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BLOOD PRESSURE MEASUREMENT VIA AUSCULTATION / PALPATION

Student Name: __________________________________________  

PROCEDURE

Satisfactory

Unsatisfactory

Blood Pressure Measurement – Auscultation Method

1.

Verifies physician’s order

2.

        Assembles and checks the necessary equipment

a.

Sphygmomonometer (blood pressure monometer)

b.

Stethoscope

3.

Introduces self to patient, verifies the patient’s identity, identifies the patient’s learning needs, and explains the procedure in terms the patient/family can understand

4.

Washes hands using the appropriate hand-hygiene procedure and initiates standard and/or transmission based precautions

5.

Positions patient with arm supported - patient should be relaxed and comfortable

6.

Palpates the brachial artery and then wraps the deflated cuff snugly around the patient’s upper arm, ensuring it is properly positioned over the brachial artery (the lower edge should be about 1 inch above the antecubital fossa

7.

While palpating the brachial pulse, inflates the cuff to approximately 30 mm Hg above the point at which the pulse can no longer be felt

8.

Places the diaphragm of the stethoscope over the artery and deflates the cuff at a rate of 2 – 3 mm Hg/sec while observing the manometer

Palpation Method: Palpates the radial artery and deflates the cuff at a rate of 2 – 3 mm Hg/sec while observing the monometer

9.

Notes the point at which the first Korotkauff sound is heard (systolic) and the point at which the Korotkauff sound becomes muffled (diastolic)

Palpation Method: Notes the point at which the first pulse is felt (systolic)

10.

If blood pressure must be repeated, deflates the cuff completely and waits a minimum of 15 seconds before repeating procedure

11.

Removes BP cuff and ensures the safety and comfort of the patient

12.

Correctly removes and disposes of PPE and washes hands

13.

Records relevant data in patient chart and appropriate departmental records, and communicates pertinent  information regarding patient’s clinical status to appropriate members of the heath care team

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