1 00:00:15,160 --> 00:00:24,600 Before I take the patient's temperature I am going to decontaminate or clean our equipment 2 00:00:24,600 --> 00:00:29,120 so I am going to do that with some hard surface wipes so please be aware of wherever you are on placement 3 00:00:29,120 --> 00:00:33,040 or in practice, that you follow local policy. 4 00:00:33,040 --> 00:00:46,000 Taking the tympanic and wiping it over well and this helps prevent cross contamination, it is an infection control measure. 5 00:00:46,000 --> 00:00:55,160 I am just going to place that down on the table to dry off the excess alcohol and the wipe to go straight in the bin. 6 00:00:58,960 --> 00:01:05,040 We are going to take the patient's temperature tympanically so that is via the ear. 7 00:01:05,040 --> 00:01:10,760 With the device that I am using we are going to use disposable sheathes 8 00:01:10,760 --> 00:01:17,480 which we pop on the probe top where the temperature gauge is going to sit in the ear 9 00:01:17,480 --> 00:01:23,680 this is an infection control measure as well and it is a one use sheath, 10 00:01:23,680 --> 00:01:28,080 So once we have taken the temperature it is disposed of immediately. 11 00:01:28,080 --> 00:01:33,640 We are already set up and we are going to take the temperature of the patient. 12 00:01:36,160 --> 00:01:43,160 Okay, so, to take the patient's temperature on this device that I am using, we need to turn the device on 13 00:01:43,160 --> 00:01:48,960 it does a little, mini check then it brings up the last temperature it took 14 00:01:48,960 --> 00:01:55,760 it then goes to a screen with three dots or lines on it which means that it is ready to take the temperature. 15 00:01:55,760 --> 00:02:02,480 So we have gained the patient's consent and we go to the ear, we lift an ear up 16 00:02:02,480 --> 00:02:06,720 which is the muscly bit if you like around the ear. 17 00:02:06,720 --> 00:02:14,720 We are going to hold firmly but not too tight so we are not pinching or causing discomfort in any way. 18 00:02:14,720 --> 00:02:22,160 This allows the ear canal to become straighter and it is easier for you to insert the probe. 19 00:02:22,160 --> 00:02:30,720 So the probe is inserted and it is nice and firm in the ear and we press the temperature button on the probe. 20 00:02:30,720 --> 00:02:36,160 It then alarms, or bleeps to say that it has taken the temperature and there is a reading there. 21 00:02:36,160 --> 00:02:43,840 And then at this point I take the probe cover off. 22 00:02:43,840 --> 00:02:51,000 Okay and from there we say thank you to the patient and we move onto document the reading on the news chart. 23 00:02:51,000 --> 00:02:56,480 We have taken the temperature of the patient and we have noted what it is on the screen of the thermometer 24 00:02:56,480 --> 00:03:01,360 it has now switched itself off because it has been within that two minutes. 25 00:03:01,360 --> 00:03:08,880 So we are moving onto the news chart now to record and here on the news chart we already have some observations recorded 26 00:03:08,880 --> 00:03:15,520 which are within normal limits and we know that because it is within the white areas of this chart. 27 00:03:15,520 --> 00:03:22,840 So we move down chart here to the temperature and because it recorded low, because it was a mannequin 28 00:03:22,840 --> 00:03:25,400 and we are not going to get a temperatue 29 00:03:25,400 --> 00:03:27,680 I am still going to mark it on the cart as that 30 00:03:27,680 --> 00:03:37,080 and because it is below 35° it scores a 3 on its own and therefore immediate attention needs to be drawn to that 31 00:03:37,080 --> 00:03:39,680 and medical intervention done. 32 00:03:39,680 --> 00:03:46,360 I have scored it here on the news chart and I have also dated and signed the news chart 33 00:03:46,360 --> 00:03:55,080 and that is my accountability for recording those observations and carrying those observations out. 34 00:03:55,080 --> 00:04:03,600 It is important that the patient's name is on top of the chart along with local policy numbers 35 00:04:03,600 --> 00:04:09,480 that could be a date of birth, a national insurance number or a unit number 36 00:04:09,480 --> 00:04:14,080 so make sure that you are documenting that clearly as per policy.