11.13
评估体温：鼓膜
评估鼓膜温度涉及使用鼓膜温度计 (TMT)。以下是分步指南：
步骤1：首先进行良好的手部卫生，以防止微生物传播。
步骤2：打开体温计，等待屏幕上出现就绪标志，以确保测量准确。
步骤 3：将探头盖滑入到位以防止交叉污染。
步骤 4：指导患者将头偏向一侧以获得舒适感，并检查耳道内是否有耵聍积聚。耵聍会堵…
以下是一份使用鼓膜温度计评估体温的清晰简明指南。
第一步是手部卫生，这有助于防止微生物的传播。
接下来，从充电装置上取下温度计并将其打开。
现在插入探头套，以避免交叉感染。
指导患者将头部向一侧倾斜，并观察耳道内是否有耵聍积聚，因为这可能会阻碍探头的镜头盖。
对于成人，应将耳廓向上并向后牵拉，以拉直耳道。此方法可最大限度地暴露鼓膜。
为避免环境温度影响读数，应小心地将探头插入外耳道，以实现完全密封。
然后，按下扫描按钮，并保持探头位置不动，直至蜂鸣声提示扫描完成。
患者的体温将显示在显示屏上。
现在，取下探头保护套并丢弃
协助患者采取舒适体位，更换设备，并执行手部卫生。
最后，记录研究结果。
View the full transcript and gain access to JoVE Core videos
Q1: Why is hand hygiene important before assessing tympanic membrane temperature?
Hand hygiene prevents the spread of microorganisms to the patient and reduces cross-infection risk. Performing hand hygiene at the beginning and end of the procedure protects both the patient and healthcare provider, ensuring safe and hygienic temperature assessment throughout the vital signs evaluation.
Q2: How should you position the patient's ear for accurate tympanic membrane temperature measurement?
Instruct the patient to tilt their head to the side for comfort. For adults, gently pull the pinna up and back to straighten the ear canal, then insert the probe angling it toward the patient's jawline. This positioning provides maximum exposure of the tympanic membrane and ensures proper probe placement for accurate readings.
Q3: What should you check before inserting the thermometer probe into the ear canal?
Observe the ear canal for cerumen accumulation, which can obstruct the probe's lens cover and affect measurement accuracy. If cerumen is present, consider switching to the opposite ear. Always ensure the probe cover is in place to prevent cross-contamination before insertion.
Q4: What does the beep sound indicate during tympanic membrane temperature measurement?
The beep sound signals that the temperature measurement is complete. After pressing the scan button and maintaining the probe in position, the audible beep indicates the thermometer has finished reading, and the patient's temperature will appear on the display unit.
Q5: Why is achieving a proper seal important when inserting the thermometer probe?
A proper seal prevents ambient temperature from impacting the readings, ensuring accurate measurement. Carefully insert the probe into the external ear canal to achieve a perfect seal, which allows the thermometer to detect only the patient's tympanic membrane temperature without external environmental interference.
Q6: What steps should you follow after obtaining the temperature reading?
Remove the probe cover and discard it properly to prevent cross-contamination. Assist the patient to a comfortable position, replace the equipment in its charging unit, perform hand hygiene again, and document the findings in the patient's record to ensure accurate record-keeping and continuity of care.
Q7: When should you turn on the thermometer before measuring tympanic membrane temperature?
Turn on the thermometer after removing it from the charging unit and before sliding in the probe cover. Wait until the ready sign appears on the screen to ensure accurate measurement. This preparation step guarantees the device is functioning properly before patient assessment begins.