Outpatient Surgery Magazine - Subscribers

Year of the Nurse - November 2020 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://outpatientsurgery.uberflip.com/i/1306204

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Page 49 of 83

patients who underwent procedures lasting 60 minutes or longer under general or neuraxial anesthesia were normothermic in the PACU — below the 95% threshold. • Analyze. After the team determined the extent of the issue, they drilled down to its root causes. Ms. Dowling-Schmitt says they reviewed 674 patient records to determine how staff were recording patient temperatures and documenting the readings. Were patients colder than they should have been in the PACU because their core temperatures were truly low or because tempera- tures were documented incor- rectly? "We had to understand the underlying causes of the issue to identify what improve- ments needed to be made," says Ms. Dowling-Schmitt. She discovered the center's flow sheet had only a single space for staff to record a patient's temperature. Nurses could jot down a patient's initial temperature reading, but had no place to note remeasurements after warming interventions were applied. "We also realized the forehead monitoring strips staff used meas- ured temperatures in two-degree increments," says Ms. Dowling- Schmitt. "They were useful for recognizing large temperature swings, which could indicate the onset of malignant hyperthermia, but they didn't provide the accu- racy needed for a quality report- ing metric." The quality improvement proj- ect revealed staff used both Fahrenheit and Celsius readings to record and document patients' temperatures. The lack of stan- dardization created confusion among members of the care team, who didn't always know how to convert one temperature scale to the other and therefore weren't clear on when to apply active warming methods to hypothermic patients. Additionally, the surgery 5 0 • O U T P A T I E N T S U R G E R Y M A G A Z I N E • N O V E M B E R 2 0 2 0 COMING SOON - info@encompassgroup.net WHY ARE YOU SETTLING FOR FORCED AIR? To learn more: https://www. encompassgroup.com/nova-product- evaluation © 2020 Encompass Group, LLC All Rights Reserved YOU WOULDN'T WANT THIS IN YOUR OPERATING ROOM IMAGINE EFFECTIVE PATIENT WARMING WITH: NO NOISE NO AIR MOVEMENT NO EXCESSIVE HEAT

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