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Volume 3 Journal of Nursing Research and Practice Nursing Care Congress 2019
March 11-12, 2019
Nursing and Nursing Care Congress
March 11-12, 2019 Orlando, USA
5th World
Hsiao-Wen Tsai, J Nursing Research and Practice, Volume 3
DOI: 10.4172/2632-251X-C2-006
The effect of perioperative body temperature management on unplanned hypothermia
Hsiao-Wen Tsai
Kaohsiung Municipal Hsiao-Kang Hospital, Taiwan
Statement of the Problem: Surgical Site Infections (SSI) are significantly associated with longer inpatient length of stay, higher
medical expense and poor life quality. It is estimated that 40~60% of SSI is preventable. Unplanned hypothermia could predispose
to SSI and might occur in 50% of patients undergoing anesthesia in the operation room. World Health Organization (WHO) have
suggested that maintaining peri- operative normothermia above 360 C is effective in reducing SSI. The purpose of this study is to
describe the experience of team work from surgical ward, operation room and anesthesia department to improve body temperature
management for inpatients undergoing surgery.
Methodology & Theoretical Orientation: An inter-departmental improvement program was initiated to use warming equipment,
establish hypothermia guideline and hand-over system. The guideline kept peri- operative body temperatures with various warming
equipment according to body temperature.
Findings: Peri-operative body temperature monitoring and complete hand-over reached 100%. Unplanned hypothermia decreased
from 38.2% (335/884) to 29.2% (121/418) during transfer from ward to operation room and decreased from 27% to 1.5% during
transfer from operation room to the post-anesthesia care unit.
Conclusion & Significance: An inter-departmental body temperature management protocol reduced peri- operative hypothermia.
A team work between surgery ward, operation room and anesthesia department provided continuous body temperature monitoring
and suitable warming guideline thus ensured the peri- operative care quality.
Biography
Head nurse Hsiao-Wen Tasi has her expertise in adult nursing and passion in improving the surgical care quality. She has clinical experience in emergency
department, intensive care unit and surgical ward. She has 16 years of experience in nursing care, patient safety, teaching and administration in Kaohsiung
Municipal Hsiao-Kang Hospital.