Equipment: Sphygmomanometer, stethoscope, alcohol wipes, pen, paper
Procedure:
1.) Knock on door and listen for residents response.
2.) Address resident by name and introduce self.
3.) Wash hands before contact with resident.
4.) Explain procedure to resident speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible.
5.) Adjust bed to safe working height (if resident is in bed).
6.) Before using stethoscope, wipe diaphragm and earpieces with alcohol.
7.) Deflate cuff by squeezing it.
8.) Expose residents upper arm and position arm with palm up.
9.) Locate brachial pulse with fingertips. (bend of elbow)
10.) Place blood pressure cuff snugly on residents upper arm, with sensor placed over artery.
11.) Locate radial pulse with fingertips.
12.) Inflate the cuff until you don't feel pulse anymore and take note of the number. Add 30.
13.) Deflate cuff.
14.) Locate brachial pulse with fingetips.
15.) Place diaphragm over brachial artery. (don't forget to gently tap diaphragm to make sure its on)
16.) Place earpieces of stethoscope in ears. (make sure earpieces are facing away from you when putting them in)
17.) Inflate cuff to estimated number. No more than 30mm Hg beyond where pulse was last felt.
18.) Deflate cuff slowly,listening for systolic and diastolic pressures.
19.) Remove cuff and squeeze excess air out of it.
20.) Place signaling device within residents reach.
21.) Wash hands.
22.) Record both systolic and diastolic pressures; must be within+/- 8mm Hg of instructors reading.
23.) Leave bed in the lowest position if adjusted earlier.
24.) Report any changes in resident to nurse. Document procedure according to facility guidelines.
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