BSN PROGRAM Adult Health Nursing ORTHOSTATIC VITAL SIGNS MEASUREMENT CHECKLIST Student: Date: if Met SKILLS if Not Met Washes/gels hands Introduces Self Verifies 2 Patient Identifiers Don’s PPE Explains procedure to...
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BSN PROGRAM Adult Health Nursing ORTHOSTATIC VITAL SIGNS MEASUREMENT CHECKLIST Student: Date: if Met SKILLS if Not Met Washes/gels hands Introduces Self Verifies 2 Patient Identifiers Don’s PPE Explains procedure to patient Uses appropriately sized cuff Instructs the patient on the process of orthostatic blood pressure measurement and its rationale Assesses the patient’s ability to stand by verbal report and observation SUPINE MEASUREMENT Has patient lie in bed with the head flat for a minimum of 3 minutes, and preferably 5 minutes Measures the blood pressure and the pulse while the patient is supine SITTING MEASUREMENT Instructs patient to sit for 1 minute Asks patient about dizziness, weakness, or visual changes associated with position change. Verbalizes that the presence of diaphoresis or pallor is noted if any Supports the forearm at heart level when taking the blood pressure to prevent inaccurate measurement.
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