Body temperatures falling outside normal ranges should be monitored and further managed where appropriate until normothermia is achieved. Generally measuring an employees body temperature is a medical examination.
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Body temperature measurement guidelines. Pulmonary artery pa temperature is considered the gold standard for measuring core body temperature fulbrook 1993. A healthy body maintains its temperature within a narrow range using homeostatic thermoregulation mechanisms pocock and richards 2009. A persons age and sex the time of day typically being lowest in the early morning and highest in the late afternoon high or low activity levels food and fluid intake for females the stage in their. Normal body temperature readings will vary within these ranges depending on the following factors. Because the cdc and statelocal health authorities have acknowledged community spread of covid 19 and issued attendant precautions employers may measure employees body temperature. Body temperature should be measured on admission and four hourly with other vital signs unless clinically indicated for more frequent measurements.
Or to simplify things for the operator one could measure each subject and look for a normal temperature of 91f to 94f without making any adjustments or offsets. If using a fixed emissivity infrared thermometer one could measure temperature in the center of the forehead and then add 5 degrees fahrenheit to estimate the oral equivalent. Generally measuring an employees body temperature is a medical examination the eeoc stated. However employers should be aware that some people with covid 19 do not have a fever. The americans with disabilities act ada prohibits medical examinations unless they are job. This is because medical infrared thermometers cover a limited temperature range of around 10c20f suitable for detecting the body temperature whose range is about 3243c90110f which achieves higher accuracy accuracy tolerance of 03c06f.
Systems used for body temperature measurements for triage use for the duration of the public health emergency declared by the secretary of health and human services hhs on january 31 2020. Other invasive methods include esophageal rectal and bladder measurements. The normal range for core temperature in the literature varies although 36c 375c is acceptable in clinical practice childs 2011. Furlong et al 2015 as mixed venous blood temperature reflects thermoregulation by the hypothalamus.
Gallery of Body Temperature Measurement Guidelines
