Vital Signs Taking: Body Temperature, Pulse Rate (PR), Respiratory Rate (RR), Blood Pressure (BP)
Summary
TLDRThis video demonstrates the proper procedure for assessing a patient's vital signs, including temperature, pulse, respiration, and blood pressure. It covers important steps such as identifying the patient, preparing equipment, ensuring privacy, and performing hand hygiene to prevent infection. The video details techniques for taking an axillary temperature, pulse, respiration rate, and blood pressure, emphasizing correct positioning, equipment use, and communication with the patient. Finally, it stresses the importance of documenting findings and reporting abnormalities to ensure proper follow-up care.
Takeaways
- 👤 **Identify the Patient**: Discuss the procedure and assess the patient's ability to assist to promote active participation.
- 🧰 **Prepare Equipment**: Gather all needed equipment and ensure it's in good condition for organized assessment.
- 🔒 **Ensure Privacy**: Provide privacy to build trust between the patient and healthcare provider.
- 🧼 **Perform Hand Hygiene**: Wash hands to reduce the transmission of microorganisms.
- 🌡️ **Assess Temperature**: Position the patient comfortably for axillary temperature measurement and use a thermometer correctly.
- 🔄 **Clean Thermometer**: Clean the thermometer with alcohol swabs to prevent pathogen transmission.
- 💓 **Measure Pulse**: Position the patient with relaxed arms and use fingertips to palpate the pulse for one minute.
- 🌬️ **Count Respirations**: Keep fingertips in place after pulse measurement to count respirations without patient awareness.
- 🩸 **Take Blood Pressure**: Position the patient correctly and expose the area for cuff application for accurate blood pressure readings.
- 🔍 **Use Manometer Correctly**: Arrange the manometer gauge at eye level for precise readings and palpate the artery during inflation.
- 🎧 **Use Stethoscope Properly**: Position the stethoscope over the artery without touching clothing to avoid extraneous noise.
- 📝 **Record and Report**: Document the vital signs and report any abnormal findings for patient care continuity.
Q & A
What is the first step in assessing vital signs according to the video script?
-The first step is to identify the patient, discuss the procedure, and assess the patient's ability to assist with the procedure.
Why is it important to prepare all the equipment needed and ensure they are in good condition?
-Preparing all the equipment and ensuring they are in good condition facilitates organized assessment and measurement.
Why is privacy provided during the procedure?
-Privacy is necessary to build trust between the patient and the healthcare provider.
How does performing hand hygiene help in assessing vital signs?
-Performing hand hygiene reduces the transmission of microorganisms.
What position should the patient assume for an axillary temperature measurement?
-The patient should assume a position of comfort to promote relaxation.
How is the thermometer placed for an axillary temperature reading?
-The thermometer is placed in the armpit with the device in contact with the axillary blood supply.
What should be done after removing the thermometer?
-After removing the thermometer, the digital display should be read, and the thermometer should be cleansed using alcohol swabs before being placed back in its holder.
How should the patient be positioned for pulse measurement?
-The patient's arms should be relaxed and supported.
What part of the fingers should be used to palpate the pulse?
-The fingertips of the index and middle finger should be used on the inner surface of the wrist.
How long should the healthcare provider count the pulse for?
-The pulse should be counted for one full minute.
What is the correct position for the patient when taking blood pressure?
-The patient should assume a correct position that promotes comfort and relaxation, with the arm extended through the palm facing upward and the cuff approximately one to two inches above the inner aspects of the elbow.
Why is it important to arrange the manometer gauge at eye level?
-Arranging the manometer gauge at eye level ensures an accurate reading.
How should the stethoscope be positioned for blood pressure measurement?
-The stethoscope should be positioned firmly but with as little pressure as possible over the artery where the pulse is felt, without touching clothing or the cuff.
What should be done after measuring blood pressure?
-Air should be released entirely from the cuff, and the cuff should be removed from the patient's arm to prevent arterial occlusion and discomfort.
Why is it necessary to disinfect the stethoscope after use?
