Table 2 The checklist for evaluation of guideline-based interventions
Items | Explanations | Evaluation | Working shift | |
|---|---|---|---|---|
The patient is in a semi-recumbent position | - | Yes NO Yes NO Yes NO | Morning Evening Night | |
Using a standard ICU bed | - | Yes NO | * | |
Changing the suction catheters, connectors, and equipment | As required and for every new patient | Yes NO | * | |
Using a closed suction system | - | Yes NO | * | |
Using an orotracheal tube | - | Yes NO | * | |
Chest physiotherapy | At least once a day, by an expert | Yes NO Yes NO Yes NO | Morning Evening Night | |
Use of heat and moisture exchangers (HME) | Instead of humidifiers | Yes NO | * | |
Changing the HME | Weekly or as required | Yes NO | * | |
Suctioning the oral cavity and tracheal tube | As required | Yes NO | * | |
Observing the hand hygiene | In five critical moments (i.e. before touching the patient, before aseptic procedures, after exposure to body fluids, after touching the patient, and after touching the patient’s surroundings) | Yes NO Yes NO Yes NO | Morning Evening Night | |
Deep vein thrombosis (DVT) prophylaxis | According to the doctor’s order | Yes NO | * | |
Peptic ulcer prophylaxis | According to the doctor’s order | Yes NO | * | |
Mouthwash using 0.2% or 0.12% chlorhexidine gluconate | Every six hours | Yes NO Yes NO Yes NO | Morning Evening Night | |
Changing the patient’s position | Every two hours | Yes NO Yes NO Yes NO | Morning Evening Night | |
Monitoring and adjusting the cuff pressure between 20 and 30 cmH2O every eight hours and after each oral suction | Every eight hours | Yes NO Yes NO Yes NO | Morning Evening Night | |
Elevating the head of the bed —between 30–45 degrees— during and after gavages | During gavages | Yes NO Yes NO Yes NO | Morning Evening Night | |