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Apical-Radial

The document is a performance evaluation checklist for assessing an apical-radial pulse in nursing students at Ateneo de Zamboanga University. It outlines the purposes, preparation, and detailed procedures for conducting the assessment, including both two-nurse and one-nurse techniques. The checklist also emphasizes the importance of client privacy, infection control, and accurate documentation of findings.

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BIN-HARUSH TAWASIL
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3 views2 pages

Apical-Radial

The document is a performance evaluation checklist for assessing an apical-radial pulse in nursing students at Ateneo de Zamboanga University. It outlines the purposes, preparation, and detailed procedures for conducting the assessment, including both two-nurse and one-nurse techniques. The checklist also emphasizes the importance of client privacy, infection control, and accurate documentation of findings.

Uploaded by

BIN-HARUSH TAWASIL
Copyright
© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
Download as doc, pdf, or txt
Download as doc, pdf, or txt
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Ateneo de Zamboanga University

COLLEGE OF NURSING
PERFORMANCE EVALUATION CHECKLIST
NAME: _____________________________________ DATE PERFORMED: _________________
YEAR & SECTION: ______________

Purposes:

1. To determine adequacy of peripheral circulation or presence of pulse deficit.

ASSESSING AN APICAL–RADIAL PULSE

PREPARATION 1 2 3 4 5
1. Assess:
 Clinical signs of hypovolemic shock.
2. Assemble equipment:
 Watch with a second hand or indicator
 Stethoscope
 Antiseptic wipes

PROCEDURE
1. Introduce yourself and verify the client’s identity. Explain
to the client what you are going to do, why it is
necessary, and how the client can cooperate.
2. Perform hand hygiene and observe other appropriate
infection control procedures.
3. Provide for client privacy.

4. Position the client appropriately.

5. Locate the apical and radial pulse sites.

6. Count the apical and radial pulse rates.

Two-Nurse Technique
7. Place the watch where both nurses can see it. The nurse
who is taking the radial pulse may hold the watch.
8. Decide on a time to begin counting. The nurse taking the
radial pulse says “Start” at that time.
9. Each nurse counts the pulse rate for 60 seconds. Both
nurses end the count when the nurse taking the radial
pulse says, “Stop.”
10 The nurse who assesses the apical rate also assesses
the apical pulse rhythm and volume.
11. The nurse assessing the radial pulse rate also assesses
the radial pulse rhythm and volume.
One-Nurse Technique

12. Assess the apical pulse for 60 seconds.

13. Assess the radial pulse for 60 seconds.


14. Document the apical and radial (AR) pulse rates, rhythm,
volume, and any pulse deficit in the client record. Also
record related data.

TOTAL

________________________
Clinical Instructor
(sign over printed name)

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