Skill 18: Blood Pressure
When you take blood pressure your taking two readings a high and a low. Systolic is the high measurement and diastolic is the lower measurement.
- Blood pressure cuff
- 1 Cloth
- 2 Alcohol pads
How to perform the skill:
- Knock on door.
- Greet resident by name.
- Introduce yourself and what your doing.
- Provide for privacy.
- Wash Hands
- Check patients ID
- Gather supplies and place on covered tray table
- Raise residents bed to sitting position.
- Clean diaphragm of stethoscope with alcohol pad then clean ear buds. Place sethoscope around your neck with buds pointed away from your neck.
- Position the residents arm with palm up and elbow level with heart.
- Wrap blood pressure cuff evenly around the upper arm and be sure the bottomof the cuff is one inch above the antecubital.
- Ask resident to hod the dial, so you can see it easier.
- Locate brachial artery.
- Position the diaphragm over the brachial artery and place stethoscope ear pieces in your ears.
- Inflate the cuff safely (Be sure its not more than 30mm past the point last pulse is felt or heard.)
- When you no longer hear a beat, slowly begin to deflate the cuff by turning the knob SLIGHTLY.
- When you first hear the first beat this is the systolic (Remember the number where it was heard)
- When you hear the last beat, this is the diastolic remember it also.
- Remove the cuff from patient.
- Remove stethoscope and clean ear pieces and drum.
- Record blood pressure.
- Wash Hands, ask how they want the head of bed.
- Un-provide for privacy
- Give Call button.
- When inflating the cuff go to 80 wait and listen, then 100, 120 and so on..