Med Sur Lab
Star2011@
BloodPressureOneStepMethod-checklist.pdf
Copyright © 2014 by Mosby, an imprint of Elsevier Inc. All rights reserved.
Mosby: Mosby's Nursing Video Skills Student _________________________________________ Date ___________________ Instructor _______________________________________ Date ___________________
PERFORMANCE CHECKLIST FOR OBTAINING BLOOD PRESSURE BY THE ONE-STEP METHOD S U NP Comments
1. Performed hand hygiene.
2. Provided for patient’s privacy.
3. Verified health care provider’s orders.
4. Gathered necessary equipment and supplies.
5. Checked patient’s baseline reading, determined
best site for use.
6. Introduced self to patient and family.
7. Identified patient using two identifiers.
8. Positioned patient and patient’s arm
appropriately.
9. Exposed upper arm fully.
10. Ensured blood pressure cuff was appropriate
the appropriate size.
11. Palpated patient’s brachial artery in the
anticubital space.
12. Positioned cuff properly above artery,
wrapped fully deflated cuff properly around
upper arm.
Copyright © 2014 by Mosby, an imprint of Elsevier Inc. All rights reserved.
13. Cleaned earpieces, diaphragm, and bell of
stethoscope with alcohol swabs.
14. Placed earpieces in ears, ensured sounds were
clear and not muffled.
15. Positioned monometer properly, stood no
more than one yard away from it.
16. Placed bell or diaphragm chestpiece over
brachial artery, did not let chestpiece touch
cuff or patient’s clothing.
17. Closed valve on pressure bulb, inflated cuff
properly above patient’s usual systolic
pressure.
18. Released pressure valve slowly, let
manometer indicator fall appropriately, noted
point at which fist clear sound was heard.
19. Deflated cuff slowly, noted pressure where
sound disappeared.
20. Listened appropriately after last sound, let
remaining air escape.
21. Took blood pressure again in 2 minutes, used
second set of measurements as baseline.
22. Removed cuff from patient’s arm, repeated
process on other arm if appropriate.
Copyright © 2014 by Mosby, an imprint of Elsevier Inc. All rights reserved.
23. Helped patient to comfortable position,
covered arm again, discussed findings with
patient.
24. Cleaned the earpieces, diaphragm, and bell of
stethoscope with alcohol swabs.
25. Placed personal items within reach.
26. Placed call light within easy reach, ensured
patient knows how to use it.
27. Raised side rails and lowered bed to ensure
patient safety.
28. Disposed of used supplies and equipment, left
patient’s room tidy.
29. Removed and disposed of gloves if worn,
performed hand hygiene.
30. Compared findings with appropriate
classification of blood pressure.
31. Taught patient ways to prevent hypertension.
32. Documented and reported patient’s response
and outcomes.
