SlideShare une entreprise Scribd logo
1  sur  23
NURSING CARE OF BABY UNDER RADIANT
WAMER
INTRODUCTION
O The radiant warmer (also called open care
system) was developed as an ‘open
incubator’ that ensures ready access to
the baby.
O The overhead quartz heating element
produces heat which is reflected by the
parabolic reflector on to the baby on the
bassinet.
O The quantity of heat produced is displayed
in the heater output display panel.
Temperature selection knobs select the
desired skin temperature.
O Radiant warmers provide intense source
of radiant heat energy. They also reduce
the conductive heat losses by providing a
warm microenvironment surrounding the
baby.
MODES OF RADIANT
WARMER
O SERVO MODE
O MANNUAL MODE
SERVO MODE
O Set temperature at 36.5 C, heater output will
adjust automatically to keep baby at set
temperature.
O If the baby temperature is below the set
temperature, the heater output will increase; if
the baby is at set temperature or higher the
heater output will become zero.
O Look for probe displacement when the baby in
servo mode every hour.
O Servo system is the preferred method of
running the open care system.
O In the servo mode, whenever the baby’s
temperature rises by more than 0.5°C
above the set temperature, a
visual/audible alarm is activated.
O Caregiver must pay attention to sort out
the fault.
O Often this occurs when the temperature
probe comes off the baby’s skin.
MANNUAL MODE
O The heat output from the quartz heating
rod could also be increased or decreased
manually.
O This is done by the heater output control
knobs. This is called the manual mode of
operation.
Care of baby under radiant warmer
O Temperature selection panel :Select
either set temperature or skin temperature
O Temperature selection knobs :Select a
desired set temperature
O Temperature display :Display
temperature as selected, either of the
baby’s skin (via skin probe) or the set
temperature
O Mode selector :Selects manual or servo
mode
O Alarm display for power failure, system
failure, skin probe failure
STEPS FOR USE OF
WARMER
1. Connect the unit to the mains. Switch
it on.
2. Once connected to mains, heater
output can be regulated by knob on
front panel. The output is displayed
as % or bars or bulbs
3. Select manual mode.
4. Select heater output to 100% for
sometime (20 minutes) to allow
quick pre-warming of the bassinet
covered with linen.
4. Select servo mode.
5. Read the temperature on display
6. Select the desired set temperature of
baby as 36.5°C.
7. Place the baby on the bassinet.
8.Connect skin probe to the baby’s
abdomen with sticking tape.
9. If the manual mode to be used, select the
desired heater output.
10. In the manual mode, record baby’s
axillary temperature at 30 minutes and then
2 hourly.
11. Respond to alarm immediately. Identify
the fault and rectify it.
12. Ensure that baby’s head is
cover with cap and body with
clothes unless indicated to keep
naked.
13. Turn the baby frequently
14. Use of cling wrap
ALARMS ON SERVO RADIANT
WARMER
NO ALARMS IN MANUAL MODE
ALARM PROBLEM RESPONSE
“POWER ALARM” If the mains power
fails
Find alternative means for heating
if power cannot be fixed(KMC)
“SYSTEM
ALARM”
If there is an error
in the
electrical/circuit
Change WARMER, as it needs
repair
“SKIN PROBE
FAILURE ALARM”
If the temperature
probe sensor is not
connected properly
or if it is not
functioning
Try to re- connect the sensor
correctly. If does not work, change
it
“ SKIN
TEMPERATU
RE ALARM
HIGH OR
LOW”
This alarm operates
in servo mode only. It
sounds when the
patient temperature
differs from the SET
temperature by > 0.5
C
Change to manual mode with
maximum output if baby is having
low temperature and adjust the
temperature to try and normalize
the baby’s temperature. If baby is
having fever, shift to manual
mode and set appropriate heater
output. Check for signs of
infection
“HEATER
FAILURE”
Indicates heater is
not working
Change warmer, needs repair
APPLICATION OF SKIN
PROBE
Do’s Don”t
1.Prepare the skin using an
alcohol/spirit swab to
ensure good adhesion to
the skin.
2. Apply probe over the
right hypochondriac area in
the supine position.
3. Apply probe to the flank
in the prone position.
4. Check sensor probe
regularly so as to ensue that
it is in place. Ensure that
skin probe is free of
contact with bed.
1. Do not apply to
bruised skin.
2. Do not apply clear
plastic dressings over
probe.
3. Do not use
fingernails to remove
skin surface probes.
4. Do not reuse
disposable probes.
Use of cling wrap to decrease
insensible water losses
Potential pitfalls of servo-
controlled warmer
O In the event of probe getting displaced
from baby’s abdominal skin, overheating
of the baby will occur because the skin
probe depicts air temperature and heater
output keeps on increasing till probe
temperature matches control temperature.
O Also, repeated activation of alarm will
occur when baby develops fever. In this
situation, it is better to shift to manual
mode with least heater output.
Useful tips for use of radiant
warmers
O Don’t use the warmer in a cold room. It
works best when the environmental
temperature is above 20°C.
O Keeping the warmer where there is lot of
air currents reduces its efficiency.
O The warmer must be pre-warmed around
20 minutes before the arrival of the baby
or till the set temperature is reached with
less than 50% of total heater output.
O While using the manual mode in a warmer
without a temperature display, record the
baby’s temperature regularly, preferably 2
hourly.
O The manual mode is used for initial
preparation of bed for the baby or when
rapid warming of a severely hypothermic
baby has to be done. However, this may
be hazardous as babies may become
overheated. Except in the continuous
presence of a nurse who is watching the
skin temperature, it is preferable to use
the skin probe with the warmer on servo-
mode.
DISINFECTING RADIANT
WARMER
O When the equipment is in use, all
approachable external surfaces should be
cleaned daily with an antiseptic solution
like 2 % bacillocid or gluteraldehyde.
O Spirit or other organic solvents must not
be used to clean the glass side panels or
display panel.
O For disinfection of reusable probe,
isopropyl alcohol swab should be used.
O Every seventh day, after shifting the baby
to another cot, the used equipment should
be cleaned thoroughly, first by light
detergent solution and then by antiseptic
solution.
O All detachable assemblies, are to be
treated similarly.
Care of baby under radiant warmer

