ECRI Institute Continues to Recommend Maximum Temperature Setting of 130℉ for Blanket Warming Cabinets

What Temperature should Hospital Warming cabinets, Blanket Warmers and Solution Warmers be set at?

ECRI Blanket warmer and solution warmer recommendations remain the same as noted in March of 2010. ECRI warming cabinet recommendations.

The ECRI states in February 2014;”Ensure that temperature settings for blanket warming cabinets and compartments are limited to 130°F and that solution warming cabinets and compartments are limited to 110°F. Make sure that these settings cannot be increased by unauthorized personnel (e.g., use cabinets that employ lock-out features).”Contact CMP

CMP warming cabinet has separate controls to comply with ECRI recommendations and temperature lockout feature

CMP Dual Compartment  warming cabinet has separate controls and temperature lockout feature to comply with ECRI recommendations

ECRI UPDATE

This statement was issued in a medical device hazzard priority report and states the problem being” A recent study (Kelly et al., 2013) published in the Journal of PeriAnesthesia Nursing asserts that warming blankets in cabinets set to 200°F (93°C) are safe for clinical use. ECRI Institute disagrees with the paper’s finding and continues to recommend that blanket warming cabinet settings be limited to 130°F (54°C). “Our continuing recommendation is based on our in-hospital investigations of multiple cases of patient burns resulting from blankets that were in cabinets set to greater than 130°F. In all of these incidents, the blankets were either rolled or left folded when applied to the patients. We do not believe there is a risk of burns when blankets that have been warmed to higher temperatures (e.g.,150°F) are fully unfolded and then applied to patients. However, we maintain our130°F temperature setting recommendation—even for unfolded blanket use—because there is no way to reliably prevent folded or rolled blankets from being applied to patients. Furthermore, warming blankets are sometimes applied to patients who are insensate or are otherwise unable to respond if the blanket is too warm. The Kelly study does not consider the rolled/folded blanket scenario or consider that some patients might not be able to sense or respond if the blanket is too hot.”

Please see full ECRI paper for full text of the article.

In Summary -The ECRI Institute Recommends:

“ECRI Institute continues to recommend the following for staff in the operating rooms, post-anesthesia care units, obstetrics suites, emergency departments, and intensive care units, as well as clinical engineering personnel, facilities engineering staff, and other concerned personnel:

· Ensure that temperature settings for blanket warming cabinets and compartments are limited to 130°F and that solution warming cabinets and compartments are limited to 110°F. Make sure that these settings cannot be increased by unauthorized personnel (e.g., use cabinets that employ lock-out features).

· If a single layer of blanket is not considered adequate to achieve patient comfort, use a second layer, by either folding the blanket once or using two blankets.

· Ensure that warming cabinet capacity can meet the daily demand for warmed solutions and blankets. Consider purchasing additional units if necessary. In hospitals with too few cabinets (or too little cabinet space), staff may be tempted to pack items too closely, which can prevent even and effective heating.

· Assess the location of warming cabinets in relation to the patient care area, and move cabinets closer, if necessary, to keep blankets from cooling excessively while being carried to patients.

· Assign the responsibility for setting —and periodically monitoring —the temperature of warming cabinets to designated staff members in each clinical area where the devices are used.

· Ensure that warming cabinets are inspected annually to verify proper temperature settings and performance.

Continental Metal Products’ Dual Compartment Blanket Warmers and Solution warmers, assist in compliance by utilizing two separately controlled compartments for safely warming blankets and solutions.

Please note, the Joint Commission has not published recommended temperature ranges or settings. Their Environment of Care Standards (EC6, 10 and 6.20) require that the facilities provide written plans concerning the effective, safe, and reliable operation of medical equipment.

CMP’s “Quick-Temp” monitoring system insures that warmer data temperature logging is accurate and easy. By  inserting  a flash drive into the control panel, all  temperature data is ready to download into your PC.

For more information, please click our links below or Contact Continental Metal Products.

 ”QUICK-TEMP” temperature monitoring system utilizing USB flash drive for data logging

Learn More about CMP Dual Compartment Warming Cabinets

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Selected References:

∙ECRI Institute. Health Devices Alerts on Thursday, February 13, 2014″H0225 – Normal Priority Medical Device Alert

· ECRI Institute. Guidance article. Investigating device-related “burns.”Health Devices 2005 Dec;34(12):393-413.

· ECRI Institute. Hazard Report Update. ECRI Institute Revises Its Recommendation for Temperature Limits on Blanket Warmers. HealthDevices 2009 Jul;38(7):230-1.

 

 

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