Blood Pressure
Why is proper patient positioning, cuff size and placement important every time a blood pressure is taken?
These measures are essential steps for taking an accurate blood pressure.
Accurate oral thermometer placement.
What is position the covered tip of the thermometer under the patient's tongue in the posterior sublingual pocket because the external carotid artery perfuses the area, reflecting changes in core temperature
The length of time a clinician should count when measuring a patient’s pulse and respirations to obtain an accurate rate. (Two answers required.)
30 seconds (then multiply by two)
60 seconds (1 full minute)
Name the high and low respiratory rate values in Epic that trigger the clinician to notify the provider
What are <10 or >26?
Double Value Wild Card
AIDET
What is
Acknowledge
Introduce
Duration
Explanation
Thank you
(Handoff or Hand Hygiene are acceptable)
Action required for blood pressure greater than 140/90 or systolic less than 90.
What is wait 5 minutes and recheck the blood pressure?
How to move the ear when taking a tympanic temperature
What is gently pull the top of the ear (the pinna/helix) up and back to help straighten the ear canal, allowing the thermometer probe to point directly at the tympanic membrane (eardrum)?
Two factors that reduce the accuracy of a pulse ox reading in a healthy person.
What is artificial fingernails or nail polish, cold hands, and patient movement?
Three common reasons for increased respiratory and heart rates among patients without heart and lung conditions.
What is exertion, pain, fever, stress/anxiety, dehydration, or stimulant use(caffeine, ADHD meds)?
What should a clinician do when taking a blood pressure if the patient has a shunt, mastectomy, or vascular access in an arm?
Avoid using an arm with a shunt, mastectomy, or vascular access and select the opposite arm or an alternative site for measurement.
100% Accuracy for 800
A patient reports dizziness when changing positions. To accurately assess the patient the provider asks you to perform for orthostatic vital signs. Describe the process in detail.
What is: have the patient lie supine for at least 5 minutes and record blood pressure and heart rate; assist the patient to sit up for 2–3 minutes and recheck blood pressure and heart rate; then have the patient stand (with supervision) for 2–3 minutes and recheck blood pressure and heart rate, while monitoring for dizziness, weakness, or syncope?
Name three things a patient does that results in having to waiting 20 minutes before taking an oral temperature.
What is eating, drinking hot or cold beverages, smoking, chewing gum, overdressing, or exercising?
Actions required for a pulse oximetry reading <90%
What is recheck the pulse ox and notify the provider?
Three things patients should avoid doing while you're counting respirations.
What is movement, talking, eating, and chewing?
What is OARS model for communication?
Open-ended questions encourages detailed answers