We researched the evidence in 2010 and found no research to support the accuracy of Temporal and Tympanic thermometers. This may have changed by now. We use temporal in ER triage however, for speed purposes, if there is any question of accuracy we obtain an oral or axillary temp. I work per diem in ER triage and have found if the patient has a sunburn or facial flushing you can get a wide variance between temporal and oral, but most of the time temporal is very close. We no longer use any tympanic thermometers. Too much room for user error.
Gerri Buss, MS, RN Consultant Performance Excellence Department Blessing Hospital Quincy,Il 62305 217-223-8400 ext 6894 [email protected] "There's nothing so useless as doing efficiently that which should not be done at all" Peter Drucker -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Tuesday, September 01, 2015 12:10 PM To: [email protected] Subject: Sepsisgroups Digest, Vol 169, Issue 2 Send Sepsisgroups mailing list submissions to [email protected] To subscribe or unsubscribe via the World Wide Web, visit http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org or, via email, send a message with subject or body 'help' to [email protected] You can reach the person managing the list at [email protected] When replying, please edit your Subject line so it is more specific than "Re: Contents of Sepsisgroups digest..." Today's Topics: 1. Re: Temporal Temperatures (Barnes-Daly, Mary Ann) 2. Re: Sepsisgroups Digest, Vol 169, Issue 1 (Jennifer Williams) ---------------------------------------------------------------------- Message: 1 Date: Mon, 31 Aug 2015 14:22:59 -0700 From: "Barnes-Daly, Mary Ann" <[email protected]> To: "'Orth, Claudia'" <[email protected]>, "'[email protected]'" <[email protected]> Subject: Re: [Sepsis Groups] Temporal Temperatures Message-ID: <e6878da068c4dd4699740e87596a168b0ddc61e...@dcbl115vx.root.sutterhealth.org> Content-Type: text/plain; charset="us-ascii" We moved away from axillary to temporal and tympanic understanding that both are more accurate. Is this not true? Thanks, MARY ANN BARNES-DALY RN BSN CCRN DC | Clinical Performance Improvement Consultant Sutter Health - Clinical Integration Department | 2200 River Plaza Drive, Sacramento, CA 95833 Mobile 916.200.5604| Office 916.286.6717 | [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: Sepsisgroups [mailto:[email protected]] On Behalf Of Orth, Claudia Sent: Friday, August 28, 2015 8:37 AM To: [email protected] Subject: [Sepsis Groups] Temporal Temperatures Some departments within our institutions have begun using temporal thermometers and concern has been raised surrounding the accuracy and whether or not we need to adjust our thought process regarding what makes up a positive temp. I would be very, very interested to hear how others are handling the source of a temperature (oral, rectal, core, temporal, etc.) and how that factors into a positive screen? Additionally, if you are able to share any supporting literature I would greatly appreciate it! Thank you as always in advance! ~Claudia Claudia Orth BSN, RN, CCRN-K Regional Sepsis Coordinator Clinical Quality Munson Medical Center 1105 Sixth Street Traverse City, MI 49684-2386 (231) 935-5692 (Voice) (231) 318-0394 (Pager) [email protected]<mailto:[email protected]> -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20150831/cf1457b6/attachment-0001.htm> ------------------------------ Message: 2 Date: Mon, 31 Aug 2015 08:19:20 -0500 From: "Jennifer Williams" <[email protected]> To: <[email protected]> Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 169, Issue 1 Message-ID: <55E40E080200008C001F60FB@upbcgwg06> Content-Type: text/plain; charset="us-ascii" We only use oral, rectal or invasive temperature measurement (e.g. urinary catheter with temperature probe) for temperature measurement. ENA published a CPG in 2011 regarding temperature measurement methods and the data at the time did not support temporal measurement reliability. Full disclosure, I was a co-author. Here is the link. https://www.ena.org/practice-research/research/CPG/Documents/TemperatureMeasurementCPG.pdf It should be up for review this year to determine if any data has changed. The temporal measurements are