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Warming Cabinets/Devices for Warming Fluids and Linen (Adult and Pediatric) (8.35)

Warming Cabinets/Devices for Warming Fluids and Linen (Adult and Pediatric) (8.35) - Policies, Clinical, UWHC Clinical, Department Specific, Nursing Patient Care, Misc

8.35

NURSING PATIENT CARE POLICY & PROCEDURE





Effective Date:
Sept. 18, 2015

Administrative Manual
Nursing Manual (Red)
Other _______________

Policy #: 8.35 AP
Original
Revision

Page
1
of 2

Title: Warming Cabinets/Devices for
Warming Fluids and Linen (Adult and
Pediatric)

I. PURPOSE

To establish guidelines for the proper use of warming cabinets and other devices used
for the warming of linen and/or fluids.

II. POLICY

Warming cabinets are used to warm the temperature of linens and fluids. The
warming of linens and fluids is performed for patient comfort, as well as to promote
the maintenance of normal body temperature.

III. PROCEDURE

A. Warming cabinets are manufactured for the purpose of either warming linens
(such as blankets) OR warming fluids. Each section of a warming cabinet must be
used exclusively for one of these purposes. The only exception is the Emergency
Department warming cabinets in the three trauma rooms.
B. Each warming cabinet used for warming linens or fluids should be checked daily
to assure that it is set at the appropriate temperature and the temperature should be
recorded in a log.
C. Items not intended to be warmed in these cabinets should not be placed in them.
D. Unit made “warm packs” should not be warmed or kept in these warming
cabinets. Warm packs are intended to be made at the time of use. The only
exception is warm packs that have a clearly established process for
making/rotating the warm packs and have written approval by the Director of
Nursing Quality & Safety.
E. Linen only warmer/compartment
1. The compartment designated for clean linen (such as blankets) should
only be used for that purpose.
2. The temperature for the linen warmer compartment may be set no higher
than 130 degrees Fahrenheit.
F. Fluid only warmer/compartment
1. IV solutions/Arthromatic & Uromatic Irrigation
a. These solutions must remain in the overwrap. This is done to
prevent moisture evaporation that could change the solution
concentration.
b. The temperature may be set no higher than 104 degrees Fahrenheit.
c. Solutions in any type of warming apparatus may be warmed no
higher than 104 degrees Fahrenheit.


Page 2 of 2

d. These solutions must be labeled with the date to be removed from
the cabinet.
e. These solutions must remain in the cabinet for no longer than 14
days.
f. Each unit with a warming cabinet for fluids must have a
mechanism in place for dating and rotating stock.
g. Once these solutions have been in the warmer for 14 days, these
solutions should be removed from the warming cabinet and
identified as having been warmed. They must not be subsequently
returned to the warmer
h. These solutions may continue to be used until the labeled
expiration date. Solutions must not be rewarmed.
2. Pour Bottles
a. Solutions may be warmed no higher than 104 degrees Fahrenheit
for a period of no longer than 60 days.
b. The pour bottles must be labeled with the date to be removed from
the warming cabinet.
c. Once the plastic pour bottle containers have been warmed for 60
days, the containers must be removed from the warming device
and discarded.
G. Emergency Department
The warming cabinets in the three trauma rooms may be used for both linens and
fluids. These cabinets may be set no higher than 104 degrees Fahrenheit.

IV. UWHC CROSS REFERENCE

Warming Cabinet (Linen/Fluid) Temperature Log (see Related Resource on U-
Connect)

V. REFERENCE

Baxter – Informational Letter - Warming Fluids, July 2015

ECRI Institute (2009). Hazard report update. ECRI Institute revises its
recommendation for temperature limits on linen warmers. Health Devices, 38(7),
230-1.

VI. REVIEWED BY

Director, Nursing Quality & Safety
Nursing Education Coordinator, AFCH
Manager Surgical Services, Ed and Informatics
Nursing Patient Care Policy and Procedure Committee, September 2015

SIGNED BY

Beth Houlahan, DNP, RN, CENP
Senior Vice President Patient Care Services, Chief Nursing Officer