VAPREVENT SYSTEM. Evidence-based innovation in oral care

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Gwendoline Blankenship
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1 VAPREVENT SYSTEM Evidece-based iovatio i oral care

2 V A P Vetilator Associated Peumoia (VAP) is the secod most commo hospital-acquired ifectio. 1 It is deadlier tha either cetral lie-associated bloodstream ifectios or sepsis. 2 It adds a estimated $40,000 i cost to a hospital stay. 3 Orgaizatios such as the Istitute of Healthcare Improvemet (IHI), Associatio for Professioals i Ifectio Cotrol ad Epidemiology (APIC), Ceters for Disease Cotrol (CDC), ad America Associatio of Critical-Care Nurses (AACN) have oly recetly recogized that usig a CHG mouthwash ad mechaical debridemet for oral care will help reduce the risk for VAP. Previous oral care products to address this issue have oly bee partial solutios, each with advatages ad disadvatages, but all lackig a holistic approach. Iovative products must ecompass caregiver ad patiet educatio, a ease-of-use that ecourages compliace, ad a oral care regime that follows the emergig idustry stadard of care: IHI s Vetilator Budle. 2

3 Cliical Evidece

4 Itroducig a ew lie of oral care kits specifically for vetilator patiets. Medlie s VAPrevet Oral Care System uses iovative desig to address cocers such as cosistet ad timely performace of oral care. Combied with cliical educatio ad program maagemet, Medlie s VAP program uses evidece-based research to address the realities of a moder healthcare settig. 3

Cliical Educatio ad Competecy Validatio The Medlie VAP program helps build your staff s kowledge base ad cliical skill at every step of the process.

5 Cliical Educatio ad Competecy Validatio The Medlie VAP program helps build your staff s kowledge base ad cliical skill at every step of the process. Appropriate traiig is offered startig with your early decisio makig, proceedig to iservice trials, cotiuig to full or departmetal implemetatio, ad ogoig throughout your use of VAPrevet kits. durig decisio makig VAP webiars provide cliical overviews to key decisio makers O-site product specialists work with idividuals ad small groups for iservice trials Olie educatio is offered through Medlie Uiversity Iteractive olie competecy assessmet demostrates kowledge Fast-track courses are available for experieced cliicias with full or departmetal implemetatios Medlie Uiversity courses available 24/7, trackable by your educatio coordiator ogoig Program sustaiig or expasio support Medlie Uiversity courses available 24/7 4

V A P r e v e t P r o g r a m Program Maagemet Medlie cliical programs feature a dedicated program maager who oversees ad helps esure customers success with the program.

6 V A P r e v e t P r o g r a m Program Maagemet Medlie cliical programs feature a dedicated program maager who oversees ad helps esure customers success with the program. The VAP program maager will: Record your pre-vaprevet icidece with a thorough itake documet Provide 90-day reports that compare post-vaprevet icidece Moitor product utilizatio per vetilator days to assure proper usage Calculate fiacial impact of the VAPrevet system o your facility 5

7 Oe Desig, Three Choices Oly Medlie offers these three optios for oral care: the IHI-recommeded CHG oral rise, the prove atisepsis of hydroge peroxide, ad the alcohol-free moisturizig of Biotee. mouthwash. They all use color-coded packagig that idetifies itself quickly, educates the caregiver thoroughly ad drives compliace simply. VAPrevet: CHG 0.12% chlorhexidie oral rise i two coveiet 15 ml bottles. Light mit flavor added. Rx oly. Follows IHI Vetilator Budle oral care recommedatios. Biotee mouthwash ad Oral Balace gel clea ad moisturize for iterim treatmets. MDS MDS Q4 VAPrevet System with CHG Q2 VAPrevet System with CHG 6

