Presented by: Jonna Bobeck BSN, RN, CEN
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Transcript of Presented by: Jonna Bobeck BSN, RN, CEN
Presented by: Jonna Bobeck BSN, RN, CEN
Pullman Regional Hospital CNA Competency: Assessing Vital Signs
• Discuss Pulse• Describe Respiration Assessment• Understand NIBP• Discuss Oxygen Saturation• Describe Body Temperature
Objectives
Assessing Pulse
• Proper hand hygiene
• Patient privacy• Supine• Placement of arm• Assess along radial
groove
Radial Pulse Assessment Procedural Steps
• Lightly compress • Determine strength• Determine rate• Regular• Irregular
Pediatric Considerations
Brachial Pulse Radial Pulse
Documenting Pulse
NUR EDM
Measuring Non-invasive Blood Pressure (NIBP)
• Proper hand hygiene• Turn machine on• Select correct cuff• Expose upper arm
NIBP Procedural Steps
• Check connections• Push start• Digital display• Document
Pediatric Considerations
Documenting NIBP
NUR EDM
• Saturation of arterial blood• Pleth waveform• Pulse rate• Perfusion indicator
Monitoring Oxygen Saturation (Spo2)
Applying the sensor
Correct Placement Incorrect Placement
Pediatric Considerations
Documenting Pulse Oximetry
NUR EDM
• Place patient in position of comfort• Assess after pulse check• Observe complete cycle• Count adults for 30seconds• Infants and children count for 1 full minute
Assessing Respirations
• Pediatric patients’• Elderly patients’
Special Considerations
Documenting Respirations
EDM NUR
• What is temperature• When fever occurs• Research findings• Pic from phone
Measuring Body Temperature
Oral Temperature Procedural Steps
Rectal Temperature Procedural Steps
Axillary Temperature Procedural Steps
Tympanic Temperature Procedural Steps
Temporal Artery Temperature Procedural Steps
Pediatric Considerations
Documenting Temperature
NUR EDM
References
Perry, A., & Potter, P. (Ed.). (2006). Clinical nursing skills and techniques. St. Louis, MI: Elsevier Mosby.