-Disinfecting the stethoscope prevents cross-contamination between patients.
What should be recorded after assessing vital signs?
-Temperature, respiratory rate, pulse rate, and blood pressure readings should be recorded on a flow sheet, along with the time, and any abnormal findings should be reported.
Outlines
🌡️ Assessing Vital Signs: Introduction and Temperature Measurement
The video begins by explaining the steps for assessing vital signs, starting with patient identification and preparation. It emphasizes the importance of discussing the procedure with the patient, ensuring equipment readiness, providing privacy, and performing hand hygiene to prevent infection. The script then details the process of taking axillary temperature, including positioning the patient comfortably, using a digital thermometer, and reading the temperature after it beeps. It also advises on cleaning the thermometer with alcohol swabs and securing it in its holder for the next use.
💓 Measuring Pulse and Respiration Rates
This section of the script instructs on measuring pulse and respiration rates. It describes positioning the patient with relaxed and supported arms to facilitate palpation of the pulse. The script advises gently compressing the artery to feel the pulse distinctly and counting for one minute using a watch with a second hand. For respiration, it suggests counting the breaths without the patient's awareness to prevent controlled breathing. The video script concludes this part by emphasizing the importance of informing the patient of their vital rates.
🩸 Blood Pressure Measurement Technique
The script outlines the correct patient positioning for blood pressure measurement, emphasizing comfort and proper exposure of the arm for cuff application. It details the placement of the cuff above the brachial artery and the importance of arm positioning relative to the heart level. The video demonstrates the use of a manometer gauge, palpation of the artery, and inflation of the cuff. It also covers the steps for auscultation, including proper stethoscope placement, inflation of the cuff, and noting the systolic and diastolic pressures. The script advises deflating the cuff completely to prevent discomfort and emphasizes the importance of disinfecting equipment and maintaining hygiene.
📝 Recording and Reporting Vital Signs
The final paragraph focuses on the post-assessment procedures. It highlights the need to disinfect the stethoscope and perform hand hygiene to prevent cross-contamination. The script instructs on recording the patient's temperature, pulse, respiratory rate, and blood pressure on a flow sheet, including the time of measurement. It also stresses the importance of reporting any abnormal findings to the appropriate personnel, which aids in determining the necessity of follow-up care.
Mindmap
Keywords
💡Vital Signs
💡Axillary Temperature
💡Pulse
💡Respiration
💡Blood Pressure
💡Manometer
💡Stethoscope
💡Hand Hygiene
💡Palpation
💡Inflation
💡Disinfection
Highlights
Identifying the patient and discussing the procedure promotes active participation.
Preparing all equipment and ensuring its good condition facilitates organized assessment.
Providing privacy builds trust between the patient and healthcare provider.
Performing hand hygiene reduces the transmission of microorganisms.
Positioning the patient for axillary temperature measurement promotes relaxation.
Placing the thermometer in contact with the axillary blood supply ensures proper positioning for accurate reading.
Cleansing the thermometer after use prevents the transmission of pathogens.
Positioning the client’s arms in a relaxed state helps in accurate pulse reading.
Using fingertips to feel the pulse facilitates palpation of the pulsation.
Not allowing the patient to know when respiration is being measured helps avoid controlled breathing.
Assisting patients to the correct position during blood pressure measurement ensures comfort and accurate readings.
Placing the cuff over the brachial artery ensures accurate blood pressure measurement.
Positioning the manometer gauge at eye level ensures accurate reading.
Deflating the cuff and removing it after reading prevents patient discomfort.
Disinfecting the stethoscope after use prevents cross-contamination between patients.
