Thermometry
Требуемые условия завершения
Authors: Poplavets E.V.
Editor: V.V. Rednenko
Equipment for the practical skill:
- Electronic thermometer in a plastic case
- Gauze pads
- Towel
- Robot-patient / Patient
- Patient observation sheet (temperature sheet)
- Pen (with a blue shaft)
- Antiseptic solution "Ultracid"
Description of the clinical situation:
You are a nurse in the therapy department. A patient with a diagnosis of "Acute bronchitis" was admitted to the department. Take thermometry and interpret the results.
The order of the skill:
Preparatory stage:
- Introduce yourself and identify the patient (ask for the last name, first name, patronymic, date of birth (age))
- explain to him the purpose and course of the upcoming procedure
- get verbal informed consent
- assess the patient's condition.
- Patient position: lying on your back.
Main stage:
- Perform hygienic handrub
- Wear non-sterile gloves
- Examine the patient's armpit for inflammation
- If the skin of the armpit is moist, dry it with a towel
- Take the thermometer out of the case
- Check the integrity of the thermometer before use
- Switch on the thermometer with the corresponding button
- Place the thermometer in the armpit and ask the patient to press the shoulder against the chest
- Position the thermometer so that the temperature sensor is completely covered by the skin
- Measure the temperature for at least 5 minutes
- Remove the thermometer, measure your body temperature
- Record measurement data in a temperature sheet
- Turn off the thermometer
Final stage:
- Wipe the body and the measuring sensor of the thermometer twice with a napkin moistened with the Ultracid antiseptic solution
- Dry the thermometer with a dry cloth
- Place the thermometer in the case and place in storage
- Take off your gloves
- Dispose of them
- Carry out the registration of the research result in the observation sheet (temperature sheet):
-
- Check (specify) the name of the patient
- In the appropriate box, indicate the date of the study
- Indicate the day of illness
- Determine the price of division in the column "T" (temperature) (the price of division is 2 beats per minute)
- Use a blue pen to mark the measurement results according to the date and time of the study (morning or evening)
- Connect the line with the results of previous measurements (if any).
- Organize your workplace
Последнее изменение: воскресенье, 21 февраля 2021, 19:31