Goal: The patient reports a relief of pain and increased comfort.
1. Review the medical order or nursing plan of care for the application of cold therapy, including frequency, type of therapy, body area to be treated, and length of time for the application.
2. Gather the necessary supplies and bring to the bedside stand or overbed table.
3. Perform hand hygiene and put on PPE, if indicated.
4. Identify the patient. Determine if the patient has had any previous adverse reaction to hypothermia therapy.
5. Close curtains around bed and close door to room if possible. Explain what you are going to do and why you are going to do it to the patient.
6. Assess the condition of the skin where the ice is to be applied.
7. Assist the patient to a comfortable position that provides easy access to the area to be treated. Expose the area and drape the patient with a bath blanket if needed. Put the waterproof pad under the wound area, if necessary.
8. Prepare device: Fill the bag, collar, or glove about three-fourths full with ice. Remove any excess air from the device. Securely fasten the end of the bag or collar; tie the glove closed, checking for holes and leakage of water. Prepare commercially prepared ice pack if appropriate.
9. Cover the device with a towel or washcloth. (If the device has a cloth exterior, this is not necessary.)
10. Position cooling device on top of designated area and lightly secure in place as needed.
11. Remove the ice and assess the site for redness after 30 seconds. Ask the patient about the presence of burning sensations.
12. Replace the device snugly against the site if no problems are evident. Secure it in place with gauze wrap, ties, or tape.
13. Reassess the treatment area every 5 minutes or according to facility policy.
14. After 20 minutes or the prescribed amount of time, remove the ice and dry the skin.
15. Remove PPE, if used. Perform hand hygiene.
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