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Vital Signs Monitoring Procedure Guide

1. The document outlines the steps for taking a patient's vital signs, including washing hands, preparing equipment, explaining the procedure, taking temperature, pulse, respiration rate, and blood pressure. 2. It also provides the rationale for each step, such as reducing transmission of microorganisms, promoting cooperation, and ensuring accurate documentation. 3. The final section describes how to correctly graph and record the vital signs measurements on a chart using different colored pens to identify each measurement.

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2K views2 pages

Vital Signs Monitoring Procedure Guide

1. The document outlines the steps for taking a patient's vital signs, including washing hands, preparing equipment, explaining the procedure, taking temperature, pulse, respiration rate, and blood pressure. 2. It also provides the rationale for each step, such as reducing transmission of microorganisms, promoting cooperation, and ensuring accurate documentation. 3. The final section describes how to correctly graph and record the vital signs measurements on a chart using different colored pens to identify each measurement.

Uploaded by

A C
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

STEPS/PROCEDURE RATIONALE

1 Wash hands.  To reduce the transmission of microorganisms.


Prepare the equipment needed (stethoscope,
2 sphygmomanometer, digital thermometer, watch with  To save time, energy, and effort.
second hand, reminders notebook, red and blue ball pen).
3 Explain the procedure to the patient  To promote cooperation and to reduce anxiety.
Place the tip of the digital thermometer under the armpit of
4  To start getting the temperature of the patient in the Axillary.
the patient.
Wait until a sound is heard indicating the registered
5  Signal indicates final temperature reading.
temperature.
Remove the thermometer and read the result. Record in
6  Accurate documentation by site allows for comparison of data.
the reminder’s notebook.
7 Repeat procedure if temperature is less than 36.5 C
8 Return the digital thermometer in its container.
Assist client to assume a sitting position. Place tips of 2
9 fingers of hand over groove along radial client's inner
wrist.
1 Use a watch with second hand and count the pulsation for
0
one full minute.
While holding the patient's wrist, take note of the

1
1 To ensure that the patient’s breathing is not altered.
breathing.
1
2 Count the breathing for one full minute.
1
3 Place the patient in a relaxed position.
1
4 Expose the upper part of the left arm.
Wrap the cuff snugly and smoothly about one inch above
1
5 the antecubital space, with the center of the rubber
bladder over the brachial artery.
1 Palpate the radial artery with the fingertips and inflate the
6
cuff until the pulsations stop, then deflate.
Place the earpieces of the stethoscope into the ears and
1
7 place the diaphragm of the stethoscope on the medial
antecubital fossa where the brachial artery is felt.
1 Inflate the cuff and listen to the korotkoff's sound and
8
determine the blood pressure.
1 Remove the cuff from the client's arm and fold it neatly
9
and return it to the container.

Vital signs
VITAL SIGNS GRAPHING AND RECORDING
2 Able to graph temperature correctly using blue/black
0
colored ink pen.
2 Graph initial temperature taken after encircling correct
1
baseline temperature.
2 Able to graph the temperature taken in the appropriate
2
column.
2 Able to graph pulse rate correctly using red colored ink
3
pen.
2 Encircled correct baseline pulse rate for graphing initial
4
pulse taken.
2
5 Able to graph the pulse rate at the appropriate column.
2 Record respiratory rate correctly using blue/black colored
6
ink pen.
2 Use blue/black colored ink pen for blood pressure
7
recording.
2 Blood pressure taken recorded correctly at the proper
8
box.
2
9 TPR sheet filled up completely and correctly.
3
0 Wash hands.

STEPS/PROCEDURE RATIONALE 1 Wash hands.  To reduce the transmission of microorganisms. 2 Prepare the equipment needed (steth
VITAL SIGNS GRAPHING AND RECORDING 2 0 Able to graph tempe

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