EBPI: Nurse Led Change to Insure Normothermia in the Operating Room

2.50
Hdl Handle:
http://hdl.handle.net/10755/202045
Type:
Presentation
Title:
EBPI: Nurse Led Change to Insure Normothermia in the Operating Room
Abstract:
(41st Biennial Convention)             During routine monitoring, the quality department of our hospital, the Northern Westchester Hospital identified a number of colorectal patients with postoperative hypothermia.  The Surgical Care Improvement Project (SCIP) is a quality partnership of professional organizations including the Joint Commission and others.  One of SCIP’s core measures in 2009 was: “Colorectal patients with immediate postoperative normothermia.”  Investigation of unplanned perioperative hypothermia was delegated to the Evidence Based Practice (EBP)/Nursing Research Council. Thus the purpose of this project was to determine if maintaining ambient operating room temperatures from 68-72oF until the time out versus routine care maintains post-operative normothermia in colorectal patients.              We used the EBPI model developed by Levin and colleagues (2010) as our method to improve practice. A systematic review of the evidence demonstrated that unintentional perioperative hypothermia causes serious postoperative complications. Our internal data demonstrated that all of our hypothermic colorectal patients had one thing in common. Their surgery was performed in a cold operating room.  High level evidence also revealed that “Ambient room temperature remains the primary interoperative variable influencing whether patients will become hypothermic” (Burns, 2009, p. 169). We performed a small test of change by raising the ambient operating room temperature to 68 to 72oF until the time out procedure.  As a result we increased the percent of patients who were normothermic after surgery from 70% to 100% in a three month period. An OR competency and policy was developed to implement a change in practice.
Keywords:
Quality; Operating Room; Evidence Based Practice
Repository Posting Date:
11-Jan-2012
Date of Publication:
4-Jan-2012
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEBPI: Nurse Led Change to Insure Normothermia in the Operating Roomen_GB
dc.identifier.urihttp://hdl.handle.net/10755/202045-
dc.description.abstract(41st Biennial Convention)             During routine monitoring, the quality department of our hospital, the Northern Westchester Hospital identified a number of colorectal patients with postoperative hypothermia.  The Surgical Care Improvement Project (SCIP) is a quality partnership of professional organizations including the Joint Commission and others.  One of SCIP’s core measures in 2009 was: “Colorectal patients with immediate postoperative normothermia.”  Investigation of unplanned perioperative hypothermia was delegated to the Evidence Based Practice (EBP)/Nursing Research Council. Thus the purpose of this project was to determine if maintaining ambient operating room temperatures from 68-72oF until the time out versus routine care maintains post-operative normothermia in colorectal patients.              We used the EBPI model developed by Levin and colleagues (2010) as our method to improve practice. A systematic review of the evidence demonstrated that unintentional perioperative hypothermia causes serious postoperative complications. Our internal data demonstrated that all of our hypothermic colorectal patients had one thing in common. Their surgery was performed in a cold operating room.  High level evidence also revealed that “Ambient room temperature remains the primary interoperative variable influencing whether patients will become hypothermic” (Burns, 2009, p. 169). We performed a small test of change by raising the ambient operating room temperature to 68 to 72oF until the time out procedure.  As a result we increased the percent of patients who were normothermic after surgery from 70% to 100% in a three month period. An OR competency and policy was developed to implement a change in practice.en_GB
dc.subjectQualityen_GB
dc.subjectOperating Roomen_GB
dc.subjectEvidence Based Practiceen_GB
dc.date.available2012-01-11T11:07:06Z-
dc.date.issued2012-01-04en_GB
dc.date.accessioned2012-01-11T11:07:06Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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