HOT APPLICATION PROCEDURE BSC NURSING

HOT APPLICATION PROCEDURE BSC NURSING

• 1.
  HOT APPLICATION By : A.Augustyan Romeyo, B.Sc Nursing 2 nd year, The Kaavery Nursing College, Mecheri
• 2.
  DEFINITION: LOCAL APPLICATION OFDRY HEAT TO A SPECIFIC BODY PART FOR A SHORT DURATION USING A RUBBER BAG.
• 3.
  PURPOSES: TO PROVIDE WORMTHAND COMFORT. TO PROMOTE HEALING. TO REDUCE TISSUE SWELLING AND JOINT STIFFNESS. TO RAISE BODY TEMPERATURE IN CASE OF HYPOTHERMIA.  TO RELIVE RETENTION OF URINE TO RELIVE PAIN AND CONGESTION BY STIMULATING BLOOD FLOW.  TO STIMULATE CIRCULATION BY DILATING BLOOD VESSELS.
• 4.
  INDICATION: • Strains • Edemasand inflammations. • Musle spasams and low back ache. • Arthritis and stiff joints. • Urine retention.
• 5.
  CONTRAINDICATIONS: ACUTE INFLAMMATION. PATIENT WHOARE UNCONSCIOUS,VERY OLD AND NEONATES. OPEN WOUND,ACTIVE HEMORRHAGE. MALIGNANCY BLISTERS/BURNS PATIENTS WITH HIGH TEMPERATURE.
• 6.
  ARTICLES: • A TRAYCONTAINING: • JUG:TAP WATER FOR MIXING • HOT WATER:FOR HEATING THE BAG • DUSTER:TO DRY THE BAG FROM OUTSIDE • BATH THERMOMETER:TO MEASURE WATER TEMPERATURE.
• 7.
  • KIDNEY TRAY:TODISCARD SOILED GARBAGE,IF NECESSARY. • HOT WATER BAG WITH COVER:FOR LOCAL APPLICATION . • TOWEL :TO WRAP THE BOTTLE. • VASELINE OR OIL IN A BOTTLE:TO APPLY IF REDNESS DEVELOPS.
• 8.
  STEPS OF PROCEDURE •PREPROCEDURAL STEPS: • IDENTIFY THE PATIENT. • PROVIDE EXPLANATION TO THE PATIENT REGARDING THE PROCEDURE AND CARE TO BE TAKEN. • ASSESS SKIN SURFACE AT THE SITE OF APPLICATION. • ASSEMBLE ARTICLES.
• 9.
  INTRAPROCEDURAL STEPS • CHECKTHE TEMPERATURE(CHILDREN:105* F,ADULTS:115*F) OF WATER • WARM THE BAG WITH LITTLE AMOUNT OF HOT WATER • FILL 2/3rd OF THE BOTTLE • PLACE STOPPER BUT DON’T TIGHTEN YET • EXPEL THE AIR BY PLACING THE HOT WATER BOTTLE ON A FLAT SURFACE AND PRESSURE GENTLY • TIGHTEN STOPPER
• 10.
  • HOLD THEBOTTLE UPSIDE DOWN TO CHECK FOR LEAKAGE • WASH HANDS • WIPE OFF ANY MOISTURE ON THE OUTSIDE OF THE BAG • WRAP/COVER IT AND TAKE IT TO THE BEDSIDE. • APPLY IT TO THE AREA AS PRESCRIBED • CHANGE IT AS FREQUENTLY AS REQUIRED AND ASK THE PATIENT REGARDING DISCOMFORT IF ANY • ASSESS THE AREA
• 11.
  POSTPROCEDURAL STEPS: • CHECKTHE SITE FOR REDNESS,BLISTERS • TAKE ALL THE ARTICLES TO THE UTILITY ROOM • EMPTY THE HOT WATER BAG • WASH OUTSIDE OF THE BAG WITH SOAP AND WATER AND HANG UPSIDE DOWN TO DRY IT • DRY THE HOT WATER BOTTLE IN SHADE • ONCE DRIED,FILL IT WITH AIR AND KEEP IN WOODEN CUPBOARD.
• 12.
  POINTS TO REMEMBER: •CHECK FOR LEAKAGE IN THE BAG BEFORE USE • HOT WATER BOTTLE SHOULD BE 2/3RD FULL AND NOT MORE THAN THAT • SMALL QUANTITY OF WATER SHOULD BE USED FOR APPLYING HOT WATER BOTTLE TO FACE AND ABDOMEN • ALWAYS COVER THE BOTTLE WHEN THERE IS DIRECT APPLICATION TO SKIN
• 13.
  • WHILE WARMINGTHE CRIB OF THE BABY DON’T APPLY HOT WATER BOTTLE TO THE BABY • DURING APPLICATION,CHANGE THE POSITION OF THE HOT WATER BOTTLE AFTER EVERY FIVE MINUTES • OBSERVE FOR REDNESS/BURNS/SCALDS OF THE SKIN INTERMITTENTLY.
• 14.
  DOCUMENTATION • RECORD INTHE PATIENT CHART • THE TIME • SITE • DURATION OF APPLICATION • EFFECTS OBSERVED
• 15.
  Thank You