. 1. Content Specialist 2. 2. (e.g., Infectious Disease 3. 3. Physician; Infection 4. 4. Preventionist) etc. etc. Staff from Safety, Quality or Risk Management Office Other team members
Appendix A: VAP Prevention Bundle Identify and organize contact information for the members of your CUSP team. Your team may not have members in every category. Consider posting this list prominently, along with a photo of each champion, to build enthusiasm and team cohesion. Role Name & Title Phone & Email Address Senior Executive Partner (Vice President or above) ICU Director / Manager Team Leader Physician Champion Nurse Champion Respiratory Therapist Champion Physicians on team 1. 2. 3. 4. etc. 1. 2. 3. 4. etc. Nurses on team (List all) 1. 2. 3. 4. etc. 1. 2. 3. 4. etc. Respitatory Therapists on team (List all) 1. 2. 3. 4. etc 1. 2. 3. 4. etc Nurse Educator Hospital Patient Safety Officer or Quality Officer Content Specialist (e.g., Infectious Disease Physician; Infection Preventionist) 1. 2. 3. 4. etc. 1. 2. 3. 4. etc. Staff from Safety, Quality or Risk Management Office Other team members
CUSP%20Manual.docx