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Procedure #15

CNA Procedure: Blood Pressure

Step NumberStep
Step 1 Do initial steps.
Step 2 Clean earpieces and diaphragm of stethoscope with antiseptic wipe.
Step 3 Uncover resident's arm to shoulder.
Step 4 Rest resident's arm, level with heart, palm upward on comfortable surface.
Step 5 Wrap proper sized sphygmomanometer cuff around upper unaffected arm approximately 1-2 inches above elbow.
Step 6 Put earpieces of stethoscope in ears.
Step 7 Place diaphragm over brachial artery at elbow.
Step 8 Close valve on bulb. If blood pressure is known, inflate cuff to 20 mm/hg above the usual reading. If blood pressure in unknown, inflate cuff to 160 mm/hg.
Step 9 Slowly open valve on bulb.
Step 10 Watch gauge and listen for sound of pulse.
Step 11 Note gauge reading at first pulse sound.
Step 12 Note gauge reading when pulse sound disappears
Step 13 Completely deflate and remove cuff.
Step 14 Accurately record systolic and diastolic readings.
Step 15 Do final steps.
Step 16 Report unusual readings to nurse.
Created by: Gabsbailey