Axillary measurement

Procedure	Rationale
Wash hands using effective techniques	To prevent cross-infection
Collect appropriate equipment	Remember that only electronic or mercury thermometers are suitable for axillary measurement
Hold mercury thermometer at eye level, rotating slightly to ensure mercury line is visible. Check mercury is low enough to record the temperature. If not, shake it down in a downward direction, taking care not to hit any nearby objects	For accuracy of measurement To prevent breakage
Explain procedure and ensure client has understood	Promotes client co-operation and informed consent
Screen the bed or close door. Assist client to comfortable position and move clothing away from shoulder	Promotes comfort, maintains client’s privacy, prevents embarrassment, exposes axillary area
Place the thermometer in the centre of the client’s axilla	To ensure good contact with the skin when the arm is lowered
Rest the client’s arm across the chest, advising them to remain as still as possible	To avoid thermometer moving out of position
Leave in position until electronic thermometer signals, or 7–8 minutes for mercury thermometers	To ensure accuracy of measurement
Remove thermometer, read and record result, noting any significant changes	To ensure continuity of care and meet legislative requirements
Remove disposable cover and clean thermometer, adhering to local policy	To prevent cross-infection
Report any abnormal findings	To ensure client receives appropriate care