A comparison of temporal artery and oral electronic with core temperature in normothermic post-operative coronary artery bypass graft (CABG) patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/164064
Category:
Abstract
Type:
Presentation
Title:
A comparison of temporal artery and oral electronic with core temperature in normothermic post-operative coronary artery bypass graft (CABG) patients
Author(s):
Ariz, Brenda; March, Karen S.; Grim, Rodney; Seben, Sheree
Author Details:
Brenda Ariz, MS, RN, CCRN, York Hospital, York, Pennsylvania, USA, email: kmarch@ycp.edu; Karen S. March, PhD, RN, CCRN, ACNS-BC; Rodney Grim, MA; Sheree Seben, MS, RN, CCRN
Abstract:
PURPOSE/OBJECTIVES: The purpose of this study is to determine which method of temperature measurement (temporal artery or oral electronic) most closely approximates pulmonary artery (PA) core temperature in normothermic post-operative CABG patients. SIGNIFICANCE: Within a 558 bed community-based teaching hospital, temperature assessment has routinely occurred via several modalities. Over time, some post-operative patients were found to be hypothermic upon first temperature assessment on an acute care unit. Further investigation was warranted when a few patients experienced negative side effects. Review of documentation revealed a lack of consistency in modalities used to assess temperature. PACU used temporal artery thermometers while acute care units used oral electronic. Following a literature review which revealed no studies that compared temporal artery and oral electronic temperatures to core temperature, a research study was recommended. DESIGN: A descriptive comparative study is underway in which temporal artery, oral electronic, and PA core temperatures will be assessed in post-operative normothermic CABG patients. Data analysis will include descriptive statistics and correlation. METHODS: Staff nurses will document temperatures obtained on each patient via temporal artery and oral electronic thermometers and a PA catheter. The three temperature readings will be systematically recorded once every hour for four hours. The order in which temperatures are recorded will be determined individually based upon random selection, by the nurse, of one of six variations of the data collection tool. FINDINGS: This is an IRB approved study. Data collection should be completed by the beginning of November. Data analysis will be completed prior to the conference. Conclusions: Results of this study will begin to answer questions about discrepancies between temporal artery and oral electronic temperatures by revealing information about accuracy of each when compared to the 'gold standard' PA core temperature. IMPLICATIONS FOR PRACTICE: If one method consistently compares more favorably to the core measurement than the other, it is likely to result in modification of the practice of post-operative temperature assessment and improvement in patient care outcomes.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2010
Conference Name:
CNS as Interal Consultant: Influencing Local to Global Systems
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Portland, Oregon, USA
Description:
Conference theme: CNS as Internal Consultant: Influencing Local to Global Systems, held March 3 - 6, Portland, Oregon, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleA comparison of temporal artery and oral electronic with core temperature in normothermic post-operative coronary artery bypass graft (CABG) patientsen_GB
dc.contributor.authorAriz, Brendaen_US
dc.contributor.authorMarch, Karen S.en_US
dc.contributor.authorGrim, Rodneyen_US
dc.contributor.authorSeben, Shereeen_US
dc.author.detailsBrenda Ariz, MS, RN, CCRN, York Hospital, York, Pennsylvania, USA, email: kmarch@ycp.edu; Karen S. March, PhD, RN, CCRN, ACNS-BC; Rodney Grim, MA; Sheree Seben, MS, RN, CCRNen_US
dc.identifier.urihttp://hdl.handle.net/10755/164064-
dc.description.abstractPURPOSE/OBJECTIVES: The purpose of this study is to determine which method of temperature measurement (temporal artery or oral electronic) most closely approximates pulmonary artery (PA) core temperature in normothermic post-operative CABG patients. SIGNIFICANCE: Within a 558 bed community-based teaching hospital, temperature assessment has routinely occurred via several modalities. Over time, some post-operative patients were found to be hypothermic upon first temperature assessment on an acute care unit. Further investigation was warranted when a few patients experienced negative side effects. Review of documentation revealed a lack of consistency in modalities used to assess temperature. PACU used temporal artery thermometers while acute care units used oral electronic. Following a literature review which revealed no studies that compared temporal artery and oral electronic temperatures to core temperature, a research study was recommended. DESIGN: A descriptive comparative study is underway in which temporal artery, oral electronic, and PA core temperatures will be assessed in post-operative normothermic CABG patients. Data analysis will include descriptive statistics and correlation. METHODS: Staff nurses will document temperatures obtained on each patient via temporal artery and oral electronic thermometers and a PA catheter. The three temperature readings will be systematically recorded once every hour for four hours. The order in which temperatures are recorded will be determined individually based upon random selection, by the nurse, of one of six variations of the data collection tool. FINDINGS: This is an IRB approved study. Data collection should be completed by the beginning of November. Data analysis will be completed prior to the conference. Conclusions: Results of this study will begin to answer questions about discrepancies between temporal artery and oral electronic temperatures by revealing information about accuracy of each when compared to the 'gold standard' PA core temperature. IMPLICATIONS FOR PRACTICE: If one method consistently compares more favorably to the core measurement than the other, it is likely to result in modification of the practice of post-operative temperature assessment and improvement in patient care outcomes.en_GB
dc.date.available2011-10-27T11:41:20Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:41:20Z-
dc.conference.date2010en_US
dc.conference.nameCNS as Interal Consultant: Influencing Local to Global Systemsen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationPortland, Oregon, USAen_US
dc.descriptionConference theme: CNS as Internal Consultant: Influencing Local to Global Systems, held March 3 - 6, Portland, Oregon, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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