Name: ___________________________
TEMPERATURE TAKING AXILLA
Definition: measuring a body temperature through the axilla is safe and noninvasive and is the preferred
site for measuring temperature in newborns. Axillary method is inaccurate as some research said.
Purpose/s:
To check for a fever.
Used for temperature that us higher than normal for the body.
Equipment:
Cotton balls with alcohol or alcohol wipes.
Tissues/wipes
Thermometer
Watch with a second hand or indicator.
Rationale:
Procedure
1. Assess the client’s physical condition. To be identified as the one to take temperature-
taking.
2. Assess for most appropriate site to check the Establishes parameters for client’s normal
temperature measurements, provides direction in device
selection and helps determine the site to use for
measurements.
3 Wash hands Reduces transmission of microorganisms.
4. Gather the equipment needed Facilitates organized assessment and
measurement.
5. Identify the client and explain the procedure To be sure you’re performing the procedure on
the correct client and to lessen anxiety and
promote cooperation.
6. Wipe the thermometer bulb with a twisting Prevent the spread of infection.
motion.
7. Switch on the thermometer. To be used for measurement.
8. Assist the client in a supine or sitting position. To promote comfort and facilitate the taking of
vital sign.
9. Raise the client’ arm away from the torso, to facilitate the reading of body temperatures
insert bulb into center of axilla, lower arm over and free the arm nearest to the nurse for the
bulb and place across client’s chest. reading of other vital sign.
10. Leave the thermometer in place until it Signal indicate final temperature reading.
beeps.
11. .Remove the thermometer and wipe off any To prevent the spread of infection.
secretion with a rotating motion.
12. Read the thermometer
13. Assist the client in replacing clothing or gown.
14.Wash hands. Hands are washed before and after every contact
with clients.
15.) Evaluate the temperature taken.
16. Record result in a graphing sheet.