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COLD PACKING YOUR FEVER
QUALITY CIRCLE FINDS BETTER METHOD TO COOL PATIENT'S FEVER

 

A CGH Quality Circle (QC) team, Brainstormer, has found a better way to cool patients with high fever. A cold gel pack is often used as a cold compress to help reduce the fever. However, it has not been effective as it looses its coolness easily and does not conform to the contours of the body when frozen. It is also very uncomfortable and frustrating as it slips off when the patient moves. Furthermore it is also time consuming to prepare as it has to be frozen for an hour before it can be used.

"All these propelled our team members to brainstorm for a new cold pack with the purpose of providing a more effective and comfortable way of reducing the patient's fever. This is very important as a high fever if not treated properly could lead to serious complications such as fits and even brain damage." said Nursing Officer Chia Swee Khim, the team leader of the Quality Circle team, Brainstormer.

 


Senior Staff Nurse Fauziah Bte Jabil administering the newly invented cold pack on a patient.

The solution hatched was simple yet effective. Twelve to ten pieces of ice-cubes were put into a Ziploc plastic bag and the bag of ice was put into a wash glove. To secure the cold pack on the patient's forehead, a piece of setonet is used.

A survey was conducted to gather feedback from patients using the new method. 90% of the patients commented that the cold pack was not stiff, the effect was soothing and there is no restriction to movement. What's more, it is readily available whenever it is required.

A patient, Mr Tan Ah Kau, 55, used the newly invented cold pack recently when he had a temperature of 38 degrees celsius. He said, "It was comfortable using the cold pack as it was soothing and there was no leakage. Besides, It didn't slip off my head as it was secured by the bandage (setonet)." Mr Tan's temperature was brought down to 37.2 degrees celsius, after the cold compress was applied.

The hospital has started using the cold pack since June 1999. Most nurses have found it both effective and easy to prepare. The cold pack also acts as a first-aid treatment that can be used to reduce swelling or bleeding from the nose. As all the materials are easily available, you can also do it yourself at home.

 
  DIY: COLD PACK
   
 
Materials Needed:
*   One Ziploc bag
*   12 to 10 pieces of ice-cubes
*   One towel flannel
*   (Optional) Crepe bandage (Cut to required length to support the compress on the forehead)
     
Method:
*   Put the ice-cubes into the Ziploc bag
*   Press the bag flat and seal it tightly
*   Put the Ziploc bag into a towel flannel (we shall call this the cold pack)
*   Place the cold pack on to forehead
*   (Optional) Bandage the cold pack firmly on the forehead to support the cold pack
*   Leave the cold pack until fever subsides