Page 36 - CLINICAL PRACTICE II
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PROCEDURE CHECKLIST 19
HEALTH ASSESSMENT AND NURSING PRACTICE
Perform Observation: Blood Pressure
NO. PROCEDURE REMARKS
1. Greet patient and introduce self
2. Perform hand washing and dry hands
3. Inform and explain the procedure to patient
4. Position patient in sitting or lying position
Position forearm at heart level with palm facing up (lying
5. position).
Instruct patient to keep feet flat on floor
6. (sitting position)
7. Expose upper arm fully.
8. Palpate brachial pulse in the antecubital space.
Ensure cuff is fully deflated.
9. Locate middle of inflatable bladder and position cuff 1 inch
above antecubital space.
Apply cuff evenly and snugly around arm. Position
10.
sphygmomanometer at heart level.
11. Locate radial pulse.
Inflate cuff until pulse is not felt and note the mercury level.
12. Deflate cuff completely
Clean earpiece and diaphragm of stethoscope.
13. Place diaphragm over brachial artery. Place
stethoscope earpiece in ears.
Inflate the cuff 20-30mmHg of mercury above the point
14.
where radial pulsation stopped.
At eye level, release the valve slowly so that pressure
15. decreases at 2-3 mmHg
16. Note the mercury reading where first sound is heard.
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