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do not take an oral temperature if the resident has smoked, eaten or drunk fluids, chewed gum, or exercised in the last 10-20 min
1. identify yourself and resident
2. wash your hands
3. explain procedure
4. provide for resident's privacy with curtain, screen, or door
5. put on gloves
6.
- digital thermometer: put on disposable sheath. turn on the thermometer and wait until the ready sign appears
- electronic thermometer: remove the probe from the base
unit. put on the probe cover
- mercury free thermometer: hold the thermometer by the stem. before inserting it in the resident's mouth, shake thermometer down to below the lowest number (at least below 96F or 35C). to shake the thermometer down, hold it at the end opposite the bulb with the thumb and two fingers. with a snapping motion of the wrist, shake the thermometer. stand away from the furniture and walls while doing so.
7.
- digital thermometer: insert the end of the thermometer
into the resident's mouth, under the tongue and to one side
- electric thermometer: insert the end of the thermometer into the resident's mouth, under the tongue and to one side
- mercury free thermometer: put on disposable sheath if available. insert bulb end of the thermometer into the resident's mouth, under the tongue and to one side
8. for all thermometers: tell the resident to hold the thermometer in her mouth with her lips closed. assist as necessary. resident should breath
through their nose. ask them not to bite down or talk
- digital thermometer: leave in place until the thermometer blinks or beeps
- electronic thermometer: leave in place until you hear a tone or see a flashing or steady light
- mercury free thermometer: leave in place for at least 3 min
9.
- digital thermometer: remove the thermometer. read the temperature on the display screen. remember the temperature reading
- electronic thermometer: read the temperature on the display
screen. remember the temperature reading. remove the probe
- mercury free thermometer: remove the thermometer. wipe it with a tissue from stem to bulb or remove the sheath. hold the thermometer at eye level. rotate until the line appears, rolling the thermometer between your thumb and forefinger. read the temperature. remember the temperature reading
10.
- digital thermometer: using a tissue, remove and discard the sheath. replace the thermometer in the case
- electronic
thermometer: press the eject button to discard the cover. return the probe to the holder
- mercury free thermometer: clean thermometer according to facility guidelines. rinse with clean water and dry. return it to case
11. remove and discard gloves
12. wash your hands
13. immediately record the temperature, date, time, and method used (oral)
14. place call light within reach
15. report any changes in resident to the nurse