CHECKLIST MEASUREMENT OF BODY TEMPERATURE ON AXILLA

VALUE
Rated aspect
0 1 2
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
 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