ICU Care Bundles
Care bundle is a set of interventions that significantly improve patient outcomes.
Critical care bundles are;
1. VAP bundle
2.CAUTI bundle
3. CLABSI bundle
1. VAP bundle
(Ventilator associated pneumonia) bundle
VAP bundle interventions include;
1. Elevation of patient's head of bed (HOB) to 30- 45 degrees
2. Daily sedation vacation
3. Daily spontaneous breathing trial
(Daily assessment of readiness to extubation)
4. Peptic ulcer prophylaxis; GI prophylaxis
5. Deep vein thrombosis (DVT) prophylaxis.
2. CAUTI Bundle
(Catheter-associated urinary tract infection bundle)
CAUTI bundle Includes;
1. Perform hand hygiene befor and after insertion.
2. Use antiseptic or sterile solution for peri-urethral cleaning.
3. Maintain aseptic technique and closed strile drainage is maintained.
4. Secure catheter place in thigh.
5. Drainage bag below the bladder level.
6. Drainage bag not touch the floor
7. Maintain unobstructed urine flow
8. Change indewlling catheter as per hospital protocol
9. Mark the urine output and empty the urine bag prior full
10. Catheter care provided
3. CLABSI bundle
(Central line associated blood stream infection bundle)
CLABSI bundle Includes;
1. Perform hand hygiene prior to insertion
2. Use barrier precautions
3. Apply chlorhexidine skin antisepsis
4. Cleansing the insertion site with chlorhexidine
5. Optimal site selection (avoidance of femoral vein in adults)
6. Conducting catheter site inspections and care provided; change guaze dressing.
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