A normal adult's pulse rate is between 60 and 100 beats per minute. Abnormal rates should be reported to the nurse.

Healthy adults respiration will be 12 to 20 respiration per minutes. Respiration are counted right after the pulse while the patient is resting and unaware your are counting.


  • Watch with a 2nd hand.

How to perform the skill:

Part 1

  1. Knock on patients door, then enter.

  2. Greet patient by name and introduce yourself and what your doing

  3. Provide for privacy (By shutting the drapes)

  4. Wash Hands

  5. Check patients ID (Make sure its the right patient)

  6. with patient lying down, support their forearm with one hand

  7. Place fingers on radial pulse (Located on thumb side of wrist)

  8. Once you fine pulse, take for one minute.

  9. Record pulse on chart.

Part 2

  1. Tell the patient you are taking the pulse again to make sure it is accurate while you are REALLY taking respiration count.

  2. While holding the wrist, count the respiration from chest (rise and fall) at fall is one.

  3. Count respiration for a whole minute.

  4. Record respiration on chart.

  5. Wash hands

  6. Give call light

  7. Un-Provide for privacy

  8. Ask how they would like the head of bed.


    • You always want them to think your taking the pulse instead of respiration other wise they probably wont breath like normal.


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