HOT DOG PATIENT WARMING SYSTEM MULTIFUNCTION CONTROLLER

Description of Event or Problem

DURING THIS SURGERY, CLINICAL STAFF RECEIVED A CALL FROM THE POST-ANESTHESIA CARE UNIT ABOUT A "WELT" ON THE PATIENTS LEFT KNEE. DOCTOR WAS GOING TO CHECK ON THE PREVIOUS PATIENTS KNEE AFTER THIS SURGERY WAS COMPLETED. DOCTOR DETERMINED IT WAS A BURN ON THE LEFT KNEE ON THE PREVIOUS PATIENT. CLINICAL STAFF CHECKED THE HOTDOG PATIENT WARMING SYSTEM ON THE CURRENT PATIENT AND IT WAS VERY HOT TO THE TOUCH. CLINICAL STAFF TOOK IT OFF AND SAW THE PATIENT'S KNEES LOOKED TO BE BURNED AS WELL. THE READING ON THE HOTDOG DEVICE WAS 41 DEGREES WHICH IS NORMAL. THE MACHINE AND THE BLANKET WERE BOTH GOOD ON DATES AND WERE NOT EXPIRED. A BLANKET WAS PLACED ON BOTH PATIENTS CREATING A BARRIER BETWEEN THE HOTDOG BLANKET AND PATIENTS SKIN. THE MACHINE AND BLANKET WERE BOTH REMOVED FROM THE ROOM AND SENT DOWN TO BE LOOKED AT.