Contenu connexe

Tendances

care of child on ventilator
care of child on ventilatorcare of child on ventilator
care of child on ventilatormannparashar
 
Nursing management of low birth weight(lbw) babies
Nursing management of low birth weight(lbw) babiesNursing management of low birth weight(lbw) babies
Nursing management of low birth weight(lbw) babiesRose Vadakkut
 
Care for the child uderphototherapy
Care for the child uderphototherapyCare for the child uderphototherapy
Care for the child uderphototherapygotolamy
 
Exchange Transfusion PPT
Exchange Transfusion PPTExchange Transfusion PPT
Exchange Transfusion PPTJyotika Abraham
 
Essential care of newborn
Essential care of newbornEssential care of newborn
Essential care of newbornPriya Dharshini
 
Baby Friendly Hospital Initiatives (BFHI)
Baby Friendly Hospital Initiatives (BFHI)Baby Friendly Hospital Initiatives (BFHI)
Baby Friendly Hospital Initiatives (BFHI)Mohammad Aslam Shaiekh
 
Neonatal resuscitation
Neonatal resuscitationNeonatal resuscitation
Neonatal resuscitationshanza aurooj
 
Child restraints for nursing students
Child restraints for nursing studentsChild restraints for nursing students
Child restraints for nursing studentsRamya Ramya
 
NEONATAL RESUSCITATION
NEONATAL RESUSCITATIONNEONATAL RESUSCITATION
NEONATAL RESUSCITATIONUrbiBanerjee
 
Baby weighing.pptx
Baby weighing.pptxBaby weighing.pptx
Baby weighing.pptxIshikaRoy32
 
under five clinic.
under five clinic.under five clinic.
under five clinic.sangita dey
 
Neonatal intensive care unit nicu
Neonatal intensive care unit nicuNeonatal intensive care unit nicu
Neonatal intensive care unit nicuKiran
 
Newborn assessment
Newborn assessment   Newborn assessment
Newborn assessment AMRITA A. S
 

Tendances (20)

KANGAROO MOTHER CARE
KANGAROO MOTHER CAREKANGAROO MOTHER CARE
KANGAROO MOTHER CARE
 
care of child on ventilator
care of child on ventilatorcare of child on ventilator
care of child on ventilator
 
Nursing management of low birth weight(lbw) babies
Nursing management of low birth weight(lbw) babiesNursing management of low birth weight(lbw) babies
Nursing management of low birth weight(lbw) babies
 
