374 - An Evaluation of a Non-invasive Continuous Temperature Monitor in the Perioperative Setting
Clinical Issue: Having accurate temperature readings while the patient is in the perioperative setting is essential to maintaining normothermia and reducing the risk of perioperative hypothermia complications. Description of Team: The Advanced Nurse Clinician (educator) for surgical services, who oversees the pre- and postoperative units as well as the operating room, conducted this trial. The chief of anesthesia was the physician champion who helped gain approval for the trial. Preparation and Planning: After a conversation with the medical director of surgery, the chief of anesthesia presented this product to the surgical and interventional product review physician steering committee for approval. Approval was obtained for a trial to include 50 elective colon resection surgeries. Education regarding use of the product was given to staff members in all perioperative phases. A form to track patient temperatures was created for preoperative, intraoperative, and postoperative phases of care.
Assessment: Doing a deep dive into the electronic medical records for elective colon resection patients with surgical site infections revealed inconsistent and inaccurate temperature documentation using either an esophageal or nasopharyngeal temperature probe. In addition, documentation showed discrepancies between patient temperatures taken in various perioperative phases. Implementation: The non-invasive continuous temperature monitor was applied to elective colon resection surgery patients in the preoperative area. This monitor then followed the patient through intraoperative and postoperative phases of care. Patient temperatures were obtained and recorded using the current form of temperature monitoring as well as temperature readings from the trial product for all phases of care. The educator for surgical services and the product representative provided support. After data collection from 50 patients, the educator reviewed the data. A retrospective study of 50 additional patients not included in the trial was conducted. Outcomes: The trial product had the closest correlation to the esophageal temperature probe used intraoperatively with an average difference of only 0.2°C. The average difference in temperature between the trial product and the temporal thermometer was 0.4°C in the preoperative area and 0.9°C in the PACU. This suggested that discrepancies might be due to temporal thermometer usage. Implications for Perioperative Nursing: Using a non-invasive continuous temperature monitor allows for consistent patient temperature monitoring throughout all phases of perioperative care. In addition, intraoperative hypothermia can be detected earlier so that interventions can be applied.