Checklist Measurement Of Body Temperature On Axilla.docx

CHECKLIST MEASUREMENT OF BODY TEMPERATURE ON AXILLA VALUE Rated aspect 0 Definition Check / measure the temperature on the axilla to determine the patient's body temperature. Purpose 1. Know the actual temperature of the patient's body. 2. Assess for possible interference with the patient, Where the body temperature can be used as one indicator of whether the disorder (disease) or not in the patient. Preparation a. tools : 1. Mercury thermometer 2. Nurse notebooks and stationery 3. Water Soap, water disinfectant and clean water 4. Tissue. 5. Handsoon. b. Patient : Provide information to patients, That measures the body temperature (In the axillary region) will be done. And if necessary, Ask patient consent for the action to be performed. c. Environment Conditioning the environment from things that can disrupt the course of activities Pre-interaction stage Intrapersonal communication

1

2

Orientation stage 1. Introduce myself 2. Build trust relationships. 3. Describes the purpose of the action to be performed. 4. Describes the procedure to be implemented. 5. Agree on the time to be used (if necessary). Stage of work 1. Adjust the patient's position (make sure the patient feels comfortable) 2. Open the patient's clothes (as needed, or until the axillary temperature can be measured). 3. Washing hands 4. Use handscoon 5. Determine the location of the axilla and clean the axillary area by using tissue 6. Lower thermometer temperature below between 34 ° C - 35 ° C. 7. Place the thermometer in the axillary area and the patient's arm with the flexion position above the chest (holding the chest) 8. After 3 - 5 minutes, lift the thermometer and read the result 9. Record the measurement results 10. Clean the thermometer with a tissue 11. Wash thermometer with soapy water, disinfectant water, rinse with clean water and dry. 12. Wash hands after procedure 13. Tidy the patient Termination stage 1. Ask the patient what is felt after the activity.

2. Summing up the results of the procedure performed. 3. Record the outcome of the action (eg on the patient record, as well as record the entire action result in the nursing record)

0 = Not done 1= Done but not complete / not perfect 2= Worked perfectly