Diff bw adult child
Diff bw adult childDiff bw adult child
Diff bw adult child
 
Care for the child uderphototherapy
Care for the child uderphototherapyCare for the child uderphototherapy
Care for the child uderphototherapy
 
Child rrestraints
Child rrestraints Child rrestraints
Child rrestraints
 
Exchange Transfusion PPT
Exchange Transfusion PPTExchange Transfusion PPT
Exchange Transfusion PPT
 
Neonatal resuscitation
Neonatal resuscitationNeonatal resuscitation
Neonatal resuscitation
 
Neonatal hypothermia
Neonatal hypothermiaNeonatal hypothermia
Neonatal hypothermia
 
Essential care of newborn
Essential care of newbornEssential care of newborn
Essential care of newborn
 
Breast feeding-techniques-and-positions-pediatric-nursing-ppt
Breast feeding-techniques-and-positions-pediatric-nursing-pptBreast feeding-techniques-and-positions-pediatric-nursing-ppt
Breast feeding-techniques-and-positions-pediatric-nursing-ppt
 
Baby Friendly Hospital Initiatives (BFHI)
Baby Friendly Hospital Initiatives (BFHI)Baby Friendly Hospital Initiatives (BFHI)
Baby Friendly Hospital Initiatives (BFHI)
 
Neonatal resuscitation
Neonatal resuscitationNeonatal resuscitation
Neonatal resuscitation
 
Child restraints for nursing students
Child restraints for nursing studentsChild restraints for nursing students
Child restraints for nursing students
 
NEONATAL RESUSCITATION
NEONATAL RESUSCITATIONNEONATAL RESUSCITATION
NEONATAL RESUSCITATION
 
Baby weighing.pptx
Baby weighing.pptxBaby weighing.pptx
Baby weighing.pptx
 
under five clinic.
under five clinic.under five clinic.
under five clinic.
 
Apgar score by rajeev
Apgar score by rajeevApgar score by rajeev
Apgar score by rajeev
 
Neonatal intensive care unit nicu
Neonatal intensive care unit nicuNeonatal intensive care unit nicu
Neonatal intensive care unit nicu
 
Newborn assessment
Newborn assessment   Newborn assessment
Newborn assessment
 

Similaire à Care of baby under radiant warmer

infant warmer.pptx
infant warmer.pptxinfant warmer.pptx
infant warmer.pptxAnju Kumawat
 
3000 transport incubators
3000 transport  incubators3000 transport  incubators
3000 transport incubatorsJerry John
 
3010 incubators
3010 incubators3010 incubators
3010 incubatorsJerry John
 
2000 series infant radiant warmers
2000 series infant radiant  warmers2000 series infant radiant  warmers
2000 series infant radiant warmersJerry John
 
2010 series warmers
2010 series warmers2010 series warmers
2010 series warmersJerry John
 
Care of child with incubator
Care of child with incubatorCare of child with incubator
Care of child with incubatorAMRITA A. S
 
2007 series warmers
2007 series warmers2007 series warmers
2007 series warmersJerry John
 
Medical Infrared Thermometer - K1176079898
Medical Infrared Thermometer - K1176079898Medical Infrared Thermometer - K1176079898
Medical Infrared Thermometer - K1176079898Nome Sobrenome
 
Observation report NICU (New Born Intensive Care Unit) word file
Observation report NICU (New Born Intensive Care Unit) word file  Observation report NICU (New Born Intensive Care Unit) word file
Observation report NICU (New Born Intensive Care Unit) word file sonal patel
 
Kirti shukla gmp ppt incubator
Kirti shukla gmp ppt incubatorKirti shukla gmp ppt incubator
Kirti shukla gmp ppt incubatorKirti7052
 
Tech Trg. HBNC_Session II
Tech Trg. HBNC_Session IITech Trg. HBNC_Session II
Tech Trg. HBNC_Session IIDhananjay Singh
 
Maa sharda pharmacy college ayodhya SOP
Maa sharda pharmacy college ayodhya SOPMaa sharda pharmacy college ayodhya SOP
Maa sharda pharmacy college ayodhya SOPJitendraKumarChauhan3
 
