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Skill 18: Blood Pressure

Blood Pressure
Skill Level-Hard

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.

Supplies:

  • Blood pressure cuff
  • Stethoscope
  • 1 Cloth
  • 2 Alcohol pads

 

How to perform the skill:

    1. Knock on door.
    2. Greet resident by name.
    3. Introduce yourself and what your doing.
    4. Provide for privacy.
    5. Wash Hands
    6. Check patients ID
    7. Gather supplies and place on covered tray table
    8. Raise residents bed to sitting position.
    9. Clean diaphragm of stethoscope with alcohol pad then clean ear buds. Place sethoscope around your neck with buds pointed away from your neck.
    10. Position the residents arm with palm up and elbow level with heart.
    11. Wrap blood pressure cuff evenly around the upper arm and be sure the bottomof the cuff is one inch above the antecubital.
    12. Ask resident to hod the dial, so you can see it easier.
    13. Locate brachial artery.
    14. Position the diaphragm over the brachial artery and place stethoscope ear pieces in your ears.
    15. Inflate the cuff safely (Be sure its not more than 30mm past the point last pulse is felt or heard.)
    16. When you no longer hear a beat, slowly begin to deflate the cuff by turning the knob SLIGHTLY.
    17. When you first hear the first beat this is the systolic (Remember the number where it was heard)
    18. When you hear the last beat, this is the diastolic remember it also.
    19. Remove the cuff from patient.
    20. Remove stethoscope and clean ear pieces and drum.
    21. Record blood pressure.




  • Wash Hands, ask how they want the head of bed.
  • Un-provide for privacy
  • Give Call button.

 


Notes:

  • When inflating the cuff go to 80 wait and listen, then 100, 120 and so on..

 


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