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Presented by: Jonna Bobeck BSN, RN, CEN

Pullman Regional Hospital CNA Competency: Assessing Vital Signs. Presented by: Jonna Bobeck BSN, RN, CEN. Objectives. Discuss Pulse Describe Respiration Assessment Understand NIBP Discuss Oxygen Saturation Describe Body Temperature. Assessing Pulse.

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Presented by: Jonna Bobeck BSN, RN, CEN

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  1. Pullman Regional Hospital CNA Competency: Assessing Vital Signs Presented by: Jonna Bobeck BSN, RN, CEN

  2. Objectives • Discuss Pulse • Describe Respiration Assessment • Understand NIBP • Discuss Oxygen Saturation • Describe Body Temperature

  3. Assessing Pulse

  4. Radial Pulse Assessment Procedural Steps • Lightly compress • Determine strength • Determine rate • Regular • Irregular • Proper hand hygiene • Patient privacy • Supine • Placement of arm • Assess along radial groove

  5. Pediatric Considerations Brachial Pulse Radial Pulse

  6. Documenting Pulse NUR EDM

  7. Measuring Non-invasive Blood Pressure (NIBP)

  8. NIBP Procedural Steps • Proper hand hygiene • Turn machine on • Select correct cuff • Expose upper arm • Check connections • Push start • Digital display • Document

  9. Pediatric Considerations

  10. Documenting NIBP NUR EDM

  11. Monitoring Oxygen Saturation (Spo2) • Saturation of arterial blood • Pleth waveform • Pulse rate • Perfusion indicator

  12. Applying the sensor Correct Placement Incorrect Placement

  13. Pediatric Considerations

  14. Documenting Pulse Oximetry NUR EDM

  15. Assessing Respirations • Place patient in position of comfort • Assess after pulse check • Observe complete cycle • Count adults for 30seconds • Infants and children count for 1 full minute

  16. Special Considerations • Pediatric patients’ • Elderly patients’

  17. Documenting Respirations EDM NUR

  18. Measuring Body Temperature • What is temperature • When fever occurs • Research findings • Pic from phone

  19. Oral Temperature Procedural Steps

  20. Rectal Temperature Procedural Steps

  21. Axillary Temperature Procedural Steps

  22. Tympanic Temperature Procedural Steps

  23. Temporal Artery Temperature Procedural Steps

  24. Pediatric Considerations

  25. Documenting Temperature NUR EDM

  26. References Perry, A., & Potter, P. (Ed.). (2006). Clinical nursing skills and techniques. St. Louis, MI: Elsevier Mosby.

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