Vital Sign Technique
When you take the tip of thermometer under the tongue and have the patient to close their lips, what type of vital sign are you collecting?
ORAL TEMPERATURE
The normal range in EPIC that does not flag as red for adult BP, that does not require nurse notification.
90 - 139
60 90
The normal range in EPIC that does not flag as red for adult HR, that does not require nurse notification.
60-110
The normal range in EPIC that does not flag as red for adult Temperature, that does not require nurse notification.
96.0-100.3
One inspiration and one exhalation count as one________________________.
The top ______ and bottom_____ number on the Blood Pressure Reading are called
Systolic - top
Diastolic - bottom
The normal range in EPIC that does not flag as red for adult respirations, that does not require nurse notification.
10-20
The normal range in EPIC that does not flag as red for adult 02 Sat, that does not require nurse notification.
95% or greater
The Blood Pressure Cuff Artery Marker should be lined up with the _______ artery when taking a blood pressure on the upper arm.
Brachial Artery
A patient's blood pressure is 85/48. Will this blood pressure turn red when entered into EPIC? Should you report this blood pressure to the nurse?
YES
YES
A patient walks downstairs to the sidewalk, smokes cigarettes, walks back to the room. As soon as the patient enters the room, you walk in to collect vital signs. Can the patient's Heart Rate and or Respirations be affected from the patient's recent activities?
YES
Name 3 routes to take temperature.
Oral, Tympanic, Temporal, Axillary, Rectal
When you are collecting this vital sign, you should assess the temperature of the patient's hand and not take it when the blood pressure cuff is inflating on the same side as it could not give an accurate reading.
02 Sat
A patient's blood pressure is 145/91. Will this blood pressure turn red when entered into EPIC? Should you report this vital sign to the nurse?
YES
YES
_________ is measured in breaths per minute.
Respiration
When taking an axillary temperature, it is appropriate to add 1 degree to the reading.
FALSE
If we are taking this vital sign by hand. It is important to not use your thumb to feel.
Heart Rate
A patient's blood pressure is 137/83. Will this blood pressure turn red when entered into EPIC? Should you report this vital sign to the nurse?
NO
NO
If the patient has HR and/or Respiration that are of regular rate and rhythm it is appropriate to count them for 30 seconds and multiple by that number by 2 for beats per minute for HR and breaths per minute for respiration.
TRUE
This is included in vital signs and measures the percentage of oxyhemoglobin (oxygen-bound hemoglobin) in the blood.
02 Saturation