As a borderline case, this exemplar is inconsistent with the
model case in a few ways; specifically, the use of a standardized
approach, suctioning, and the routine use of physicianprescribed
chlorhexidine gluconate as the oral decontaminating
solution. The use of oral care kits containing suction
toothbrushes and swabs and pre-measured solutions is a
common way of standardizing care in critical care settings.