very appealing but as with the digital ear thermometers- correct use and consistency with the required technique has high opportunity for failure. Jennifer Jennifer Williams PhD, RN, ACNS-BC Clinical Nurse Specialist Emergency Services Barnes-Jewish Hospital Mail Stop # 90-21-330 St. Louis, Missouri 63110 Desk: 314-747-8764 Cell: 314-713-0736 Fax: 314-362-2495 E-Mail: [email protected] This e-mail message is confidential, intended only for the named recipient(s) above and may contain information that is privileged or exempt from disclosure under applicable law. If you have received this message in error, or are not the named recipient(s), please immediately notify the sender at the number listed below and delete this e-mail message from your computer. Thank you, Go Green! Please don't print this e-mail unless you really need to. >>> <[email protected]> 8/31/2015 8:07 AM >>> Send Sepsisgroups mailing list submissions to [email protected] To subscribe or unsubscribe via the World Wide Web, visit http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org or, via email, send a message with subject or body 'help' to [email protected] You can reach the person managing the list at [email protected] When replying, please edit your Subject line so it is more specific than "Re: Contents of Sepsisgroups digest..." Today's Topics: 1. Temporal Temperatures (Orth, Claudia) 2. CMS Educational Series (Lori Harmon) ---------------------------------------------------------------------- Message: 1 Date: Fri, 28 Aug 2015 15:36:53 +0000 From: "Orth, Claudia" <[email protected]> To: "[email protected]" <[email protected]> Subject: [Sepsis Groups] Temporal Temperatures Message-ID: <b482f481b7b4d745be676ceff55ec94051845...@mmc-exchmbs03.ad.mhc.net> Content-Type: text/plain; charset="us-ascii" Some departments within our institutions have begun using temporal thermometers and concern has been raised surrounding the accuracy and whether or not we need to adjust our thought process regarding what makes up a positive temp. I would be very, very interested to hear how others are handling the source of a temperature (oral, rectal, core, temporal, etc.) and how that factors into a positive screen? Additionally, if you are able to share any supporting literature I would greatly appreciate it! Thank you as always in advance! ~Claudia Claudia Orth BSN, RN, CCRN-K Regional Sepsis Coordinator Clinical Quality Munson Medical Center 1105 Sixth Street Traverse City, MI 49684-2386 (231) 935-5692 (Voice) (231) 318-0394 (Pager) [email protected]<mailto:[email protected]> -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20150828/60105da3/attachment-0001.htm> ------------------------------ Message: 2 Date: Mon, 31 Aug 2015 13:01:41 +0000 From: Lori Harmon <[email protected]> To: "[email protected]" <[email protected]> Subject: [Sepsis Groups] CMS Educational Series Message-ID: <dm3pr1101mb1133136fe2e99ec1c61fadc7cb...@dm3pr1101mb1133.namprd11.prod.outlook.com> Content-Type: text/plain; charset="us-ascii" All, The Centers for Medicare and Medicaid (CMS) in the United States is offering a three-part web series entitled, The Early Management Bundle for Severe Sepsis/Septic Shock. The PDF is attached with a "click here to register" button that worked when I tried it from my computer. Here is the url, as well: https://cc.readytalk.com/cc/s/registrations/new?cid=kcphzfae3k8n Dr. Sean Townsend will be leading the discussion along with Dr. Lemeneh Tefera, Medical Officer at CMS. There is also a FAQ<https://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic/Page/QnetTier3&cid=1228772869636> online. If you have questions about the information provided in the specifications manual for the new U.S. National Inpatient Quality Measures, this FAQ and the educational sessions should be of help. With best regards, Lori Lori A. Harmon, RRT, MBA Director, Quality Society of Critical Care Medicine 500 Midway Drive Mount Prospect, IL 60056 [email protected]<mailto:[email protected]> +1-847-493-6403 -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20150831/3f456ba8/attachment.htm> -------------- next part -------------- A non-text attachment was scrubbed... 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