V the axilla is appropriate for temperature

This preview shows page 16 - 19 out of 22 pages.

v.The axilla is appropriate for temperature measurement of most adults and children, including infants. However, this site is not as accurate as theothers and does not reflect core body temperature.vi.Steps:1.Provide privacy and explain the procedure to the patient.2.Assist the patient to a sitting position and move the bed linens, gown, or other clothing to expose the patient’s axilla. Dry the axilla, if needed.3.Place the covered temperature probe under the patient’s arm in the center of the axilla.4.Leave the thermometer probe in place until the audible signal indicates that the temperature has been measured. 5.Discard the disposable cover and document the results.vii.A tympanic thermometer:1.Cover the tip at the external opening of the disposable plastic sheath. Place the covered tip at the external opening of the ear canal, and wait 2 to 5 seconds after you press the scan button for the temperature display.2.To obtain an accurate temperature, it is important to place the probe at the proper angle for sealing the ear canal.
viii.Steps:1.Provide privacy and explain the procedure to the patient.2.Gently push the disposable plastic cover over the tip of the electronic thermometer until the cover locks into place.3.Gently pull the pinna, also called the auricle, back, up, and out, and insert the tip of the covered thermometer probe into the patient’s ear canal.4.Leave the thermometer in place in place until the audible signal indicates that the temperature has been measured.5.Discard the disposable cover and document the results.ix.A temporal thermometer is a hand-held device with a round, rubber-like probe on the end that measures skin temperature over the temporal artery.1.While pressing the scan button, hold the probe flat against the forehead while moving it gently across the forehead over the temporal artery, and then touch the skin behind the earlobe.2.Release the scan button to display the temperature reading.3.Use disposable probe covers or clean the probe with a disinfectant wipe between patients.x.Steps:1.Provide privacy and explain the procedure to the patient.2.Remove the protective cap and wipe the lens of the scanning device with an alcohol swab to make sure it is clean.3.Position the probe flat on the center of the patient’s forehead at midpoint between the hairline and the eyebrow.4.Press the scan button and slowly slide the thermometer across the forehead and just behind the ear.5.Release the scan button and read the display.b.Heart Rate i.Assessment on how adequate the heart pumps blood to the body ii.Rate: fast or slowiii.Rhythm can be regular or irregular iv.Quality: can be faint, normal, strong, bounding v.Places Assessed 1.Carotid 1 at a time 2.Radial3.Brachial4.Femoral 5.Popliteal6.Posterior Tibialis 7.Dorsalis Pedis 8.Monitor or telebox if applicable 9.Apical Pulse: most accurate, found at the 5th intercostal space L.
sternal bordervi.Range: 60-100 beats vii.To Assess: 1.Palpate the pulse with first 2 fingers 2.

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture