Take An Axillary Temperature: Standar Operational Procedure

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NAME : LUTHFIANA EKWINA SAFIRA

STUDENT NUMBER : P07120217025

STANDAR OPERATIONAL PROCEDURE


TAKE AN AXILLARY TEMPERATURE
DEFINITION
Measuring body temperature use axillary thermometer which put in middle of armpit.
EQUIPMENTS
- Axillary thermometer
- Small towel or tissue (for dry the thermometer)
- Bowl contain soap water
- Bowl contain clean water
- Bowl contain desinfectan liquid
- Waste container
- Pencil or bolpoint
PREPARATIONS OF PATIENT
Explain to patient about the purpose and the procedure
PREPARATIONS OF NURSE
Wash hands
PROCEDURE
1. Drawn near equipment to patient
2. Arrange position of patient sit or supinasi
3. Open the clothes from shoulder until up arm
4. Dry patient’s armpit use small towel
5. If thermometer put in desinfectan liquid, before using input thermometer into bowl
contain clean water, then dry using tissue from middle to tip of thermometer as
twirled
6. Read the height of mercury in thermometer. If upper 35oC, degraded mercury by hold
on tip of thermometer strongly and keep away from hard object. Then shaky quickly
from up to down until the height of mercury under 35oC.
7. Set thermometer until reservoir part in middle of armpit
8. Assure thermometer touched surface of skin
9. Crosswise patient’s hand to chest
10. Wait 5-10 minutes (for children 5 minutes and for adult 10 minutes)
11. Take thermometer and dry thermometer from middle to tip of thermometer as twirled
12. Read the result of measurement a line with nurse’s eyes
13. Clean thermometer use soap water, then put into clean water after that dry using tissue
14. Degrade the height of mercury in thermometer until scale under 35oC and return in
container or put into desinfectan liquid
15. Inform the result of measurement to patient
16. Neaten patient’s clothes
17. Neaten the equipment and environment
18. Wash hands
19. Evaluation respond the patient
20. Documentation the result by make graphic or curve in page of medical record
correctly.

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