Hướng dẫn sử dụng máy đo nhiệt độ Testo 610
Hướng dẫn sử dụng máy đo nhiệt độ Testo 610Hướng dẫn sử dụng máy đo nhiệt độ Testo 610
Hướng dẫn sử dụng máy đo nhiệt độ Testo 610Tenmars Việt Nam
 
Neonatal Intensive Care Incubator Inc 200
Neonatal Intensive Care Incubator Inc 200Neonatal Intensive Care Incubator Inc 200
Neonatal Intensive Care Incubator Inc 200PhoenixPresentation
 
Operating Caregiving Equipment, Tools and Paraphernalia.pptx
Operating Caregiving Equipment, Tools and Paraphernalia.pptxOperating Caregiving Equipment, Tools and Paraphernalia.pptx
Operating Caregiving Equipment, Tools and Paraphernalia.pptxSkyeshia Ash
 
Ibis ppt radiant warmer
Ibis ppt radiant warmerIbis ppt radiant warmer
Ibis ppt radiant warmerIBIS_Medical
 
LESSON 2- OPERATING CAREGIVING TOOLS AND EQUIPMENTS.pptx
LESSON 2- OPERATING CAREGIVING TOOLS AND EQUIPMENTS.pptxLESSON 2- OPERATING CAREGIVING TOOLS AND EQUIPMENTS.pptx
LESSON 2- OPERATING CAREGIVING TOOLS AND EQUIPMENTS.pptxMalloryAlvaCastaeda
 

Similaire à Care of baby under radiant warmer (20)

infant warmer.pptx
infant warmer.pptxinfant warmer.pptx
infant warmer.pptx
 
3000 transport incubators
3000 transport  incubators3000 transport  incubators
3000 transport incubators
 
3010 incubators
3010 incubators3010 incubators
3010 incubators
 
2000 series infant radiant warmers
2000 series infant radiant  warmers2000 series infant radiant  warmers
2000 series infant radiant warmers
 
2010 series warmers
2010 series warmers2010 series warmers
2010 series warmers
 
Care of child with incubator
Care of child with incubatorCare of child with incubator
Care of child with incubator
 
2007 series warmers
2007 series warmers2007 series warmers
2007 series warmers
 
Hypothermia
HypothermiaHypothermia
Hypothermia
 
Infant Radiant Warmer
Infant Radiant Warmer Infant Radiant Warmer
Infant Radiant Warmer
 
Medical Infrared Thermometer - K1176079898
Medical Infrared Thermometer - K1176079898Medical Infrared Thermometer - K1176079898
Medical Infrared Thermometer - K1176079898
 
lesson 2.pptx
lesson 2.pptxlesson 2.pptx
lesson 2.pptx
 
Observation report NICU (New Born Intensive Care Unit) word file
Observation report NICU (New Born Intensive Care Unit) word file  Observation report NICU (New Born Intensive Care Unit) word file
Observation report NICU (New Born Intensive Care Unit) word file
 
Kirti shukla gmp ppt incubator
Kirti shukla gmp ppt incubatorKirti shukla gmp ppt incubator
Kirti shukla gmp ppt incubator
 
Tech Trg. HBNC_Session II
Tech Trg. HBNC_Session IITech Trg. HBNC_Session II
Tech Trg. HBNC_Session II
 
Maa sharda pharmacy college ayodhya SOP
Maa sharda pharmacy college ayodhya SOPMaa sharda pharmacy college ayodhya SOP
Maa sharda pharmacy college ayodhya SOP
 
Hướng dẫn sử dụng máy đo nhiệt độ Testo 610
Hướng dẫn sử dụng máy đo nhiệt độ Testo 610Hướng dẫn sử dụng máy đo nhiệt độ Testo 610
Hướng dẫn sử dụng máy đo nhiệt độ Testo 610
 
Neonatal Intensive Care Incubator Inc 200
Neonatal Intensive Care Incubator Inc 200Neonatal Intensive Care Incubator Inc 200
Neonatal Intensive Care Incubator Inc 200
 
Operating Caregiving Equipment, Tools and Paraphernalia.pptx
Operating Caregiving Equipment, Tools and Paraphernalia.pptxOperating Caregiving Equipment, Tools and Paraphernalia.pptx
Operating Caregiving Equipment, Tools and Paraphernalia.pptx
 
Ibis ppt radiant warmer
Ibis ppt radiant warmerIbis ppt radiant warmer
Ibis ppt radiant warmer
 
