Susan, You bring up an excellent point and I have struggled with this as well.
I have never been a fan of axillary temps and I think that if there is a suspicion of infection present then a reliable method should be employed per policy. I believe that each method has a WNL reference range, and these should be correlated to a standard that makes the SIRS screen meaningful Thanks, Mary Ann Barnes-Daly, RN BSN CCRN DC Regional Clinical Initiative Lead-Sepsis and ICU Liberation (ABCDE) Gordon and Betty Moore Foundation Grant Sutter Health Sacramento- Sierra Region Mobile: 916.200.5604 Office: 916.887.7084 E-mail: [email protected]<mailto:[email protected]> Assistant: Ruby Dulay 916-887-7086 [email protected] [cid:[email protected]] You never change things by fighting the existing reality. To change something, build a new model that makes the existing model obsolete. R. Buckminster Fuller From: [email protected] [mailto:[email protected]] On Behalf Of [email protected] Sent: Friday, April 04, 2014 9:45 AM To: [email protected] Subject: [Sepsis Groups] Recording temperatures Please comment on policies your facility has on obtaining temps. We seem to be running into difficulties on our sepsis screens with the definition of febrile, based on the way the temperature is obtained. Do you have a policy or a guideline for making temperatures equal across the board?? How do you educate on SIRS criteria if every area in the hospital takes temperatures differently?? Example: a nurse records an axillary temp of 36. How do YOU interpret this and how should she respond to the temp falling in or out of the 36-38 degree normal zone??? Thanks in advance. Susan Susan McKinney Clinical Quality Coordinator- -Sepsis-VTE Clinical Effectiveness Team [email protected]<mailto:[email protected]> 605-484-7381 Cell 605-755-4428-please note new number ________________________________ Regional Health's mission is to provide and support health care excellence in partnership with the communities we serve. Note: The information contained in this message, including any attachments, may be privileged, confidential, or protected from disclosure under state or federal laws . If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please notify the Sender immediately by a "reply to sender only" message and destroy all electronic or paper copies of the communication, including any attachments.
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