Progressive Hospital's interdisciplinary staff — led by primary care physicians, pulmonologists, physiatrists, wound care specialists, and other specialized physicians — is experienced in caring for patients with complex wounds, infections, pneumonia, and other respiratory diseases.
Overview
- Rooms are terminally cleaned with 40,000 lumen ultra violet light that is evidence based to kill VRE, C-diff and all multidrug resistant organisms.
- Bio-guard Curtains that are Nano-impregnated to be 107 organism resistant.
- Patient call lights are specially adapted for all patient levels; breath activated, easy touch and pad activated
- Adaptive phone adapters that attach to bedrails that give easy access.
- Staff participate and are trained in emergency preparedness drills we are fully trained in all patient evacuation, even ventilator
- Patient Safety Committee and Patient Safety Plan compliant with the newest NRS statutes
Infection Prevention
- Rooms are terminally cleaned with 40,000 lumen ultraviolet light that is evidence based to kill; vre, c-diff and all multi-drug resistant organisms (MDRO)
- Active surviellance of staff and visitors for PPE use
- Focused review of antibiotics bi-weekly to assure pathogen sensitivity to antibiotics
- Strict enforcement of equipment cleaning and disinfection before and after patient use with evidence-based practices and disinfectants
- The "three wipes rule" used, evidence based to promote cleaning of hard surfaces
- Strict enforcement of standard precautions; (PPE) personal protectve equipment use for staff and visitors. Checklists completed on all practices
- Disposable patient interfaces; bp cuffs, thermometers, pulse oximeter probes, patient lift slings
- HAI prevention bundles are in place; bathing, CAUTI (Catheter Associated Urinary Tract Infection), CLABSI (Central Line Associated Infection) and VAP (Ventilator Associated Pneumonia) are evidence-based practices following Center for Disease Control (CDC) and National Hospital Safety Network (NHSN) guidelines
Vapotherm®
- High Flow, High Humidity Nasal Cannula
- Meets distressed patients flow needs
- Removes the need for O2 masks and allows for PO nutrition without O2 desaturation
- O2 blender gives from 21% to 100%
- Helps mobilize secretions
- Improves outcomes in PNA and COPD exacerbations, can prevent intubation
- Evidence-based practice
Aerogen Soloneb®
- The newest technology for aerosol delivery
- By using electronic mesh nebulization aerosols are made that have 80% penetration in the lungs
- Soloneb gets 80% of the molecules to .3 μ and to the alveoli
- Conventional jet nebulizers have 2% to 5% lung penetration
- We use the Soloneb system to deliver aerosolized antibiotics that can target lung based pathogens that parentaral antibiotics are less effective at attacking
- By delivering the antibiotics to the tracheobronchial tree the topical application kills the pathogens but does not harm the patient’s renal function. Aminoglycosides can be used more effectively by attacking the sensitive bacteria in the lung
End Tidal CO2
- Non-invasive exhaled CO2 monitoring
- Real time continuous CO2 monitoring during weaning, with alarms on high CO2 and Respiratory Rate. Oridian Technology
- Allows for patient distress alarms, high CO2 and Respiratory Rate, when off Ventilator during weaning on HME and when capping on nasal O2
- RT's can spot check CO2 on patients in distress
- Improves patient outcomes and enhances safety when weaning from ventilators and is evidence-based
Ventilator-Weaning Protocol
- 8-Step protocol that improves weaning success in ventilator patients. Trach Tube-Focused
- 2010 had an 80% "wean off the vent" rate in patients who were not long-term vents, 60% success-rate on all VDRF DX's
- Our goal is to breathe through one's airways not the trach
- Improves outcomes in patients weaning from ventilators by using the most innovative equipment and monitoring systems
- Real time continuous CO2 monitoring during weaning enhances outcomes and safety
- CO2 monitoring is continuous from ventilator to HME to nasal cannula, enhancing safety by adding CO2 alarms
- Evidence-based protocol and part of our Ventilator Associated Pneumonia (VAP) bundle
- No other Las Vegas LTAC uses this CO2 monitoring, "safety based" weaning protocol
