presented by Kathleen Vollman
Health care acquired pneumonia not related to a ventilator is an extremely under-recognized threat to patient morbidity and mortality. In a recent study, it was tied with surgical site infection for the number one hospital acquired infection. With mortality rates and hospital length of stay similar to ventilator-associated pneumonia, health care professionals can make a difference in preventing the infection by implementing simple patient care interventions such as oral care and mobility. This course explores why the hospitalized patient is at risk for pneumonia. An in-depth look at basic care practices that impact outcomes associated with reducing health care acquired pneumonia are outlined. This course content is applicable to nurses and other health care professionals who work with patients in acute care, rehabilitation and long-term care settings.
Kathleen Vollman is a Critical Care Clinical Nurse Specialist, Educator, and Consultant. She has published and lectured nationally and internationally on a variety of topics, including pulmonary care, critical care, prevention of health-care-acquired injuries, work culture, and sepsis recognition and management. From 1989 to 2003, she functioned in the role of Clinical Nurse Specialist for the Medical ICUs at Henry Ford Hospital in Detroit Michigan. Currently her company, ADVANCING NURSING LLC, is focused on creating empowered work environments for nurses through the acquisition of greater skills and knowledge. Ms. Vollman is a subject matter expert for prevention of CAUTI, CLABSI, and HAPI as well as sepsis recognition/management and the culture of safety for HRET and the Michigan Hospital Association. In 2004, Kathleen was inducted into the College of Critical Care Medicine; in 2009, she was inducted into the American Academy of Nurses. In 2012, Ms. Vollman was appointed to serve as an honorary ambassador to the World Federation of Critical Care Nurses.
In a recent national survey, an estimated 722,000 hospital acquired infections (HAI) occur in the hospitals annually. Approximately 75,000 deaths occur yearly with one out of every 25 patients developing an HAI during hospitalization. Tied for the number one infection is non-ventilator hospital acquired pneumonia. This chapter will define non-vent HAP and present data on the scope of the problem in U.S. hospitals.
There are two major categories of risk factors for development of HAP, a bacterial burden large enough to create an infection, and then micro or macro aspiration of the bacterial burden. This chapter will review the major risk factors to help the learner understand the importance of the prevention strategies.
This chapter discusses the recent research around implementation of a comprehensive oral hygiene to reduce non-ventilator health care acquired pneumonia. Mobility and airway clearance strategies will also be outlined.