8 2 4 - H o u r V A P r e v e t S y s t e m VAPrevet: Biotee Biotee mouthwash ad Oral Balace gel getly clea, moisturize ad fight odors. Alcohol-free. Salivary ezyme-protei system ad moisturizig polymers relieve dry mouth symptoms. Bio-Active ezymes supplemet saliva s atural properties ad protect the balace i the mouth. VAPrevet: Hydroge Peroxide Peroxi-Fresh 1.5% hydroge peroxide mouthwash for brushig/debridemet ad iterim treatmets. Light mit flavor added. Prove oral atisepsis. Biotee Oral Balace gel for moisturizig ad soothig after every cleaig. MDS Q4 VAPrevet System with Biotee MDS876804HP Q4 VAPrevet System with Hydroge Peroxide MDS Q2 VAPrevet System with Biotee MDS876802HP Q2 VAPrevet System with Hydroge Peroxide 7

9 Easy, Orgaized Dispesig System Each VAPrevet system features a sturdy, space-savig package. Withi each system are the procedure kits Oral Care Set-Up Kit, Suctio Toothbrush & Catheter Kit ad Suctio Swab Kit. The system is desiged to dispese these kits oe-at-a-time ad i the right order. The procedure kits are easily idetifiable ad labeled with which hour to use it, helpig esure treatmets are o schedule. It s a desig that drives compliace. Strog built-i IV pole hager Compliace at a glace clearly labeled with which hour to use Dispesig slot esures the correct kit is dispesed i the right order 8

VAPrevet system procedure kit cotets Oral Care Set-Up Kit Yakauer features closed-tip whe ot i use Flat, wide-agle Y coector Patiet ad

or Biotee mouthwash 2x daily i q4 ad q2 systems Graduated 14F catheter for subglottal suctioig Soft bristle suctio toothbrush with

Suctio Swab Kit 4x daily i q4 systems, 10x daily i q2 systems Biotee Dry Mouth mouthwash with atural ezymes (CHG ad Biotee kits)

10 VAPrevet system procedure kit cotets Oral Care Set-Up Kit Yakauer features closed-tip whe ot i use Flat, wide-agle Y coector Patiet ad family educatio bookmark packed iside Tur-valve for yakauer Suctio Toothbrush & Catheter Kit Your choice of CHG, Peroxi-Fresh H 2 O 2, or Biotee mouthwash 2x daily i q4 ad q2 systems Graduated 14F catheter for subglottal suctioig Soft bristle suctio toothbrush with itegrated togue ad gum cleaig pad Biotee Oral Balace moisturizig gel ad applicator swab H o u r V A P r e v e t S y s t e m Suctio Swab Kit 4x daily i q4 systems, 10x daily i q2 systems Biotee Dry Mouth mouthwash with atural ezymes (CHG ad Biotee kits) Peroxi-Fresh 1.5% H 2 O 2 mouthwash (Hydroge Peroxide kit oly) Detifrice-treated suctio swab Biotee Oral Balace moisturizig gel ad applicator swab 9

Educatioal Packagig (Exterior Box) To help make it easy for the cliicia to do the right thig, Medlie s packagig gives clear writte ad visual istructios ad helps icrease compliace with hospital

11 Educatioal Packagig (Exterior Box) To help make it easy for the cliicia to do the right thig, Medlie s packagig gives clear writte ad visual istructios ad helps icrease compliace with hospital protocols. Outer frot of box Easy to idetify which mouthwash the kit cotais Space to record start time, date ad patiet iformatio Easy idetificatio of oral care frequecy Checklist of activities to help reduce VAP 10

Outer back of box Clear visual idetificatio of kit compoets 2 4 - H o u r V A P r e v e t S y s t e m Writte

12 Outer back of box Clear visual idetificatio of kit compoets H o u r V A P r e v e t S y s t e m Writte istructios give specific directios for set up Diagram shows how compoets are set up O/Off suctio valve use is explaied 11

Educatioal Packagig (Iterior Procedure Kit) VAPrevet procedure kits provide the right iformatio, at the right time, right at

Recogizig that multiple ursig shifts will use a 24-hour kit, Medlie Educatioal Packagig smoothes hadoffs, reiforces competecy,

Frot of idividual procedure kit 24-HR VAPREVENT SYSTEM Q4 ORAL CARE WITH CHG Thumb grip for easy dispesig Top label provides

