356 Chapter 16 Temporal Artery Thermometers Temporal artery thermometers use the surface temperature of the temporal arteries on either side of the head to measure body temperature (Figure 16.12). The device is swept across the forehead to read the resident’s temperature. This type of temperature is often more accurate than an oral temperature because it is not affected by what a resident eats or drinks. Using a Tympanic Thermometer—Digital (continued) 23. Document the temperature on a pad, form, or in the electronic record. 24. If the resident is in bed, check to be sure the bed wheels are locked. Then reposition the resident and lower the bed. 25. Follow the plan of care to determine if the side rails should be raised or lowered. 26. Return the thermometer to a charging location per facility policy. Follow-Up 27. Make sure the resident is comfortable and place the call light and personal items within reach. 28. Conduct a safety check before leaving the room. The room should be clean and free from clutter or spills. 29. Wash your hands or use hand sanitizer before leaving the room. Reporting and Documentation 30. Report any specific observations, complications, or unusual responses to the licensed nursing staff. Images courtesy of Wards Forest Media, LLC Michael Dechev/Shutterstock.com Figure 16.12 Temporal artery thermometers measure the temperature of the temporal arteries on either side of the forehead. Procedure Using a Temporal Artery Thermometer—Digital Rationale The temporal artery thermometer, used on the forehead, can also be used to take a temperature. This thermometer is less invasive than others because it does not need to enter a body cavity. Always follow the thermometer manufacturer’s instructions and facility policy. Preparation 1. Ask the licensed nursing staff how this procedure fits into the plan of care, if there are doctor’s orders for the procedure, if there are any special instructions or precautions, and if the resident can be moved into the positions required for this procedure. 2. Wash your hands or use hand sanitizer before entering the room. 3. Knock before entering the room. 4. Introduce yourself using your full name and title. Explain that you work with the licensed nursing staff and will be providing care. 5. Greet the resident and ask the resident to state his full name, if able. Then check the resident’s identification bracelet. 6. Use Mr., Mrs., or Ms. and the last name when conversing. 7. Explain the procedure in simple terms, even if the resident is not able to communicate or is disoriented. Ask permission to perform the procedure. 8. Bring the necessary equipment into the room. Place the following items in an easy-to-reach place: • a temporal artery thermometer • a pen and pad, form, or digital device for documenting the temperature The Procedure 9. Provide privacy by closing the curtains, using a screen, or closing the door to the room. 10. If the resident is in bed, lock the bed wheels and then raise the bed to hip level. 11. Ensure safety during the procedure. If the resident is in a bed with side rails, raise and secure the rails on the opposite side of the bed from where you will be working. Lower the rail on the side you are working. Copyright Goodheart-Willcox Co., Inc.