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  1. McCoy, Tonia MSN, RN, CEN
  2. Fields, Willa DNSc, RN, FHIMSS
  3. Kent, Nanette BSN, RN, CEN


Pathogens in the oropharynx may be transported to the lung parenchyma during intubation and cause ventilator-acquired pneumonia. This project evaluated 3 post intubation evidence-based practices in the emergency department: oral care, head-of-bed elevation, and suctioning above the endotracheal tube balloon. Ventilator-acquired pneumonia cases decreased 83% after implementing these practices. There is no need to wait for the patient to be admitted to intensive care to begin these evidence-based practices.