Goal: The patient’s temperature is assessed accurately without injury and the patient experiences only minimal discomfort.
1. Check medical order or nursing care plan for frequency of measurement and route. More frequent temperature measurement may be appropriate based on nursing judgment.
Bring necessary equipment to the bedside stand or overbed table.
2. Perform hand hygiene and put on PPE, if indicated.
3. Identify the patient.
4. Close curtains around bed and close the door to the room, if possible. Discuss the procedure with patient and assess the patient’s ability to assist with the procedure.
5. Ensure the electronic or digital thermometer is in working condition.
6. Put on gloves, if appropriate or indicated.
7. Select the appropriate site based on previous assessment data.
8. Follow the steps as outlined below for the appropriate type of thermometer.
9. When measurement is completed, remove gloves, if worn. Remove additional PPE, if used. Perform hand hygiene. Measuring a Tympanic Membrane Temperature
10. If necessary, push the “on” button and wait for the “ready” signal on the unit.
11. Slide disposable cover onto the tympanic probe.
12. Insert the probe snugly into the external ear using gentle but firm pressure, angling the thermometer toward the patient’s jaw line. Pull pinna up and back to straighten the ear canal in an adult.
13. Activate the unit by pushing the trigger button. The reading is immediate (usually within 2 seconds). Note the reading.
14. Discard the probe cover in an appropriate receptacle by pushing the probe-release button or use rim of cover to remove from probe. Replace the thermometer in its
charger, if necessary.
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