LESSON 2- OPERATING CAREGIVING TOOLS AND EQUIPMENTS.pptx
LESSON 2- OPERATING CAREGIVING TOOLS AND EQUIPMENTS.pptxLESSON 2- OPERATING CAREGIVING TOOLS AND EQUIPMENTS.pptx
LESSON 2- OPERATING CAREGIVING TOOLS AND EQUIPMENTS.pptx
 

Dernier

ACCA Version of AI & Healthcare: An Overview for the Curious
ACCA Version of AI & Healthcare: An Overview for the CuriousACCA Version of AI & Healthcare: An Overview for the Curious
ACCA Version of AI & Healthcare: An Overview for the CuriousKR_Barker
 
ARTHRITIS.pptx Prepared by monika gopal Tutor
ARTHRITIS.pptx Prepared  by monika gopal TutorARTHRITIS.pptx Prepared  by monika gopal Tutor
ARTHRITIS.pptx Prepared by monika gopal TutorNehaKewat
 
Artificial Intelligence: Diabetes Management
Artificial Intelligence: Diabetes ManagementArtificial Intelligence: Diabetes Management
Artificial Intelligence: Diabetes ManagementIris Thiele Isip-Tan
 
Hematinics and Erythropoietin- Pharmacology of Hematinics
Hematinics and Erythropoietin- Pharmacology of HematinicsHematinics and Erythropoietin- Pharmacology of Hematinics
Hematinics and Erythropoietin- Pharmacology of Hematinicsnetraangadi2
 
Assisted Living Care Residency - PapayaCare
Assisted Living Care Residency - PapayaCareAssisted Living Care Residency - PapayaCare
Assisted Living Care Residency - PapayaCareratilalthakkar704
 
CECT NECK NECK ANGIOGRAPHY CAROTID ANGIOGRAPHY
CECT NECK NECK ANGIOGRAPHY CAROTID ANGIOGRAPHYCECT NECK NECK ANGIOGRAPHY CAROTID ANGIOGRAPHY
CECT NECK NECK ANGIOGRAPHY CAROTID ANGIOGRAPHYRMC
 
FINAL PROJECT IN EMPOWERMENT TECHNOLOGIES 11
FINAL PROJECT IN EMPOWERMENT TECHNOLOGIES  11FINAL PROJECT IN EMPOWERMENT TECHNOLOGIES  11
FINAL PROJECT IN EMPOWERMENT TECHNOLOGIES 11crzljavier
 
Diseases of the Respiratory System (J00-J99),.pptx
Diseases of the Respiratory System (J00-J99),.pptxDiseases of the Respiratory System (J00-J99),.pptx
Diseases of the Respiratory System (J00-J99),.pptxEMADABATHINI PRABHU TEJA
 
Medical Malpractice & Medical Negligence (1).pptx
Medical Malpractice & Medical Negligence (1).pptxMedical Malpractice & Medical Negligence (1).pptx
Medical Malpractice & Medical Negligence (1).pptxanukshadias2
 
LEUKODYSTROPHY FINAL.pptx sms medical jaipur
LEUKODYSTROPHY FINAL.pptx sms medical jaipurLEUKODYSTROPHY FINAL.pptx sms medical jaipur
LEUKODYSTROPHY FINAL.pptx sms medical jaipurdineshdandia
 
"ANATOMY AND PHYSIOLOGY OF THE SKIN".pdf
"ANATOMY AND PHYSIOLOGY OF THE SKIN".pdf"ANATOMY AND PHYSIOLOGY OF THE SKIN".pdf
"ANATOMY AND PHYSIOLOGY OF THE SKIN".pdfDolisha Warbi
 
Introduction to Evaluation and Skin Benefits
Introduction to Evaluation and Skin BenefitsIntroduction to Evaluation and Skin Benefits
Introduction to Evaluation and Skin Benefitssahilgabhane29
 
Experience the Power of Chiropractic in Maui
Experience the Power of Chiropractic in MauiExperience the Power of Chiropractic in Maui
Experience the Power of Chiropractic in MauiCentral Maui Chiropractic
 
Blood(The Applied Physiology) for Nurses.pptx
Blood(The Applied Physiology) for Nurses.pptxBlood(The Applied Physiology) for Nurses.pptx
Blood(The Applied Physiology) for Nurses.pptxNagamani Manjunath
 
