These learning activities are approved by the Arizona Nurses Association, an accredited approver by the American Nurses' Credentialing Centers on Accreditation.
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All states except Iowa will accept these contact hours for nursing licensure purposes. For central sterile/sterile processing staff, the courses will be accepted by the CBSPD if they are specifically related to sterile processing. Surgical technologists and other healthcare-related occupations will need to check with their certifying bodies to determine if they will accept these contact hours.

Course Instructions
1. Select a course
2. Complete registration and billing information
3. Study the material
4. Pass the post-test with a score of 80 percent or better
5. Print your certificate

ICIC-1110: A Three-Phase Perioperative Oral Care Protocol with Oral Care System Containing Chlorhexidine Gluconate and Ventilator Bundle Reduces VAP in Cardiac Surgery Patients

Ventilator-associated pneumonia (VAP) is a common complication of mechanical ventilation. Between 10 percent and 20 percent of patients who are intubated and receive mechanical ventilation develop VAP. The incidence is related to the duration of mechanical ventilation, with patients who are intubated more than 72 hours demonstrating incidence rates near 20 percent. This high incidence rate is of particular concern because the mortality rate is doubled in critically ill patients who develop VAP. In ICU patients of a private community teaching hospital, ventilated patients with VAP had mortality rates of 45.5 percent compared with 32.2 percent in ventilated patients without VAP.