10/30/12

Assessing Rectal Temperature

1. Adjust the bed to a comfortable working height, usually elbow height of the care giver (VISN 8 Patient Safety Center, 2009). Put on nonsterile gloves.

2. Assist the patient to a side-lying position. Pull back the covers sufficiently to expose only the buttocks.

3. Remove the rectal probe from within the recording unit of the electronic thermometer. Cover the probe with a disposable probe cover and slide it into place until it snaps in place.

4. Lubricate about 1 inch of the probe with a water-soluble lubricant.

5. Reassure the patient. Separate the buttocks until the anal sphincter is clearly visible.

6. Insert the thermometer probe into the anus about 1.5 inches in an adult or 1 inch in a child.

7. Hold the probe in place until you hear a beep, then carefully remove the probe. Note the temperature reading on the display.

8. Dispose of the probe cover by holding the probe over an appropriate waste receptacle and pressing the release button.

9. Using toilet tissue, wipe the anus of any feces or excess lubricant. Dispose of the toilet tissue. Remove gloves and discard them.

10. Cover the patient and help him or her to a position of comfort.

11. Place the bed in the lowest position; elevate rails as needed.

12. Return the thermometer to the charging unit.

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