U10 Pt Procedures & Vital Signs

1. U10 Pt Procedures & Vital Signs

2. Patient Procedures • ALWAYS BEGIN TESTS/PROCDURES WITH THE • 6 Rules of PATIENT PROCEDURES

3. Patient Procedures6 rules • Introduce yourself

4. Patient Procedures • Introduce yourself • Identify the pt.--Make sure you are with the correct pt

5. Patient Procedures • Introduce yourself • Identify the pt.--Make sure you are with the correct pt • Explain the procedure to the pt

6. Patient Procedures • Introduce yourself • Identify the pt.--Make sure you are with the correct pt • Explain the procedure to the pt • Explain to the pt that if they feel uncomfortable/pain at any time, they are to tell you and that you will stop the procedure.

7. Patient Procedures • Introduce yourself • Make sure you are with the correct pt • Explain the procedure to the pt • Explain to the pt that if they feel uncomfortable/pain at any time, they are to tell you and that you will stop the procedure. • Ask the pt if they understand or if they have any questions

8. Patient Procedures • Introduce yourself • Make sure you are with the correct pt • Explain the procedure to the pt • Explain to the pt that if they feel uncomfortable/pain at any time, they are to tell you and that you will stop the procedure • Ask the pt if they understand or if they have any questions • Record Results

9. Vital Signs • Tests/procedures that are indicators of internal homeostasis (homeostasis is the maintaining of a constant internal environment—breathing, heart rate, body temperature, internal functions).

10. Vital Signs • Represents the general health of the pt at that point in time

11. Important factors of Vital Signs • Understand how to do the procedure/test

12. Important factors of Vital Signs • Understand how to do the procedure/test • Know how to perform the procedure or test with confidence

13. Important factors of Vital Signs • Understand how to do the procedure/test • Know how to perform the procedure or test with confidence • Must be accurate

14. Important factors of Vital Signs • Understand how to do the procedure/test • Know how to perform the procedure or test with confidence • Must be accurate • Must be able to keep the pt comfortable.

15. Factors that may influence VS • Physical • Walking, running, illness, stairs etc….

16. Factors that may influence VS • Physical • Emotional-afraid, bad day, stress etc…..

17. Factors that may influence VS • Physical • Emotional-afraid, bad day, stress etc….. • Equipment • Failures • To big or small • Low batteries

18. Vital Signs • Temperature • Pulse/Heart rate • Respiratory Rate • Blood pressure • Ht • Wt

19. Temperature • Physiology: The body maintains a constant temperature, this helps to maintain homeostasis (the internal environment of the body), this is controlled by the brain.

20. Temperature • Physiology: The body moves blood to the core of the body to increase the temperature of the blood, which in turns increases the body temperature----fever.

21. Factors that influence Temperature • Liquids

22. Factors that influence Temperature • Liquids • Weather

23. Factors that influence Temperature • Liquids • Weather • Exercise

24. Factors that influence Temperature • Liquids • Weather • Exercise • Infections

25. Factors that influence Temperature • Liquids • Weather • Exercise • Infections • Stress

26. Is a Fever a good thing? • Yes—the increase in temperature helps the body destroy any pathogens. Pathogens are temperature sensitive.

27. Is a Fever a good thing? • Yes—the increase in temperature helps the body destroy any pathogens. Pathogens are temperature sensitive. • Sometimes not--- a prolonged fever (having a fever for a long period of time), can cause brain injuries.

28. Temperature Sites • Oral--mouth

29. Temperature Sites • Oral—mouth • Rectal- ummmmm

30. Temperature Sites • Oral—mouth • Rectal- ummmmm • Tympanic--ear

31. Temperature Sites • Oral—mouth • Rectal- ummmmm • Tympanic—ear • Axillary- arm pit

32. Temperature Sites • Oral—mouth • Rectal- ummmmm • Tympanic—ear • Axillary- arm pit • Temporal Scan-forehead/behind the ear

33. Temperature Value/Readings • Normal- 98.6 degrees F

34. Temperature Value/Readings • Normal- 98.6 degrees F • Rectal temperature: subtract 1 degree

35. Temperature Value/Readings • Normal- 98.6 degrees F • Rectal temperature: subtract 1 degree • Axillary temperature- add 1 degree

36. Types of thermometers • Glass

37. Types of thermometers • Glass • digital

38. Types of thermometers • Glass • Digital • Digital Probe

39. Types of thermometers • Glass • Digital • Digital Probe • Tympanic

40. Types of thermometers • Glass • Digital • Digital Probe • Tympanic • Temporal Scan

41. Pulse/Heart Rate • The number of times the heart beats per minute.

42. Pulse/Heart Rate • The number of times the heart beats per minute. • Documented as ___B/M ( beats per minute)

43. Pulse/Heart Rate • Factors the affect the HR. • Exercise

44. Pulse/Heart Rate • Factors the affect the HR. • Exercise • Food

45. Pulse/Heart Rate • Factors the affect the HR. • Exercise • Food • Illness

46. Pulse/Heart Rate • Factors the affect the HR. • Exercise • Food • Illness • Stress

47. Pulse/Heart Rate • Factors the affect the HR. • Exercise • Food • Illness • Stress • Medications—OTC, Rx, illegal

48. 3. Carotid • 4. Brachial • 5. Radial ***** • 7. Popliteal

49. Taking a pulse Never use your thumb. Your thumb has a small pulse that can be felt. Pulse is taken on the thumb (radial) side of the pts wrist.

50. Pulse Characteristics • Rate: how fast the heart is beating