Measure and Record Pule, Respiration, and Blood Pres sure
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1. Knock before entering the room. Identify and greet resident. Explain procedure to resident. Wash your hands. Provide privacy.
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2. Position the resident seated/reclining.
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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.
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4. Count for 30 seconds, times 2 if regular (count for 1 minute if irregu lar).
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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).
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6. Recount respiration if unsure. Record respiration on paper. Recorded respiration must be within 5 of that obtained by the evaluator.
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7. Record pulse. Recorded pulse must be within 5 pulse counts of that obtained by the evaluator.
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8. With the resident seated/reclining with the entire lower arm on a flat surface.
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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.
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10. Wrap cuff around the upper arm - at least one inch above the elbow.
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11. Clean earpieces and diaphragm of the stethoscope with the alcohol sponge.
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12. Locate the brachial artery as the inner aspect of the elbow.
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13. Place the earpieces of the stethoscope in your ears.
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14. Place the diaphragm of the stethoscope over the brachial artery.l
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15. Inflate the cuff.
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16.Loosen valve and deflate the cuff slowly nothing the systolic and diastolic reading.
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17. Delate the cuff completely and remove from the resident's arm.
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18. Record blood pressure on paper.
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19. Recorded reading must be within 6mm of that obtained by the evaluator..
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20. Wash your hands and record and repost observations to the nurse