The document outlines the steps for a student to perform a vital signs check-off:
1) It lists 15 steps for taking a patient's vital signs including radial pulse, respiration, point of maximum impulse (PMI), and blood pressure.
2) It indicates which of the steps are "critical elements" that must be satisfactorily completed by the student in order to pass.
3) The instructor will evaluate and record whether the student's performance of each step is satisfactory or unsatisfactory on up to two attempts. The student must achieve a total of 15 satisfactory points to pass.
The document outlines the steps for a student to perform a vital signs check-off:
1) It lists 15 steps for taking a patient's vital signs including radial pulse, respiration, point of maximum impulse (PMI), and blood pressure.
2) It indicates which of the steps are "critical elements" that must be satisfactorily completed by the student in order to pass.
3) The instructor will evaluate and record whether the student's performance of each step is satisfactory or unsatisfactory on up to two attempts. The student must achieve a total of 15 satisfactory points to pass.
The document outlines the steps for a student to perform a vital signs check-off:
1) It lists 15 steps for taking a patient's vital signs including radial pulse, respiration, point of maximum impulse (PMI), and blood pressure.
2) It indicates which of the steps are "critical elements" that must be satisfactorily completed by the student in order to pass.
3) The instructor will evaluate and record whether the student's performance of each step is satisfactory or unsatisfactory on up to two attempts. The student must achieve a total of 15 satisfactory points to pass.
The document outlines the steps for a student to perform a vital signs check-off:
1) It lists 15 steps for taking a patient's vital signs including radial pulse, respiration, point of maximum impulse (PMI), and blood pressure.
2) It indicates which of the steps are "critical elements" that must be satisfactorily completed by the student in order to pass.
3) The instructor will evaluate and record whether the student's performance of each step is satisfactory or unsatisfactory on up to two attempts. The student must achieve a total of 15 satisfactory points to pass.
Pt S U Comments Introduction 1. *Performed hand hygiene, introduced self, ID client with 2 identifiers, & explained procedure. 2 2. Determined previous vital signs for comparison and assess for signs and symptoms of respiratory 1 distress. 3. Positioned client with forearm at heart level, feet uncrossed and quiet for 5 minutes. 1 Radial Pulse 4. Placed tips of first two or three fingers along radial or thumb side of patient’s inner wrist. 1 Lightly compress against radius, obliterate pulse initially, and then relax pressure to palpate pulse. 5. *If pulse was regular, counted rate 30 seconds and multiplied by 2. If pulse irregular, counted 2 one full minute. If irregular, assessed apical pulse. Reading within 10 BPM of faculty reading. Respiration 6. *Count complete respiratory cycle in 30 seconds and multiply by 2 if regular. If rhythm 2 irregular, <12, or >20; then count respiratory cycles for one minute. Reading within 3 RPM of faculty reading. PMI 7. Located PMI (5th ICS at MCL) 1 8. *Placed stethoscope diaphragm at PMI. Counted for one full minute. 2 Blood Pressure 9. Applied center of cuff bladder 2.5 cm above brachial artery pulsation against bare skin. Cuff was 1 at level of right atrium. 10. Placed stethoscope diaphragm completely over brachial artery, the bell should not touch the 1 cuff, tubing, or clothing 11. *Rapidly inflated cuff 30 mm Hg above previously noted estimated systolic pressure. 1 12. *Released pressure 2-3 mmHg per second noting number first sound is clearly heard (systolic 1 pressure). 13. Noted number sound disappears (diastolic pressure). 1 14. *BP results within 4 mmHg of instructor’s reading. Document and discussed results with 2 client. Conclusion 15. Assured client’s needs were met, thanked client for their time, performed hand hygiene and 1 cleaned equipment. Total: (Student must achieve 15 points to pass.) NUR3065L – VITAL SIGNS CHECK-OFF Student: Instructor : Satisfactory Unsatisfactory Date: Attempt # 1 #2 Attempt #1 #2
*Denotes a critical element. All critical elements must be met for student to pass
