CD Skripsi
Gambaran Pelaksanaan Vap Bundle (Vapb) Pada Pasien Yang Terpasang Ventilator
Patients intubated and using ventilators for a long time are at risk of developing a
nosocomial infection called Ventilator Associated Pneumonia (VAP). VAP events in the
ICU can be minimized by the action procedure, VAP Bundle (VAPb). This study aims to
describe the implementation of VAP Bundle (VAPb) in patients who have ventilators in
the ICU. The research design used quantitative descriptive and the study sample was
patients who were newly installed ETT / Intubation with mechanical ventilation within
1x24 hours, totaling 33 respondents were taken based on inclusion criteria with purposive
sampling technique. Data collection tools in the form of VAPb observation sheets that have
been modified and validated, data analysis is univariate analysis. The study was conducted
by observing each VAPb applied by nurses to newly intubated patients and using a
ventilator. The results of the study of the majority of respondents were 33.3% of late
adulthood, male sex 60.5%, diagnosis of surgical disease 69.7%. Through univariate
analysis, out of 33 respondents the percentage picture of hand hygiene by nurses, patient's
oral hygiene and management of oroparyngeal and tracheal secretions was 100%. The
percentage picture for setting the position of the patient's head is 72.8%. Overview of
VAPb implementation of sedation and extubation studies 75% carried out maximum
documentation, and 25% were not optimal. The results showed that overall the
implementation of VAPb in patients with ventilators not yet in accordance with
predetermined VAPb, was due to the diagnosis and specific conditions of patients who
restricted the administration of medicamentos and non-medicamentos. Suggestion: even
though the administration of medicamentosa is not given related to the diagnosis and
condition of the patient, documentation of nursing is still carried out.
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