Pediatrics‎ > ‎

Radiant Warmer

Assess the infant's need for a radiant warmer.

  1. Check availability of the warmer equipment.
  2. Assess the warmer for cleanliness.
  3. Position the warmer and lock its wheels into place.
  4. Plug the warmer into an emergency (red) outlet or designated outlet per institutional policy. Turn on.
  5. Pre-warm the warmer with clean linens in place.
  6. Plug a skin thermistor probe into the proper receptacle on the warmer.
  7. Perform hand hygiene.
  8. Verify the patient's identity using two patient identifiers in accordance with institutional policy.
  9. Lower one side panel of the warmer and place the infant on the center of the warmer's mattress.
  10. Place the side panels in the upright position.
  11. Position the skin probe and cover with a reflective self-adhesive disk.
  12. During supine positioning, place probe on the fleshy right upper quadrant (RUQ) of the infant's abdomen.
  13. During prone or side-lying positioning, place the probe on either of the infant's flanks.
  14. Read the skin temperature from the temperature gauge on the heater unit. If it registers below the set point of 97.7°(36.5° C) as a baseline, the heater should be on in an effort to raise the infant's temperature to the set point. Check the heater's indicator light or dial. If the heater is not on, check all connections and troubleshoot per manufacturer's instructions. Apply infant's hat if not already in place.
  15. Perform hand hygiene.
  16. Monitor the infant's axillary temperatures every 30 minutes to 1 hour until stable, adjusting servocontrol as necessary. When the infant's temperature has stabilized, monitor every 3 to 4 hours or as MD ordered.
  17. Monitor the position of the probe.
  18. Wean the infant from the radiant warmer to an incubator or open crib per the practitioner's orders.
  19. Document the procedure in the patient's record.