Living Well Every Day: Lyons Wellness Practice | Nurtures Your Complete Health
Living Well Every Day: Lyons Wellness Practice | Nurtures Your Complete HealthLiving Well Every Day: Lyons Wellness Practice | Nurtures Your Complete Health
Living Well Every Day: Lyons Wellness Practice | Nurtures Your Complete HealthLyons Health
 
LARYNGEAL CANCER.pptx Prepared by Neha Kewat
LARYNGEAL CANCER.pptx  Prepared by Neha KewatLARYNGEAL CANCER.pptx  Prepared by Neha Kewat
LARYNGEAL CANCER.pptx Prepared by Neha KewatNehaKewat
 
Health literacies in marginalised communities LILAC 24.pptx
Health literacies in marginalised communities LILAC 24.pptxHealth literacies in marginalised communities LILAC 24.pptx
Health literacies in marginalised communities LILAC 24.pptxPamela McKinney
 
21 NEMT Trends & Statistics to Know in 2024
21 NEMT Trends & Statistics to Know in 202421 NEMT Trends & Statistics to Know in 2024
21 NEMT Trends & Statistics to Know in 2024Traumasoft LLC
 
Toothpaste for bleeding gums and sensitive teeth. Teeth whitening, Mouthwash....
Toothpaste for bleeding gums and sensitive teeth. Teeth whitening, Mouthwash....Toothpaste for bleeding gums and sensitive teeth. Teeth whitening, Mouthwash....
Toothpaste for bleeding gums and sensitive teeth. Teeth whitening, Mouthwash....sharyurangari111
 

Dernier (20)

ACCA Version of AI & Healthcare: An Overview for the Curious
ACCA Version of AI & Healthcare: An Overview for the CuriousACCA Version of AI & Healthcare: An Overview for the Curious
ACCA Version of AI & Healthcare: An Overview for the Curious
 
ARTHRITIS.pptx Prepared by monika gopal Tutor
ARTHRITIS.pptx Prepared  by monika gopal TutorARTHRITIS.pptx Prepared  by monika gopal Tutor
ARTHRITIS.pptx Prepared by monika gopal Tutor
 
Artificial Intelligence: Diabetes Management
Artificial Intelligence: Diabetes ManagementArtificial Intelligence: Diabetes Management
Artificial Intelligence: Diabetes Management
 
Hematinics and Erythropoietin- Pharmacology of Hematinics
Hematinics and Erythropoietin- Pharmacology of HematinicsHematinics and Erythropoietin- Pharmacology of Hematinics
Hematinics and Erythropoietin- Pharmacology of Hematinics
 
Assisted Living Care Residency - PapayaCare
Assisted Living Care Residency - PapayaCareAssisted Living Care Residency - PapayaCare
Assisted Living Care Residency - PapayaCare
 
CECT NECK NECK ANGIOGRAPHY CAROTID ANGIOGRAPHY
CECT NECK NECK ANGIOGRAPHY CAROTID ANGIOGRAPHYCECT NECK NECK ANGIOGRAPHY CAROTID ANGIOGRAPHY
CECT NECK NECK ANGIOGRAPHY CAROTID ANGIOGRAPHY
 
FINAL PROJECT IN EMPOWERMENT TECHNOLOGIES 11
FINAL PROJECT IN EMPOWERMENT TECHNOLOGIES  11FINAL PROJECT IN EMPOWERMENT TECHNOLOGIES  11
FINAL PROJECT IN EMPOWERMENT TECHNOLOGIES 11
 
Diseases of the Respiratory System (J00-J99),.pptx
Diseases of the Respiratory System (J00-J99),.pptxDiseases of the Respiratory System (J00-J99),.pptx
Diseases of the Respiratory System (J00-J99),.pptx
 
Painting Rats White Angers Them to No End
Painting Rats White Angers Them to No EndPainting Rats White Angers Them to No End
Painting Rats White Angers Them to No End
 
Medical Malpractice & Medical Negligence (1).pptx
Medical Malpractice & Medical Negligence (1).pptxMedical Malpractice & Medical Negligence (1).pptx
Medical Malpractice & Medical Negligence (1).pptx
 
