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Table 3 Summary of adherence and barriers to the VAP bundles of care

From: Assessment of knowledge and implementation practices of the ventilator acquired pneumonia (VAP) bundle in the intensive care unit of a private hospital

Item # Adhered (%) Barriers
Disagreement with reported trial results Inadequate resources Fear of potential adverse effects Costs Patient discomfort Lack of education Lack of guidelines Other comments
1. I always comply with the TMC VAP bundle 58 (96.7)   1    1    
2. I interrupt continuous sedative infusions as recommended 54 (90)   1    2 2 2 Not scope of work
3. I adhere to existing oral care protocol 59 (98.3)   1       
4. I always use chlorhexidine oral rinse as recommended 57 (95)      1    Individualized care
5. I always perform subglottic suctioning as recommended 54 (90)    1   1    Unavailability and some do not have subglottic suction; not able to suction all
6. I always use closed suction system for all my patients 55 (91.7) 1 1 1 1     Unavailability
7. I assess the depth of sedation as often as recommended 57 (95)         
8. I interrupt continuous sedative infusions as recommended 54 (90)      2 2   
9. I assess the depth of sedation using a validated tool 59 (98.3)         Beyond nursing care
10. I perform spontaneous breathing test as recommended 32 (53.3)    5    1 5 Task of RT
11. I always keep head of bed elevated at 30–45 degrees 60 (100)         
12. I always make sure that mechanical DVT prophylaxis are  used as recommended 48 (80)   6 1    1 1 Depends on patient condition
13. I always give pharmacological DVT prophylaxis, as recommended 45 (75)         Depends on patient condition