Page 86 - MALAYSIAN PATIENT SAFETY GOALS
P. 86

ROLES AND RESPONSIBILITIES OF NURSES



                 •Follow ICU protocol in giving Enteral Feeding, this is to avoid

                    patient from vomiting or regurgitation.
                 • Isolate and perform barrier nursing for all Nosocomial
                    Infected patients.
                 • All health personnel must wear plastic aprons and practice

                    hand hygiene when attending before and after contact with
                    patient.  Use new aprons for all patients and procedures.

                 • Minimize to 2 visitors per visit and ensure they practice hand
                    hygiene before and after visiting patient
                 • Ensure all ventilated patient are given  Thrombosis

                    Prophylaxis for example Heparine or low molecular weight
                    heparine and sedation vacation.
                 • Perform Ventilator Care Bundle audit 3 times per month on

                            th
                                        st
                      st
                    1 , 11 , and 21 at 4.00 pm. If not compliance towards
                    ventilator care bundle, inform to the higher authority for the
                    improvement.
                 • Accurate and prompt documentation
                 • Analyse data monthly and submit to Quality Unit, Jabatan
                    Kesihatan Negeri and Ministry Of Health.






                    INSTRUCTIONS:



                 1.    Record the number of patients in ICU that are on invasive
                       mechanical ventilation should be done at the same time
                       everyday

                 2.     Encouraged to conduct daily surveillance  the number of
                       patients on invasive mechanical ventilation for the day and
                       leave the cell empty if surveillance is not done

                 4.     Record the number of episodes of VAP for the month.
                 5.     Use the formula as shown in the table to obtain the
                       incidence of VAP for the month.












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