Date of Award
Spring 5-1-2022
Document Type
Project
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
Advisor
Dr. Kacy Ballard, DNP, CRNA
First Committee Member
Dr. Brian Garrett, DNP, CRNA
Second Committee Member
Ms. Concetta Persichetti, BSN, RN
Keywords
Hypothermia, Preventing Perioperative Hypothermia, Inadvertent Hypothemia, Perioperative Warming, IPH
Subject Categories
Medicine and Health Sciences
Abstract
Hypothermia changes normal physiology resulting in altered clotting, metabolism, immune function, and healing processes which increases patient’s risk for adverse outcomes. During the perioperative period anesthesia is recognized as a main cause of inadvertent perioperative hypothermia (IPH). As a result several organizations have developed clinical practice guidelines (CPG) to prevent IPH. There is an inconsistent utilization of warming devices and a lack of policy and procedure directing the effective maintenance of normothermia for surgical patients at a medium sized academic level one trauma hospital in the Midwest. Having no established standard practice protocol within this institution places the patients at an increased risk for the development of hypothermia during outpatient elective surgeries, which may lead to adverse patient outcomes. The Rosswurm and Larrabee (1999) model for Change to Evidence-Based Practice will frame this project and a CPG will be evaluated by key stakeholders using the Appraisal of Guidelines for Research and Evaluation II. The AGREE II tool evaluations scaled domain scores ranged from 82-93%. Overall quality of the CPG was evaluated at 89% and 80% would recommend the CPG for implementation. The Rosswurm and Larrabee (1999) model for Change to Evidence-Based Practice framed this project and the 2016 AORN CPG was evaluated by key stakeholders using the Appraisal of Guidelines for Research and Evaluation II. The AGREE II tool evaluations were scored using AGREE II set scoring. The CPG was found to be of high quality and a recommendation was made to the facility to form a protocol based on the CPG.
Licensing Permission
Copyright, all rights reserved. Fair Use
Recommended Citation
Lower, James, "Protocol Development for Preventing Inadvertent Perioperative Hypothermia in Outpatient Surgical Patients" (2022). Doctor of Nursing Practice Scholarly Projects. 58.
https://digitalcommons.otterbein.edu/stu_doc/58