Handout+2

= Procedure: MEASURE AND RECORD BLOOD PRESSURE = ||
 * ** STUDENT: ** || ||
 * ** DATE: ** || ||

** Directions: Your performance will be scored according to the completion of each step below. The points will be added for a final score/grade. You may want to use this as a guide as you practice this procedure. **
 * ** PROCEDURE STEPS ** || ** Std. Score ** || ** Your Score ** ||
 * ** 1. Wash hands, gather equipment: stethoscope, correct size sphygmomanometer, alcohol, cotton balls, paper, pen/pencil ** || ** 5 ** || ||
 * ** 2. Identify pt., provide privacy, introduce self. ** || ** 5 ** || ||
 * ** 3. Explain what you are going to do (if possible allow pt. to sit for 5 min.) ** || ** 5 ** || ||
 * ** 4. Roll up pt.’s sleeve about 5 inches above elbow, position arm for support (either on a table or on the bed) with palms up. ** || ** 5 ** || ||
 * ** 5. Wrap the cuff smoothly & evenly (not too tight) around upper arm 1 to 1 ½ inches above elbow & over brachial artery; center of cuff (gauge) in center of arm. ** || ** 6 ** || ||
 * ** 6. Determine the palpatory systolic pressure: Palpate (feel) the brachial pulse. Keeping your fingers over the pulse, inflate the cuff (by closing/turning the valve) until the pulse disappears, continuing to inflate 30 mmHG above this point. ** || ** 6 ** || ||
 * ** 7. Place the stethoscope over the brachial artery & earpieces in your ears. ** || ** 6 ** || ||
 * ** 8. Slowly open the bulb valve & let the air escape gradually while watching the gauge. ** || ** 6 ** || ||
 * ** 9. When first sound is heard, note this (systolic) reading ** || ** 7 ** || ||
 * ** 10. Continue to release air until a change is heard and no sound heard (diastolic pressure). Note this reading. ** || ** 7 ** || ||
 * ** 11. If you need to repeat the BP, completely deflate the cuff & wait one min. ** || ** 6 ** || ||
 * ** 12. Record the BP reading, time, & which arm BP taken on. ** || ** 6 ** || ||
 * ** 13. Remove BP cuff. Expel all air by squeezing cuff. ** || ** 5 ** || ||
 * ** 14. Clean stethoscope with alcohol & cotton ball. ** || ** 5 ** || ||
 * ** 15. Replace all equipment. ** || ** 5 ** || ||
 * ** 16. Check to make sure your patient is comfortable before leaving. ** || ** 5 ** || ||
 * ** 17. Wash hands. ** || ** 5 ** || ||
 * ** 18. Record BP on pt.’s graphic chart, date, time, your signature. Report immediately all abnormal BP readings to your supervisor. ** || ** 5 ** || ||
 * ** Total ** || ** 100 ** || ||
 * ** Total ** || ** 100 ** || ||