How To Take The Four Main Vital Signs A manual for UF Health Family Medicine Nurse Assistants By: Lauren Golom Vital Signs The four main vital signs taken at any doctor’s visits, emergency centers, or even at home are body temperature, pulse rate, respiration rate, and blood pressure. Measuring vital signs allows any professional to detect health issues or various medical problems and any person to be aware of his or her medical health. Body Temperature Body temperature is taken to make sure the body is doing it’s job of regulating the ideal temperature for certain processes to continue successfully in the body. When the outside temperature gets too hot or too cold, our bodies have ways to keep our internal temperature in a safe range, such as sweating and shivering. A normal body temperature is 98.7°F or 37°C. There are a few different ways to take the temperature of a patient. The most common, and the one we will explain, is oral temperature. Materials: Oral Thermometer, plastic caps, a pair of gloves 1. Put on gloves before proceeding with any steps. 2. Take oral thermometer and turn it on by pressing the ON/OFF button. 3. Explain to your patient that you need to take their temperature to make sure they are not running a fever. 4. Once the thermometer is turned on, ask your patient to sit in an upright position and relax. 5. Take the metal probe at the end of the thermometer and insert it into a plastic cap. SAFETY HAZARD: Do NOT put the uncovered probe into a
I am writing to express my interest in admittance to the South University Family Nurse Practitioner program for fall of 2016. This program came highly recommended to me by a professional colleague who is currently precepting students enrolled in this program. I have been a registered nurse for eleven years and have recently received my bachelor’s degree in nursing from Daytona State College _______. I have earned an extensive amount of experience in several different fields of nursing such as, emergency medicine, intensive care, pediatrics, woman’s health, and mental health. I am eager to incorporate my experience into a practitioner role of diagnosing and disease process.
On the other hand, the rectal thermometer is placed in the rectum of a pediatric patient which can be time consuming and uncomfortable. The researchers of this study used the two types of thermometers to measure the body temperature of each patient simultaneously.Statistical analysis was used to compare temperature readings from the two types of thermometers to determine if they had different accuracies. Based on the findings, the rectal
Gathering observations of patients is a vital task that all Nurses must complete on a regular basis, they include Blood pressure, respiration rate, pulse, temperature and oxygen saturation. The information gathered from the observations enable for warnings when a patient is deteriorating
Because body temperature is usually lower in older adults, a nursing assistant must know the “normals” for not only an adult who is younger than sixty-five years of age, but also an older adult who is older than sixty-five years of age. For an adult under the age of sixty-five, a normal oral temperature ranges from 97.6 to 99.6 degrees Fahrenheit; a normal rectal from 98.6 to 100.6; a normal axillary from 95.3 to 98.4; and a normal tympanic from 96.6 to 99.7 (American National Red Cross, 2013). For an adult over the age of sixty-five, these “normals” are slightly lower. A normal oral temperature ranges from 96.4 to 98.5 degrees Fahrenheit; a normal rectal from 97.1 to 99.2; a normal axillary from 96.0 to 97.4; and a normal tympanic from 96.4 to 99.5 (American National Red Cross, 2013). Additionally, because older adults’ arteries have lost some of their elasticity and cannot constrict quickly, and because this may lead to orthostatic hypertension, it is important for nursing assistants and nurses to measure older adults’ blood pressures both when they are in a seated or supine position as well as when they are standing up (American National Red Cross,
This device differs from previously discussed models in terms of the method of temperature measurement. The LifeMonitor relies on a core temperature capsule, VitalSense, that is ingested and transmits readings to the sensor electronics module (SEM) in real-time (Figure 3). This device has recently been replacing the current tympanic thermometer used by firefighters to reduce the risks such as cardiac arrest. In a study by McKenzie & Osgood (2004) the accuracy of the VitalSense system was measured against that of a rectal thermometer as comparison. The observed level of agreement between the two devices (0.04 ºC) suggests that the VitalSense is a viable alternative to consider for measurement of core temperature. However, the core temperature was not recorded on several occasions due to an inactive capsule. The transit time of the capsule varied from 0.52 to 5.6 days therefore requiring many capsules for use throughout cold winter months which would be very
The normal body temperature of a person should range from 97.8 to 99 degrees F. A person’s body temperature can be taken in any of these ways; orally (mouth), rectally (rectum), axillary (armpit), by ear, and by skin. Body temperature can be abnormal due to fever (high temperature) or hypothermia (low temperature). A fever is indicated when the body
The oral route is convenient however, inaccurate results can occur if the client consumed hot or cold foods or fluid or smoked before the measurement. The nurse should wait at least 30 minutes before obtaining the oral temperature.