LEUKODYSTROPHY FINAL.pptx sms medical jaipur
LEUKODYSTROPHY FINAL.pptx sms medical jaipurLEUKODYSTROPHY FINAL.pptx sms medical jaipur
LEUKODYSTROPHY FINAL.pptx sms medical jaipur
 
"ANATOMY AND PHYSIOLOGY OF THE SKIN".pdf
"ANATOMY AND PHYSIOLOGY OF THE SKIN".pdf"ANATOMY AND PHYSIOLOGY OF THE SKIN".pdf
"ANATOMY AND PHYSIOLOGY OF THE SKIN".pdf
 
Introduction to Evaluation and Skin Benefits
Introduction to Evaluation and Skin BenefitsIntroduction to Evaluation and Skin Benefits
Introduction to Evaluation and Skin Benefits
 
Experience the Power of Chiropractic in Maui
Experience the Power of Chiropractic in MauiExperience the Power of Chiropractic in Maui
Experience the Power of Chiropractic in Maui
 
Blood(The Applied Physiology) for Nurses.pptx
Blood(The Applied Physiology) for Nurses.pptxBlood(The Applied Physiology) for Nurses.pptx
Blood(The Applied Physiology) for Nurses.pptx
 
Living Well Every Day: Lyons Wellness Practice | Nurtures Your Complete Health
Living Well Every Day: Lyons Wellness Practice | Nurtures Your Complete HealthLiving Well Every Day: Lyons Wellness Practice | Nurtures Your Complete Health
Living Well Every Day: Lyons Wellness Practice | Nurtures Your Complete Health
 
LARYNGEAL CANCER.pptx Prepared by Neha Kewat
LARYNGEAL CANCER.pptx  Prepared by Neha KewatLARYNGEAL CANCER.pptx  Prepared by Neha Kewat
LARYNGEAL CANCER.pptx Prepared by Neha Kewat
 
Health literacies in marginalised communities LILAC 24.pptx
Health literacies in marginalised communities LILAC 24.pptxHealth literacies in marginalised communities LILAC 24.pptx
Health literacies in marginalised communities LILAC 24.pptx
 
21 NEMT Trends & Statistics to Know in 2024
21 NEMT Trends & Statistics to Know in 202421 NEMT Trends & Statistics to Know in 2024
21 NEMT Trends & Statistics to Know in 2024
 
Toothpaste for bleeding gums and sensitive teeth. Teeth whitening, Mouthwash....
Toothpaste for bleeding gums and sensitive teeth. Teeth whitening, Mouthwash....Toothpaste for bleeding gums and sensitive teeth. Teeth whitening, Mouthwash....
Toothpaste for bleeding gums and sensitive teeth. Teeth whitening, Mouthwash....
 

