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Measure and Record Pule, Respiration, and Blood Pres sure

1

1. Knock before entering the room. Identify and greet resident. Explain procedure to resident. Wash your hands. Provide privacy.

2

2. Position the resident seated/reclining.

3

3. Find the resident's radial pulse by placing your middle two or three fingers on palm side of resident's wrist on thumb side, next to bone.

4

4. Count for 30 seconds, times 2 if regular (count for 1 minute if irregu lar).

5

5. Continue to hold the resident's wrist and begin counting when you see the chest rise; count respiration for 30 seconds, times 2 if irregular (cou nt for one minute if irregular).

6

6. Recount respiration if unsure. Record respiration on paper. Recorded respiration must be within 5 of that obtained by the evaluator.

7

7. Record pulse. Recorded pulse must be within 5 pulse counts of that obtained by the evaluator.

8

8. With the resident seated/reclining with the entire lower arm on a flat surface.

9

9. Expose the arm as much as possible. Squeeze the cuff to expel any remaining air and turn the valve clockwise on the bulb to close it.

10

10. Wrap cuff around the upper arm - at least one inch above the elbow.

11

11. Clean earpieces and diaphragm of the stethoscope with the alcohol sponge.

12

12. Locate the brachial artery as the inner aspect of the elbow.

13

13. Place the earpieces of the stethoscope in your ears.

14

14. Place the diaphragm of the stethoscope over the brachial artery.l

15

15. Inflate the cuff.

16

16.Loosen valve and deflate the cuff slowly nothing the systolic and diastolic reading.

17

17. Delate the cuff completely and remove from the resident's arm.

18

18. Record blood pressure on paper.

19

19. Recorded reading must be within 6mm of that obtained by the evaluator..

20

20. Wash your hands and record and repost observations to the nurse

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