Explain why a patient on a ventilator is at high risk for pneumonia and how the nurse's daily care changes that risk. - Carry out the essential prevention practices: minimizing sedation, daily readiness-to-extubate assessment, head-of-bed elevation, oral care by toothbrushing, early mobilization and appropriate circuit and nutrition care. - State what current evidence says about chlorhexidine oral care and why many older bundles are changing. - Distinguish practices with strong support from practices that were once routine but no longer are. - Recognize signs of infection and respiratory deterioration in a ventilated patient and escalate with specific data. - Describe the difference between ventilator-associated pneumonia (VAP) and ventilator-associated events (VAE).
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