Implementation of Forced Warm Air Blanket for Normothermia Care

Evidence-Based Protocol Implementation Influencing Multiple Systems Through Evidence-Based Change as advance practice nurse, work informed factors direct reach, influence extends context labor. Likewise, propose a nurse leader influenced multiple systems, turn, impact groups. Nurses are encouraged to utilize and incorporate in their daily practice evident-based practice. The Evidence-based practice (EBP) is considered to be a scientific standard that determines and guides on the best clinical measure (LoBiondo-Wood and Haber).

EBP has grown in its relevance to clinical decision making and support to the nursing profession since it facilitates efficiency in provision of care and quick recovery to patients. Successful implementation of EBP calls for monitoring of existing practices, documentation of relevant procedures and evaluation of possible change practices in clinical and nursing care (LoBiondo-Wood and Haber). Possible adjustments needful for patient's care protocol Immediate care for patients coming from SICU is critical to their recovery from the procedure they undergo.

In their case, it is imperative that nurses be aware of ideal measures and procedure to undertake to ensure quick and speedy recovery. Included in the care measure should be the use of forced warm air blankets. These are warm blankets that re-warm the SICU patient faster than the fluid-filled blankets (Grossman, Bautista and Sullivan). Evidence-based studies provide insights supporting the use of fluid-filled and forced warm air blankets as more efficient compared to cotton blankets to re-warm patients.

The results of these studies, therefore, encourage the use of forced warm blankets and especially forced warm air blankets to re-warm patients (Grossman, Bautista and Sullivan). This evidenced-based care strategy to patients presents a necessary adjustment to the management and care to patients in relation to measures that prevent aggravated hypothermic conditions during patient recovery.

Components of the system within the sphere of influence of this change From the evidence-based results, there is a need to develop a protocol that outlines the development of nursing measures of management of potential hypothermic conditions. For this purpose, staff should receive directional copies of directional protocols in use of forced warm air blankets to patients requiring normothermia care treatment. Additional to the directional protocols the nursing staff needs to be given training on measures relating to the administration of forced warm air blankets.

This should be accompanied with ideal measures of monitoring to ensure that the nursing staffs use the forced warm air blankets as per guidelines, and the desirable outcomes are attained. The monitoring of the use can be done through nursing records where, a consistent log indicating use of the blanket and the outcome attained is given. This will communicate to the administrative staff the effectiveness attained in the use of the forced warm air blanket and the measures to undertake to improve their effectiveness (Melnyk and Fineout-Overholt).

Administration staff in the nursing care department will also need to take up measures to ensure availability of sufficient warm air blankets for use in the nursing care. It is also imperative that attached to the warm air blankets there be a copy of application guidelines and a record to indicate the frequency of use on the blanket and their effectiveness. This record will help in determining the wear and tear on the warm air blankets and facilitated proper arrangements for their replacements.

It is imperative to get support from the institution and the staff. It is also necessary to distribute new evidence to consumers affected by the new protocol. This could include patients, families, nurses, and health care staff from the institution as well as those outside of the institution. Aspects that should be included are assessment, patient education, patient preparation, ongoing assessment and management, emergency management, documentation, and letting staff report their concerns. It is also important to account for safety and comfort of the patients.

Failure to obtain support from the administrative staff on the implementation of the protocol may lead to inadequate budgetary allocation to finance purchase of the warm air blankets. Training to the nursing staff may also not be availed given the insufficiency of support from the administration. This may lead to failure of the implementation of the warm air blanket for normothermia care treatment (Melnyk and Fineout-Overholt).

It is necessary to provide staff with education by offering review sessions or in-services for the staff on the complications of unintended hypothermia and the new protocol. Providing literature and websites on hypothermia with postoperative patients can be beneficial. It is also important to provide demonstration and time for staff to practice using the protocol with supervision. Welcoming any suggestions from staff regarding improvements and modifications is important too.

It is imperative that Staff Corporation and understanding of the new care procedure be assured for the care measure to attain the desired result. Once training of nursing staff is complete it is acceptable to implement the protocol (Melnyk and Fineout-Overholt). Additional to the care.