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Importance of Consent
By the end of this course you will have a full awareness and understanding
of the purpose of taking and recording blood pressure and be aware of
appropriate actions to take.
Preparing Equipment
Clean blood pressure machine and cuff with an approved cleaning wipe.
Use a single patient use cuff cover when a patient has a multi resistant
organism
The circumference of the upper arm must be measured at the widest point
in order to determine which size cuff be used. See table
Cont
SAFEGUARDING
In any situation where staff may consider the patient to be a vulnerable
adult, they need to follow the Trust Safeguarding Adult Policy and
discuss with their line manager and document outcomes.
REFERRALS
Any referrals to health professionals, therapists or other specialist
services must be followed up and all professional advice or guidance
documented in the patients health records.
EQUALITY ASSESSMENT
During the development of this procedure the Care home has
considered the clinical needs of Each protected characteristic (age,
disability, gender, gender reassignment, pregnancy and maternity, race,
religion or belief, sexual orientation). There is no evidence of exclusion
of these named groups.
Procedure
Action Rational
Verbally confirm the identity To avoid mistaken identity
of the patient by asking for
their full name and date of
birth. If client unable to
confirm, check identity with
family/carers
Ensure verbal consent for the Example, as the client has the choice
presence of any other third to refuse
party is obtained
Procedure
Explain procedure to patient Enables patient to make an informed
including risks and benefits and gain decision to proceed with blood
valid consent pressure monitoring
Ask patient to remove any tight arm Allows the cuff to be applied in the
clothing. Assist the patient if required, correct position thus reducing the
ensuring privacy and dignity at all potential for error.
times
Procedure Con’t
Request the patient to empty their Can effect blood pressure
bladder if they need to. reading(NICE, 2006)
Support the patients arm out- If the arm is above or below heart
stretched at heart level and check the level and not relaxed the reading may
brachial pulse, rhythm and pace. be effected (NICE 2006) This is to
ensure that the most appropriate
equipment is used e.g. a patient with
arterial fibrillation should have blood
pressure taken with aneroid
Apply the cuff and measure blood To obtain an accurate blood pressure
pressure, following the procedure for measurement
the use of the monitoring device.
Patient should not talk during the
procedure
Some people may have high blood pressure that is linked to another
medical condition, such as kidney problems.
Only one of the numbers has to be lower than it should be to count as low
blood pressure. In other words:
blood pressure chart below to see what blood pressure means. The
blood pressure chart is suitable for adults of any age. (The level for
high blood pressure does not change with age.)
The blood pressure chart shows ranges of high, low and healthy
blood pressure readings.
More than 90 over 60 (90/60) and less than 120 over 80 (120/80):
blood pressure reading is ideal and healthy.
More than 120 over 80 and less than 140 over 90 (120/80-140/90):
Normal blood pressure reading but it is a little higher than it should
be, and you should try to lower it.
To Conclude!