113 - Standardized Management of Body Temperature Protection in Operating Room Improve the Safety of Patients in Robotic Urology Surgery
Clinical Issue: hypothermia occurred in robotic urology surgery Description of Team:We are from the operating room of Zhongda Hospital Affiliated to Nanjing Southeast University, Jiangsu Province, China. There are 6 members in our team.Preparation and Planning :We have improved hypothermia during the surgery two years ago using PDCA, and achieved good results. But we found that hypothermia still occurred in some special surgeries ,and the occurrence of hypothermia was correlated with the compliance of nurses during the operation. Up to date, the implementation of patient warming measures performed by OR nurses has not been unified yet, so we implement standardized management of temperature protection in some operations. The above is the evaluation of the research background. The purpose of this study is to explore the effect of standardized management of temperature protection in the operating room in the application of robotic urology surgery.
Assessment: Participants: All patients to undergone robotic urology surgery .
Methods: A total of 100 patients who underwent robotic urology surgery from October 2018 to December 2018 were collected , who received routine body temperature protection. From January 2019 to August 2019, 200 patients underwent robotic urology surgery after the standardized management of body temperature protection in operating room was introduced. The incidence of hypothermia and post-operative shivering were compared between the two groups. At the same time, self-reflection method was used to evaluate the performance of implementation of operating room nurses at several specific time points in the whole process to compare the compliance of operating room nurses before and after improvement. Implementation: The steps of standardized management of body temperature protection are: (1) Unifying the ambient temperature (2) Preoperative waiting: patients were transit to the operating room and waited in the resuscitation room being covered with quilts. (3) Pre-warming (4) Continuous body temperature monitoring (5) infusion fluid, flushing fluid and blood were heated (6) Resuscitation and transiting: quilt and the forced-air heating blanket were provided . Details will be shown in Poster.Outcome: The incidence of hypothermia before improvement was 27%, and that after standardized management of temperature protection was 6%. The occurrence of shivering after operation was 8% before improvement, which was 0% after improvement. The compliance of nurses in operating room before and after improvement was 58% and 82%. and the OR value will be further investigated in the follow-up study.Implications for Perioperative Nursing :The application of the standardized management of body temperature protection in OR is of great importance to maintain the normal temperature during the surgery, which could effectively prevent and reduce the incidence of perioperative hypothermia, and ensure the safety of patients in the surgery.