Women's Health Grey Nuns & Misericordia Hospitals Bair Hugger Warming Blanket Approved by: Director of Women’s Health, Covenant Health GNH/MCH Site Leads, Obstetrics/Gynecology, GNH/MCH Site Leads, Anesthesia, GNH/MCH Obstetrics Date Approved October 2011 Date Effective October 2011 Next Review October 2014 Page 1 of 2 Purpose To maintain or restore normothermia in patients. Policy Statement Applicability Obstetrical surgical patients will be warmed with Bair Hugger when appropriate. Physicians and Nursing staff in Labour and Delivery. Responsibility Covenant health staff will demonstrate a commitment to patient safety while using this equipment. Principles Patients core body temperature during surgical procedures sometimes cool, and need to be re-warmed. Procedure Bair hugger warming blankets can be used on patients as part of the “Safer Healthcare Now” initiative to keep patients warm during surgery and to warm patients after surgery. The Bair hugger warming blanket may also be used to warm patients during or after post-partum hemorrhage as appropriate. Equipment: Bair Hugger warming system - Model 750 Bair Hugger warming blanket Patient blanket or sheet Thermometer Equipment to monitor vital signs Non-Alcholol based cleanser Set Up: 1. The Bair Hugger warming unit should be mounted on a rolling pole. 2. Patient wears a patient gown. Use post operatively if patient’s temperature is below 36 degrees Celsius. 3. Choose Bair Hugger warming blanket appropriate for usage. 4. Full body blanket - Model 300 -Drape blanket over patient with the perforated side towards patient, making sure patient’s feet are covered by the portion of the blanket that does not inflate. Upper body blanket - Model 522- for use intra-operatively- Cover arms and upper body of patient. Bair Hugger Warming Blanket Date Approved October 2011 Policy No. NA Page 2 of 2 5. Cover Bair Hugger blanket with regular sheet or blanket. 6. Insert the end of the unit hose into the hose port of a Bair Hugger blanket. 7. Connect the unit to power. The unit will be on “Standby” and the “Standby” light will be illuminated. 8. Press the button across from the selected temperature. The temp in range light will illuminate. 9. Monitor the patient’s skin temperature by touch every 10 minutes. Monitor patient’s vital signs including temperature regularly. Have Patient tell you if they are feeling too warm. Remove blanket if Patient starts to sweat. 10. Adjust air temperature or discontinue therapy when the therapeutic goal is reached or if vital sign instability occurs. Notify attending physician of vital sign instability. 11. Press the “Standby” button when temperature management is therapy is complete. 12. Discard disposable components. 13. Clean Bair Hugger Unit with non-alcohol based cleaner. Do not submerge unit. Documentation: 1. Time Bair Hugger is applied. 2. Vital signs. 3. Any concerns during or after warming therapy and notification of physician if required. 4. Time Bair Hugger is discontinued. References Arizant Healthcare Inc. Bair Hugger model 750 temperature Management Unit operator’s Manual. (2005). USA. Eden Prairie. Retrieved October 11, 2011.from http://www.arizant.com/arizant/manuals-faw.shtml. Potter, P.A.., Perry, A.G., Clinical Nursing Skills and Techniques. 8th Edition. Mosby, Elsevier. 2014. pg 881. Safer Healthcare Now Getting Started Kit: Prevent Surgical Site Infections (May 2011) Retrieved March 25, 2014 from http://www.saferhealthcarenow.ca/EN/Interventions/SSI/Pages/default.aspx.
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