VIDEO PRAKTEK KEPERAWATAN (EPISODE 26 I PEMERIKSAAN TANDA VITAL)

Summary

In this educational video, Sandra guides viewers through the process of measuring vital signs to assess a patient's general condition. She demonstrates the use of tools like a sphygmomanometer, stethoscope, thermometer, and hand sanitizer, emphasizing patient safety and proper technique. Sandra walks through checking blood pressure, heart rate, respiratory rate, and temperature, explaining how to interpret results and document findings. The video aims to equip healthcare professionals with the essential skills for performing vital sign assessments accurately and safely.

Takeaways

• 😀 Introduction of Sandra, the host, who will guide the viewers through the process of checking vital signs.
• 😀 Vital signs include: blood pressure, heart rate (pulse), respiratory rate, and body temperature.
• 😀 The necessary tools for the examination include a sphygmomanometer, stethoscope, thermometer, watch, hand sanitizer, and a pen and notebook.
• 😀 Before beginning, always wash your hands and verify patient identity by asking for their name and mother's name.
• 😀 Blood pressure measurement should be done either on the arm or leg, with the cuff positioned about 2.5 cm above the elbow (for arm) or above the ankle (for leg).
• 😀 When measuring blood pressure, pump the sphygmomanometer until no pulse is heard, then add 30 mm Hg before slowly releasing the pressure to measure systolic and diastolic pressure.
• 😀 After blood pressure measurement, remember to remove the cuff, sanitize hands, and record the results.
• 😀 Temperature measurement should be done with a thermometer placed in the axilla (armpit) for 5-10 minutes, ensuring that the area is dry beforehand.
• 😀 Heart rate can be measured by feeling the pulse at various locations (such as the arm or neck) and counting for 1 full minute, ensuring to note the frequency and rhythm of the pulse.
• 😀 Respiratory rate is observed by monitoring chest movements during inhalation and exhalation for 1 full minute, noting the frequency, depth, and sound of breathing.
• 😀 After completing the vital signs check, communicate the results to the patient, and document them carefully. Inform the patient that you will return for further actions later.

Q & A

What are the main vital signs measured in the video?

The main vital signs measured in the video are blood pressure, pulse rate, respiratory rate, and body temperature.

What equipment is necessary for checking vital signs?

The equipment needed includes a sphygmomanometer, stethoscope, thermometer, watch, hand sanitizer, pen, and notebook.

How should the blood pressure cuff be placed on the patient's arm?

The blood pressure cuff should be placed about 2.5 cm above the area of the brachial artery on the upper arm.

What is the procedure for measuring blood pressure using the sphygmomanometer?

First, locate the brachial artery, place the stethoscope above it, inflate the cuff until the pulse is no longer heard, and then slowly release the pressure while listening for the systolic and diastolic readings.

How should the thermometer be used to measure body temperature?

The thermometer should be placed in the patient's armpit, and after 5-10 minutes, the temperature is recorded. The thermometer should be cleaned with alcohol after each use.

Why is it important to ensure the patient's axilla is dry before taking their temperature?

The axilla should be dry to ensure accurate readings, as moisture can interfere with the thermometer's accuracy.

What should be observed when checking the pulse rate?

When checking the pulse rate, the healthcare worker should observe the pulse's frequency, rhythm, and strength, ensuring it is counted for a full minute.

What is the procedure for measuring respiratory rate?

The healthcare worker should observe the patient's chest movements for one minute while they breathe at rest, noting the depth, rhythm, and any abnormal sounds.

What are the recorded vital signs for the patient in the video?

The recorded vital signs are: blood pressure 110/80 mmHg, pulse 88 beats per minute, temperature 37°C, and respiratory rate 20 breaths per minute.

What is the importance of documenting the results of the vital signs check?

Documenting the results helps track the patient's health status and ensures that the measurements are recorded accurately for future reference or treatment decisions.