Care of baby under radiant warmer

  • 1. NURSING CARE OF BABY UNDER RADIANT WAMER
  • 2. INTRODUCTION O The radiant warmer (also called open care system) was developed as an ‘open incubator’ that ensures ready access to the baby. O The overhead quartz heating element produces heat which is reflected by the parabolic reflector on to the baby on the bassinet.
  • 3. O The quantity of heat produced is displayed in the heater output display panel. Temperature selection knobs select the desired skin temperature. O Radiant warmers provide intense source of radiant heat energy. They also reduce the conductive heat losses by providing a warm microenvironment surrounding the baby.
  • 4. MODES OF RADIANT WARMER O SERVO MODE O MANNUAL MODE
  • 5. SERVO MODE O Set temperature at 36.5 C, heater output will adjust automatically to keep baby at set temperature. O If the baby temperature is below the set temperature, the heater output will increase; if the baby is at set temperature or higher the heater output will become zero. O Look for probe displacement when the baby in servo mode every hour. O Servo system is the preferred method of running the open care system.
  • 6. O In the servo mode, whenever the baby’s temperature rises by more than 0.5°C above the set temperature, a visual/audible alarm is activated. O Caregiver must pay attention to sort out the fault. O Often this occurs when the temperature probe comes off the baby’s skin.
  • 7. MANNUAL MODE O The heat output from the quartz heating rod could also be increased or decreased manually. O This is done by the heater output control knobs. This is called the manual mode of operation.
  • 9. O Temperature selection panel :Select either set temperature or skin temperature O Temperature selection knobs :Select a desired set temperature O Temperature display :Display temperature as selected, either of the baby’s skin (via skin probe) or the set temperature O Mode selector :Selects manual or servo mode O Alarm display for power failure, system failure, skin probe failure
  • 10. STEPS FOR USE OF WARMER 1. Connect the unit to the mains. Switch it on. 2. Once connected to mains, heater output can be regulated by knob on front panel. The output is displayed as % or bars or bulbs 3. Select manual mode. 4. Select heater output to 100% for sometime (20 minutes) to allow quick pre-warming of the bassinet covered with linen.
  • 11. 4. Select servo mode. 5. Read the temperature on display 6. Select the desired set temperature of baby as 36.5°C. 7. Place the baby on the bassinet.
  • 12. 8.Connect skin probe to the baby’s abdomen with sticking tape. 9. If the manual mode to be used, select the desired heater output. 10. In the manual mode, record baby’s axillary temperature at 30 minutes and then 2 hourly. 11. Respond to alarm immediately. Identify the fault and rectify it.
  • 13. 12. Ensure that baby’s head is cover with cap and body with clothes unless indicated to keep naked. 13. Turn the baby frequently 14. Use of cling wrap
  • 14. ALARMS ON SERVO RADIANT WARMER NO ALARMS IN MANUAL MODE ALARM PROBLEM RESPONSE “POWER ALARM” If the mains power fails Find alternative means for heating if power cannot be fixed(KMC) “SYSTEM ALARM” If there is an error in the electrical/circuit Change WARMER, as it needs repair “SKIN PROBE FAILURE ALARM” If the temperature probe sensor is not connected properly or if it is not functioning Try to re- connect the sensor correctly. If does not work, change it
  • 15. “ SKIN TEMPERATU RE ALARM HIGH OR LOW” This alarm operates in servo mode only. It sounds when the patient temperature differs from the SET temperature by > 0.5 C Change to manual mode with maximum output if baby is having low temperature and adjust the temperature to try and normalize the baby’s temperature. If baby is having fever, shift to manual mode and set appropriate heater output. Check for signs of infection “HEATER FAILURE” Indicates heater is not working Change warmer, needs repair
  • 16. APPLICATION OF SKIN PROBE Do’s Don”t 1.Prepare the skin using an alcohol/spirit swab to ensure good adhesion to the skin. 2. Apply probe over the right hypochondriac area in the supine position. 3. Apply probe to the flank in the prone position. 4. Check sensor probe regularly so as to ensue that it is in place. Ensure that skin probe is free of contact with bed. 1. Do not apply to bruised skin. 2. Do not apply clear plastic dressings over probe. 3. Do not use fingernails to remove skin surface probes. 4. Do not reuse disposable probes.
  • 17. Use of cling wrap to decrease insensible water losses
  • 18. Potential pitfalls of servo- controlled warmer O In the event of probe getting displaced from baby’s abdominal skin, overheating of the baby will occur because the skin probe depicts air temperature and heater output keeps on increasing till probe temperature matches control temperature. O Also, repeated activation of alarm will occur when baby develops fever. In this situation, it is better to shift to manual mode with least heater output.
  • 19. Useful tips for use of radiant warmers O Don’t use the warmer in a cold room. It works best when the environmental temperature is above 20°C. O Keeping the warmer where there is lot of air currents reduces its efficiency. O The warmer must be pre-warmed around 20 minutes before the arrival of the baby or till the set temperature is reached with less than 50% of total heater output.
  • 20. O While using the manual mode in a warmer without a temperature display, record the baby’s temperature regularly, preferably 2 hourly. O The manual mode is used for initial preparation of bed for the baby or when rapid warming of a severely hypothermic baby has to be done. However, this may be hazardous as babies may become overheated. Except in the continuous presence of a nurse who is watching the skin temperature, it is preferable to use the skin probe with the warmer on servo- mode.
  • 21. DISINFECTING RADIANT WARMER O When the equipment is in use, all approachable external surfaces should be cleaned daily with an antiseptic solution like 2 % bacillocid or gluteraldehyde. O Spirit or other organic solvents must not be used to clean the glass side panels or display panel. O For disinfection of reusable probe, isopropyl alcohol swab should be used.
  • 22. O Every seventh day, after shifting the baby to another cot, the used equipment should be cleaned thoroughly, first by light detergent solution and then by antiseptic solution. O All detachable assemblies, are to be treated similarly.