VAP - Ventilator Associated Pneumonia: Difference between revisions
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'''Code the diagnosis VAP only if these criteria are met.''' The doctors may or may not be calling it a VAP but this has no bearing on the way we collect the information. Be sure to adhere''' strictly to these criteria '''.: | '''Code the diagnosis VAP only if these criteria are met.''' The doctors may or may not be calling it a VAP but this has no bearing on the way we collect the information. Be sure to adhere''' strictly to these criteria '''.: | ||
'''IF''' a patient has been on a device to assist respiration (ventilator) either continuously or intermittently through a tracheostomy or endotracheal tube (ETT) for at least '''48 hours''' while in a ICU unit '''before onset of infection, or new infection.''' | '''IF''' a patient has been on a device to assist respiration (ventilator) either continuously or intermittently through a tracheostomy or endotracheal tube (ETT) for at least '''48 hours''' while in a ICU unit '''before onset of infection, or new infection.''' | ||
*Keep in mind transfers between ICU's, in that a patient could aready have been on a ventilator for 48 hrs or more prior to transferring into to your ICU. | *Keep in mind transfers between ICU's, in that a patient could aready have been on a ventilator for 48 hrs or more prior to transferring into to your ICU. | ||
**If patient is transfered in from another ICU and has met the criteria of VAP including +ve sputum in '''less than 48 hrs''' while in your ICU unit, then the credit for the VAP should go to previous ICU. | **If patient is transfered in from another ICU and has met the criteria of VAP including +ve sputum in '''less than 48 hrs''' while in your ICU unit, then the credit for the VAP should go to previous ICU. |