Outpatient Surgery Magazine

Special Edition: Infection Control - May 2020 - Subscribe to Outpatient Surgery Magazine

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

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numerous benefits: • SSIs and blood transfusions decreased in spinal and total joint patients. • The rate of IPH-related blood transfusions declined from 6% to 4.6%. • Patients reported an 8% increase in thermal comfort and a decrease in anxiety. • We realized significant cost savings on the laundering of cotton blankets, which we previously used much more frequently to warm patients. • 58% our staff showed improvement in their understanding of inter- ventions for maintaining normothermia and its impact on success- ful surgical outcomes. We were inspired to launch this nurse-driven study by AORN's and ASPAN's recent evidence-based guidelines that suggest perioperative nurses develop strategies within the plan of care to reduce IPH. Part of our trial included providing education on the benefits of active warming in relation to maintaining normothermia. Our pre-op staff required education because applying forced-air warming involved a completely different process than wrapping patients with the warmed cotton blankets they used previously. We also provided a lot of education on exactly what normothermia is, along with the risk factors hypothermic patients face. Using online surveys pre- and post-intervention, we noted significant improvement in staff knowledge of the causes of IPH and the most effective inter- ventions for maintaining normothermia. A lot of our staff didn't even know prewarming made a difference. Our pre-op staff used to cover patients in three, four or even five cotton blankets. In the OR, before draping occurred, staff covered patients with more blankets. Then in recovery, patients received even M A Y 2 0 2 0 • O U T PA T I E N T S U R G E R Y. N E T • 1 3

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