Transcripts
foreign
[Music]
student nurses so for today's video we
will be demonstrating how to assess
Vital Signs so first step you have to do
is identify the patient discuss the
procedure and assess the patient's
ability to assist with the procedure
this promotes active participation of
the patient during the procedure second
prepare all the equipment needed and
ensure that they are all in good
condition this facilitates organized
assessment and measurement third provide
privacy this is necessary to build trust
between patient and health care provider
lastly perform hand hygiene this is to
reduce the transmission of
microorganisms
foreign
temperature help the client to assume a
position of comfort for axillary
temperature this is to promote
relaxation take the thermometer out of
its holder turn on the thermometer and
place it in the armpit placing the
device in contact with axillary blood
supply can maintain the device in its
proper position
remove the thermometer when it beeps and
reads the digital display
this allows accurate temperature reading
inform your patient about his or her
body temperature
cleanse the thermometer using alcohol
swabs before placing it back this
prevents the transmission of pathogens
or microorganisms place a thermometer
back in its holder and keep it securely
until its next use
[Music]
in taking the pulse position the client
so that her arms are relaxed and
supported Place fingertips index and
middle finger on the inner surface of
the wrist fingertips are sensitive
facilitating pulpation of pulsating time
compress artery gently so it can be felt
distinctly this stabilizes risk and
allow pressure to be exerted using a
watch with a second hand count pulsation
for one full minute in taking the
respiration keep fingertips in place
after counting the pulse and note of
patient's inspiration and expiration
make sure they do not know your
accounting respiration to avoid
controlled breathing count the number of
respirations for one full minute lastly
inform your patient about their pulse
rate and respiratory rate
[Music]
in taking the blood pressure assist
patients and assume a correct position
this promotes patient comfort and
relaxation
remove or rearrange clothing to expose
the area where the cuff will be applied
this is to avoid any disturbance while
taking blood pressure
extend the arms through the Palm facing
upward place the cuff approximately one
to two inches above the inner aspects of
the elbow with a bladder over the
brachial artery blood pressure increases
when the arm is below the level of the
heart and decreases when the arm is
above the level of the heart
[Music]
thank you
arrange the manometer gauge at eye level
this is to ensure an accurate reading
pulpate the brachial artery or radial
pulse by pressing gently with the
fingertips tighten the screw valve on
the air pump and inflate the cuff while
continuing to palpate the artery note
the point in the gauge where the pulse
disappears deflate the cuff and wait for
15 seconds to prevent leaks during
inflation ensure the cuff is inflated to
a pressure greater than the client's
systolic pressure
foreign
[Music]
place the stethoscope earpiece to the
ears properly then position the die from
the stethoscope firmly but with as
little pressure as possible over the
artery where the pulse is felt do not
allow the stethoscope to touch clothing
or the cuff sound is heard best directly
over the artery the head of the
stethoscope under the edge of the cuff
results in considerable extraneous noise
and may cause inaccurate readings
pump the pressure through the mmhg above
the point at which the poles disappear
ensure that the cuff is inflated to a
pressure greater than the patient's
systolic pressure
note the point on the gauge at which
there is an appearance to the first
faint but clear some which slowly
increases in intensity note this number
as a systolic pressure read the pressure
to the closest even number
release Air entirely from the cuff and
remove the cuff from patient arm this
prevents arterial oculation and patient
discomfort from numbness or tingling
sensation
[Music]
foreign
disinfect the diaphragm the stethoscope
using alcohol swabs three times this
ensures safety since it prevents
cross-contamination between patients
next perform hand hygiene this is to
reduce the transmission of
microorganisms lastly record the
temperature respiratory rate pulse rate
and blood pressure reading on a flow
sheet and indicate the time report any
abnormal findings to the appropriate
person this documents the completion of
procedure and assessment findings of
patients and it helps to determine the
need for follow-up care
関連動画をさらに表示
How to Check Vital Signs | Checking Vitals Nursing Assessment
Input Output Chart
Perform a Venipuncture Collect a Venous Blood Sample Using the Vacuum Tube Method
BAG TECHNIQUE - COMMUNITY HEALTH NURSING(CHN) l RETURN DEMONSTRATION (student nurse)
PULSAR II™ ADVANCED WOUND IRRIGATION (AWI)™ WOUND DEBRIDEMENT SYSTEM Application Video
Return Demonstration - General Survey | Nursing
5.0 / 5 (0 votes)