13 Educatioal Packagig (Iterior Procedure Kit) VAPrevet procedure kits provide the right iformatio, at the right time, right at the poit of care. Recogizig that multiple ursig shifts will use a 24-hour kit, Medlie Educatioal Packagig smoothes hadoffs, reiforces competecy, ad drives compliace. Frot of idividual procedure kit 24-HR VAPREVENT SYSTEM Q4 ORAL CARE WITH CHG Thumb grip for easy dispesig Top label provides professioal tips ad oral care assessmet ORAL CARE ASSESSMENT Please coduct a thorough oral ad detal assessmet o admissio ad twice daily. ORAL CARE TIPS Yakauer should be rised with salie solutio ad wiped off with a alcohol swab after use. CONTENTS: 1 Covered Yakauer 1 O/Off Valve 1 Y-Coector Side label idetifies type of kit ad whe to use 12

kowledge of VAP Spaish versio available 2 4 - H o u r V A P r e v e t S y s t e m Just-i-time istructios o

14 Back of idividual procedure kit Tyvek backig is sturdy yet easy to peel Patiet ad family educatio bookmark Packaged i each set-up kit Ecourages compliace ad cooperatio for better outcomes Empowers family with kowledge of VAP Spaish versio available H o u r V A P r e v e t S y s t e m Just-i-time istructios o each kit clearly show ad explai each step. Istructios are easy to follow ad reiforce competecies leared i formal traiig. 13

15 VAP Product Compariso Educatio Program Sage Kimberly Clark Medlie VAPrevet Comprehesive program / olie traiig Iteractive olie competecy validatio 4 Trackig of traiig compliace Just-i-time at the poit of care traiig 4 Patiet/Family educatio tool i startup procedure kit 4 Educatioal Packagig with IHI Vetilator Budle focus 4 Oral care tips o procedure kits 4 Bed elevatio agle tool 4 VAP oral care protocol template Dedicated VAP program maager 4 Oral Care Choices Q2 ad Q4 frequecy kits % CHG b.i.d. plus Biotee mouthwash 4 1.5% Hydroge Peroxide mouthwash plus Oral Balace gel 4 Biotee / Oral Balace kit (o chemical atiseptics) 4 Ease of Use / Bedside Use Sequetial procedure pack dispesig 4 Compliace at-a-glace 4 Educatioal Product Packagig IHI VAP prevetio Vetilator Budle guidelies o package 4 q-protocol ad kit type color codig 4 4 Patiet / Date / Time labelig area 4 4 Ituitive, sequetial dispesig procedure kits 4 Easy oe-at-a-time dispesig of procedure kits 4 Oral care assessmet ad tips o idividual procedure kits 4 Versatile product display (for couter, wall, ad I.V. pole) 4 14

16 Cliical Resources C l i i c a l R e s o u r c e s Oral Cavity Assessmet ad Recommeded Care Guide Oral Care Policy & Protocol with CHG Oral Care Policy & Protocol with Biotee Oral Care Policy & Protocol with Hydroge Peroxide Bed Elevatio Agle Tool 15

18 Refereces 1. Natioal Healthcare Safety Network: Protocols ad Defiitios Device-Associated Module, cdc.gov.hs/pdfs/slides/vap-da_gem.pdf. Accessed 11/29/10 2. IHI: 3. Tabla OC, Aderso LJ, Besser R, et al. CDC Healthcare Ifectio Cotrol Practices Advisory Committee. Guidelies for prevetig health care-associated peumoia, 2003: Recommedatios of CDC ad the Healthcare Ifectio Cotrol Practices Advisory Committee. MMWR Recomm Rep Mar 26;53(RR-3):1-36. Medlie Idustries, Ic. Oe Medlie Place Mudelei, IL Medlie Uited States Medlie Caada Medlie México MEDLINE ( ) Some products may ot be available for sale i Mexico or Caada. We reserve the right to correct ay errors that may occur withi this brochure Medlie Idustries, Ic. Biotee ad Oral Balace are registered trademarks of GlaxoSmithKlie LLC. Tyvek is a registered trademark of E. I. du Pot de Nemours ad Compay. Medlie ad Peroxi-Fresh are registered trademarks of Medlie Idustries, Ic. MKT210340/LIT501R/2500/SG18

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