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1.
Perform Hand Hygiene
Introduces self to patient using full name and designation
Positively identifies patient using name, UR number and DOB
4.
Outlines nursing interventions to be performed to the patient and gains consent
5.
place PT arm and relaxed position
6.
palpate radial pulse, placed the first two fingers over radial side of PTs in a wrist
7.
Count heart rate for one minute acceptable margins of errors plus/-5
8.
Count respiratory rate for one minute acceptable margin of error plus/-2
9.
The pulse oximeter is properly placed on the patients finger and wait until the reading stabilises before reading
10.
Insert earpiece into protective cover
11.
fit probe snuggly into kennel and does not remove until machine beeps then discard probe tip
12.
position PTs arm in comfortable position
13.
select appropriate cuff size
14.
palpate brachial pulse
15.
applies bladder of blood pressure cuff above brachial artery with arrows pointing towards brachial artery
16.
performs palpated BP to get estimate of SBP, palpate the radial or break your pulse, inflate the puff until the pulse is no longer felt the note the reading deflate cuff and wait 30 seconds
17.
Relocates brachial artery and places diaphragm of stethoscope over artery
18.
inflate the cuff and additional 30 above palpated systolic pressure
19.
slowly release pressure bulb valve and allow Manometer gauge to fall at slow, even rate
20.
remove cover from PTs arm
21.
findings is within 0 to 10 of correct blood pressure
22.
after the collection of all vital signs, record findings accuratley on observation chart
23.
Ensure that patient is comfortable and concludes interaction
24
perform hand hygiene
25.
discuss vital signs with examiner as normal or abnormal, student is able to stay at normal parametres
student successfully as this is all vital signs within 15 minutes