We use rectal for children unable to cooperate with oral temps (usually
around 3-4 years of age) and axillary for patients on neutropenic
precautions. Otherwise it's oral temps.
Terri Brown MSN, RN, CEN, CPN
Texas Children's Hospital
> -----Original Message-----
> From: Charles J. Graham [SMTP:[log in to unmask]]
> Sent: Monday, December 27, 1999 9:26 PM
> To: [log in to unmask]
> Subject: How do you take temperatures?
> We have used tympanic thermometers in our peds ED for the past several
> years, but the medical staff here has become very frustrated with them as
> we've had numerous patients with very spurious readings. I had a baby
> sickle cell (8 mo old) who had a tympanic temp of 37.1 C, we asked for a
> rectal temp because he felt hot and his rectal temp was 39 C. We've had
> several, several such cases. Our biomed dept has repeatedly calibrated
> tympanic thermometers, etc but to no avail.
> Because of our frustration, we're reconsidering our method of taking
> temperatures in our pediatric ED. I was wondering what methods were being
> used in other pediatric EDs. Do you check tympanics, rectals, etc.? How
> old before using an oral temp?
> James Graham MD
> Associate Medical Director, Peds ED
> Arkansas Children's Hospital, Little Rock
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