Axillary temps; how accurate/inaccurate are they?

Nurses General Nursing

Published

The reason I ask that is that this morning I had a gentleman present that was C/O SOA and stated he had been coughing for 2 weeks. His oral temp was 98.8 but he felt hot to touch so I took an axillary temp just to get a ballpark figure on how high it was. The patient had been drinking water prior to oral temp too. Well, the axillary temp was 102.7. Thinking that I had done a good thing, I told the ER doc my findings. You would have thought I was the dumbest person in the world! He began to rant at me that that was NOT an accurate temperature and to get an oral temp. I told him that the patient was drinking water and that I would be glad to get a rectal temp, but he just ranted that I needed to keep this thirsty gentleman NPO until an ACCURATE temp orally could be taken. Needless to say I documented the temps, reporting it to the doc and the fact that he wanted the patient NPO, and did not want a rectal temp at this time. SHEESH!!!! BTW, an oral temp was taken a half hour after the patient had been made NPO, and was still only 99.7. When I reported off to my relief I told her what had happened etc so she would know what was going on if the doc started ranting again.

When my mom was in the hospital and had a temp, they always took her temp axillary. So, how do you take temps where you work? Thanks for letting me vent.

Pam

Specializes in Med-surg; OB/Well baby; pulmonology; RTS.

We usually do oral temps but if we have a someone who is doing the open mouth breathing thing or very confused, we do an axillary temp and chart that it is axillary.

It seems to me that with some people, an axillary would be more accurate just in the sense you have better control of the probe with an axillary than an oral. Once they close their mouth, there's no telling where the probe goes!!

Well, I work in Developmental/Disabilities so I take my temps rectal. One of our doctors prefers the rectal anyway.

Just a note on tympanic temps...I don't like tympanic. I never get an accurate reading that way. If the ear has wax in it, you won't get a good temp.

I got chewed out by a client's father once, who happens to be a physician himself, for taking a rectal temp on his daughter! And he is not on our staff of physicians anyway, and when OUR doctor found out about him chewing me out, HE ordered all temps be taken rectal anyway! What an @$$hole that man was. {Still is matter of fact.} lol So whether he likes it or not, his daughter gets rectal temps.

The people we take care of are adults....just developmentally disabled.

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