1. Vital Signs: Temperature ORAL AND AXILLARY

2. Oral Temperature  Taken in the mouth, close to blood vessels under tongue  Most common, convenient, & comfortable method  Pt cannot eat, drink, or smoke for at least 15 min before measuring  Average oral temp = 98.6 F (37 C)  Normal oral range = 97.6 F – 99.6 F (36.5 C - 37.5 C)

3. Oral Temperature  Can be taken with electronic or clinical thermometers 1.Electronic thermometers Oral use blue tip (red tip for rectal) Can use disposable plastic cover to prevent contamination Ensure batteries are not low-can lead to inaccurate reading

4. Oral Temperature

5. 2.Clinical thermometers aka glass thermometers Slender glass tube containing mercury or alcohol with red dye, which expands when exposed to heat Can use disposable plastic cover or sheath to prevent contamination Each long line is read as 1 degree Each short line is read as 0.2 (two-tenths) of a degree Long tip – see blue text book page 323 Security tip – see blue text book page 323

6. Oral Temperature

9.  Contraindications to taking oral temp: Pt is unable to hold thermometer in their mouth (young child) Pt might bite thermometer accidentally (seizures, uncooperative pt, shivering, mouth breather, suffered head trauma)

10. Oral Temperature with Clinical Thermometer  Introduce yourself, identify pt, explain procedure, wash your hands  Follow standard precautions  Hold thermometer securely to avoid breaking  Read thermometer to be sure it reads 96 F or lower  Check for chips or breaks – don’t use if they are present  Pt should hold in place with lips, caution pt not to bite it  Leave in place 3-5 minutes

11. Oral Temperature with Clinical Thermometer  After removing from pt’s mouth, turn sheath inside out to prevent contamination  Hold thermometer at eye level and rotate until you see silver bar, then read where the bar ends  Do not hold the bulb end when reading result – warmth of your hand can alter the reading  If result is less than 97 F, reinsert in pt’s mouth for another 1-2 minutes

12. Oral Temperature with Clinical Thermometer  To record result, indicate degree of temperature and appropriate unit of measurement (degrees F or C), method (route) is not needed with oral temperature  Report to your supervisor any findings that are a significant change from previous result or outside normal range

13. Oral Temperature with Electronic Thermometer  Introduce yourself, identify pt, explain procedure, wash your hands  Follow standard precautions  Use probe covers or plastic sheath  Keep thermometer in mouth until it signals the temperature has been reached  Discard cover or sheath  Read and record result

14. Oral Temperature with Electronic Thermometer  To record result, indicate degree of temperature and appropriate unit of measurement (degrees F or C), method (route) is not needed with oral temperature  Report to your supervisor any findings that are a significant change from previous result or outside normal range

15. Axillary Temperature  Can be taken with electronic (blue tip) or clinical thermometers  Taken under the upper arm between two folds of skin  Taken in the armpit=axilla  Abbreviated Ax  Can also be taken in groin between two folds of skin formed between inner part of thigh and lower abd

16. Axillary Temperature  Ax and groin temp are external temps so less accurate  Average Ax temp = 97.6 F (36.4 C)  Normal Ax range = 96.6 F – 98.6 F (36 C – 37 C)

17. Axillary Temperature  Introduce yourself, identify pt, explain procedure, wash your hands  Follow standard precautions  Hold thermometer securely to avoid breaking  If glass-Read thermometer to be sure it reads 96 F or lower  If glass-Check for chips or breaks – don’t use if they are present  Use a towel to pat armpit dry since moisture can alter temperature reading

18. Axillary Temperature  Do not rub armpit hard, it can alter the temperature  Raise pt’s arm and place bulb end of thermometer in the hollow of the axilla  Bring arm over the chest and rest hand on the opposite shoulder  Leave in place 10 minutes for glass or until it signals for electronic  If glass-Hold thermometer at eye level and rotate until you see silver bar, then read where the bar ends  If glass-Do not hold the bulb end when reading result – warmth of your hand can alter the reading

19. Axillary Temperature  To record result, indicate degree of temperature and appropriate unit of measurement (degrees F or C)  Also record Ax after the result to indicate it is an axillary temperature  Do not add a degree when recording the result  Report to your supervisor any findings that are a significant change from previous result or outside normal range