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Show To Thirty and Beyond: Raising the Head of Bed (HOB) to Reduce Incidence of Ventilator-Associated Pneumonia (VAP) Cor fry Fry (Stephanie Rlthardson) College of Nursing, University of Utah V pni "later aswcitfedpneurnonia^VAP^ a common and costly outcome among pntienu receiving n«h?nVal ventilation in intere"1^ care jetiingsi. A ventilated patieM "u b 21^ more likelv lode ¦¦¦elop a nosororm?l pneumonia than a non ventilated patieM rind their m^itnlty irit-e- increases by Additional to coring for a p*1"»ent with VAP can drive up hospital cosU by w m ik h patient per Ventilator awoci?1edpneu rnonian initialed by bKtflri?kobniir"itr?n^thPr"ieio digesi n/e trna and it i able ^*^ral ^rat^ies for decreaslr^ VAP incider^re ?re v^ell docurriflnted ?rd evVignce based yel in-iplpnpnted m msst intenjii-e care u n"m petitioning with the head oF bed fl-OBl a1 Ji?" or 3 tcve 1? one oFihe. recomrnenclation5e.ndorwd byfcoth the American AKociaUon 0fCnticalCsreNurw5sr>dCenierH^r Piseaw Control a? an effect"1^ intervention to reduce 1he incident oF VAP^. 'To Thirty ?nd Eflyond'c i^ited ri ^^nputer aKisied. edurabcnil i&q\ For inten^i-^^are prt?vKler? throug h a step and intervention design. rVi mHkil liteiature. redrewv^iiconducted For evidence HOE a ncj La For rnechanKrally ventilrited p?1 *?nt5 In u n r^er^ity hospital IC U beds rnonitored via inclmorneter? att^rhed to the underude oF Iwds with "^ry poor result^. The bw percentage oF tirne ¦¦¦e.ntilated patients ?pent ?131^ or ?t>sve 0% of a 2A hour dayl prom pled a survey of KU provrder? to c*etemnine knov^lsdae re^l and p^rceived b?i 1 »ers prevpntin^ them From attaining appropriate r>ntieni petitioning, fesurts of the prouder inter vrews g ucLed the des'ign and ^re?1 km of an ed">rationa I Inierven Icn based on a com pu1e.r SHisted com petenc y mod u ^ w"rth tU provider as rts target aud"er>re. Themterven Icn blwprmt mrluded cre?1 Vm of a rpernorable Trtfe. a com pfete visual design 0F1 he com pu1e.r module, solutions 1o pflKeived contraindications, k ripting and ? quality improvement (OU roll out within hospital t^s, Tpsiing of To Thlrtyand BevorxTis in preflies? nnd mr lud?s ?ever?l lelnted ICU policy c h^ivjes to decrease the lnc"dence ofVAR Post intervention conclus^n^nndirnplirr-itrans will deierrmre the eRicKyoFi he ^^mputer rnod u*3 asv^ell as the need 1^1 further improvement in cornrrrming tU provider to decreasing 1 he impact oFVAP. 1. C"oll?rdHfl S?intS. Matth^vM. Prevention of veni ibtor associated pneurnonm: an evident owed systematic rev^w Annuls of Intei n,-,| Medicine aWSiUeW* 501]. 2. BabcockHWnZa^kJE. Garrison Tet?l An educ^cnal intervention to reduce venti titor associated pneumonia in nnmtegiated health svitem-a comparison of effeds. Chest 2u(w: & {2224 -± WCNPr^ticeAleri-Ventilator Associated F^eumom?. ArV:NNEW^20C ^. Tablan. OC, Anderson LJ. Be?ser H E^ic^es CH Hajjeh H COC guidelines ror1 he prevention oFheaHh^areass«i ated pneuPioni«200J-S KolleLWH. Prevention oF hospital associated pneurnonm and *entil?1or asso^Vrted pneumonia. Cr'rtral C?re j. M?"kewitz& MayeU ^pstenskow n ?nd RVhardson ^. Use of an inch nometer data logger tool for corrtinj' ous recording of head oF bed posd H?n in rxitienn ur>dergomg mech^nral "ventilation. Chest reeling Abstracts Corey Fry Sfepnanrf Richardson |