It is important to measure the patient’s blood pressure at rest with the arm at the heart level or with the patient lying in the left lateral position to get an accurate reading. It is also important to monitor for weight gain and edema in a patient with suspected preeclampsia (Uzan, Carbonnel, Piconne, Asmar, & Ayoubi, 2011).
Body Temperature: The average body temperature is 98.6 degrees Fahrenheit, but normal temperature for a healthy person can range between 97.8 to 99.1 degrees Fahrenheit or slightly higher. Body temperature is measured using a thermometer inserted into the mouth, anus, or placed under the armpit. Body temperature can also be measured by a special thermometer inserted into the ear canal.
Health care professionals learn the units of measurement to help understand taking vital signs, scheduling appointment for patients, dosage to give patient, reading prescriptions, and even how to read the instruments that are used to measure. “An example would be to read an instrument that measures temperature, one would be a nondigital thermometer. The nondigital thermometer long lines stands for one degree Fahrenheit and the small lines are 0.2 degrees each. An example to read a blood pressure gauge, each large line equals 10 mm Hg (millimeters of mercury) and each small line stands for 2mm Hg. Taking vital signs such as blood pressure, respiration, pulse, height, weight, and temperature are important in a patient’s chart.” (Chan, P. a.)
Among many people, fever is commonplace while sick. This is especially true of pediatric patients who develop fevers at the slightest indication of infection. 20% of emergency room visits for children are due to an elevated temperature. (Fortuna et al., 2010 p. 103) A rectal temperature above 100.4°F is considered to be fever. The preferred method of obtaining an accurate temperature reading is rectally, as this gives the most precise core temperature reading. In some patients however, rectal thermometry is contraindicated and an alternative method of measuring their temperature is needed. Not many alternatives currently exist to give as accurate of a core temperature reading as the rectal thermometer. The research article I chose to
It is unusual to include patients as young as 16. In the US, the age of majority, required for consent without a parent is 18, as is the formal definition of “adult.” 18 is a very commonly used definition of "adult" in the medical literature, so it is unusual to use a different definition. The use of standardized body temperature was good, but their choice to use axillary temperatures is a concern. This is the least accurate method for measuring a body temperature. Oral temperatures may be obstructed by mechanical ventilation and rectal temperatures would require moving patients who may have interventions making this dangerous, however, an otic or
It is important that you introduce yourself to the patient, confirm their identity and explain the procedure you are about to undertake so they have opportunity to ask any questions they may have. It is important to build a rapport with your patient so they feel comfortable around you. It is essential that they understand what is going to happen so they are able to give informed consent. When taking a patient’s BP you must advise them that they may feel discomfort in their arm but that is normal and that it does not take long. As with all clinical procedures, you must wash your hands before and after dealing with a patient. It is also important that you select the correct cuff size for your patient as an incorrect cuff size will not provide
At one time in our life, we have all had it done, at a doctor’s office or at home. While the process has gotten easier over the years, it is still intrusive. For some of us, it is a reminder of some traumatizing childhood memories, of past temperature taking techniques. In 2016, that has all changed to a non-intrusive, painless, and non-traumatizing experience with the introduction of the Withing’s “Thermo” Smart Temporal Thermometer.
The normal body temperature is 97 to 100 degrees Fahrenheit. Any influence of extreme environmental conditions, intense exercise, disease or infection that allow the body temperature to waver from the normal core temperature can affect thermoregulation. Hypothermia occurs when the body temperature decreases below 97 degrees, hyperthermia is when body temperature is in excess of 100 degrees. The ideal goal for all ages would be normothermia, which is the normal range of 97 to 100 degrees Fahrenheit.