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Vital Signs

This guide explores the various types of disposable thermometers, including their application for oral, tympanic, axillary, and rectal temperature readings. It emphasizes the importance of single-use thermometers in preventing infection, while outlining specific conditions under which oral temperatures should not be taken. Additionally, it highlights the proper techniques for using tympanic and axillary thermometers, as well as safety precautions for rectal measurements. Ensure accurate temperature assessment by understanding the factors that influence readings and following proper usage instructions.

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Vital Signs

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  1. Temperatures part 2 Vital Signs

  2. Disposable Thermometer

  3. Types of Thermometers • Disposable • Single use and usually individually wrapped • Usually a colored dot shows the temperature • Single use prevents infection • Depending on the type may be used for oral or axillary • Some may be laid across the child’s forehead

  4. Oral Temperatures • Should not be taken on a person who: • Is unconscious • Has had recent facial or oral surgery • Younger than 5 years old • Is confused • Is heavily sedated • Is coughing • Is being administered oxygen • Has facial paralysis • Has an NG tube

  5. Factors that Affect Oral Temperatures • Drinking • Eating • Smoking • Chewing Gum • Some mints • You should wait about 15 minutes after any of the above, before taking

  6. Tympanic • May take more practice to be accurate • May not be as common • Need to be set for adult or child • Position the resident’s head so that the ear is in front of you • Straighten the ear canal by pulling up and back on the outside edge of the ear • Insert the covered probe into the ear canal • Press the button • Hold the thermometer in place either for one second or until thermometer blinks or beeps • Read temperature • Dispose of sheath

  7. Tympanic

  8. Temporal Artery • Measures heat from skin over the temporal artery • Gentle stroke or scan across the forehead • Non-invasive

  9. Axillary – the armpit • Remove patient’s arm from sleeve of gown or top to allow skin contact with the end of the thermometer • Wipe Axillary area with tissues before placing the thermometer • Leave in place 8 to 10 minutes for glass and until beeps or blinks for digital and electronic • Remove from underarm and wipe glass thermometer with a tissue, use a tissue to remove sheath or press button to eject probe cover

  10. Rectal • Do not take if patient has a rectal injury or has had rectal surgery • Wash hands • Patient should be lying down and on their side • Put on gloves • Apply lubricant to thermometer • Expose rectal area only • Raise upper buttock with one hand • Gently insert 1 inch for glass and 1/2inch for electric

  11. Rectal • Hold thermometer to prevent thermometer from being drawn in, being pushed out, or patient turning onto it • Leave in place 3 minutes • Remove and wipe with a tissue or remove probe or condom • Read the thermometer • Position patient to comfort • Remove gloves • Wash hands

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