Applying an External Heating Pad

Goal: Desired outcome depends on the patient’s nursing diagnosis.

1. Review the medical order for the application of heat 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.

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. Adjust bed to comfortable working height, usually elbow height of the caregiver (VISN 8, 2009).

7. Assist the patient to a comfortable position that provides easy access to the area where the heat will be applied; use a bath blanket to cover any other exposed area.

8. Assess the condition of the skin where the heat is to be applied.

9. Check that the water in the electronic unit is at the appropriate level. Fill the unit two-thirds full or to the fill mark, with distilled water, if necessary. Check the temperature setting on the unit to ensure it is within the safe range.

10. Attach pad tubing to electronic unit tubing.

11. Plug in the unit and warm the pad before use. Apply the heating pad to the prescribed area. Secure with gauze bandage or tape.

12. Assess the condition of the skin and the patient’s response to the heat at frequent intervals, according to facility policy. Do not exceed the prescribed length of time for the application of heat.

13. Remove gloves and discard. Remove all remaining equipment; place the patient in a comfortable position, with side rails up and bed in the lowest position.

14. Remove additional PPE, if used. Perform hand hygiene.

15. Remove after the prescribed amount of time. Reassess the patient and area of application, noting the effect and presence of adverse effects.