Instructional Video for Measuring Blood Pressure CNA Skill

Summary

This script outlines a step-by-step guide for measuring blood pressure, emphasizing proper technique and patient interaction. It covers introducing oneself, obtaining consent, preparing the equipment, locating the brachial artery, and documenting the results. The script also promotes resources for CNA training and continuing education.

Takeaways

• 🔑 Always start by knocking and introducing yourself by name and title.
• 📋 Place your documentation sheet on the bedside table for easy access.
• 👋 Obtain patient's permission before starting any procedure.
• 🚿 Wash your hands before and after patient interaction.
• 🎧 Use a double-sided stethoscope for blood pressure measurement.
• 🧼 Clean the stethoscope earpieces and diaphragm with an alcohol pad.
• 🤝 Ask the patient which arm they prefer for blood pressure measurement.
• 📏 Measure the cuff to ensure it covers 1/3 to 1/2 of the arm's circumference.
• 🔍 Locate the brachial artery by feeling the pulse on the inner side of the elbow.
• 🌡️ Inflate the cuff to 180 mmHg and deflate it slowly to listen for Korotkoff sounds.
• 🗒️ Document the blood pressure with the higher number first, followed by a diagonal line and the lower number.

Q & A

What is the first step a healthcare professional should take when beginning a blood pressure measurement?

The first step is to knock and identify the patient, place the documentation sheet on the bedside table, and introduce oneself by name and title.

How should the healthcare professional obtain permission from the patient before proceeding?

The healthcare professional should describe what they will be doing and obtain permission from the patient before closing the curtain and proceeding with the procedure.

Why is it important to wash hands after closing the curtain and before gathering equipment?

Washing hands is crucial to prevent the spread of infection and maintain a sterile environment for the patient.

What type of stethoscope is used in the testing center for blood pressure measurement as described in the script?

A double-sided stethoscope is used so that the evaluator can listen as the healthcare professional performs the blood pressure measurement.

Why is it necessary to clean the earpieces and the large diaphragm of the stethoscope with an alcohol pad?

Cleaning the earpieces and the large diaphragm with an alcohol pad is done to maintain hygiene and prevent cross-contamination.

Which arm should be used for blood pressure measurement and how should the patient position it?

The patient should be asked which arm they prefer for blood pressure measurement, and the arm should be extended with the palm up and supported by the mattress.

How should the blood pressure cuff be wrapped around the patient's arm?

The deflated cuff should be wrapped around the upper arm at least 1 inch above the fold of the elbow, with the gauge facing the healthcare professional, ensuring the tubing is not kinked or under the cuff.

How is the brachial artery located when preparing to take a blood pressure reading?

The brachial artery is located at the fold of the elbow on the pinky side. The healthcare professional uses their first two fingers to wiggle into the fold and locate the artery.

What should the healthcare professional listen for when measuring blood pressure?

The healthcare professional should listen for the first and last Korotkoff sounds, which indicate the systolic and diastolic blood pressure readings.

How should the healthcare professional document the patient's blood pressure after the measurement?

The blood pressure should be documented on the documentation sheet by writing the larger number (systolic) followed by a diagonal line and the smaller number (diastolic) in the space provided for blood pressure.

What additional resources are recommended for CNAs preparing for their exam according to the script?

The script recommends visiting forourcna.com for practice tests, an online workbook, instructional videos, practice kits, and a skills book with step-by-step instructions.