Ventilator-Associated Event Bundle Audit

Audit template for verifying compliance with ventilator bundle elements, including head-of-bed elevation, sedation interruption, oral care, DVT prophylaxis, and spontaneous breathing trials.

Patient and Ventilation Status

• Patient is currently mechanically ventilated
• Ventilator days documented in chart
• Sedation target or RASS goal documented
• Daily ventilator bundle review documented

Head-of-Bed Elevation

• Head of bed maintained at 30 degrees or greater
• Positioning is not contraindicated by documented clinical condition
• Bed angle visible and verifiable at bedside
• Aspiration precautions in place

Sedation Interruption and Readiness Assessment

• Daily sedation interruption performed or explicitly contraindicated
• Readiness to wean or wake-up assessment documented within last 24 hours
• Sedation level aligns with ordered target
• Sedation hold outcome documented when attempted

Oral Care and VAP Prevention

• Oral care completed per protocol within required interval
• Oral suctioning performed as indicated
• Chlorhexidine oral care used when ordered by protocol
• Mouth and lip care supplies available at bedside
• Endotracheal tube secure and oral secretions managed

DVT Prophylaxis and Mobility

• DVT prophylaxis ordered or contraindication documented
• Mechanical prophylaxis in use when indicated
• Pharmacologic prophylaxis administered as ordered
• Early mobility or passive range-of-motion addressed in care plan

Spontaneous Breathing Trial

• Spontaneous breathing trial performed or documented as contraindicated
• Readiness criteria assessed before trial
• Trial outcome documented and communicated to care team