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1. Wash hands.
2. Knock on door and ask: May I come in?
3. Introduce myself: Hello, my name is, Im going to be the nurse
taking care of you today. Can I take a look at your band please?
Could you tell me your first and last name please? ok and your
DOB? ok.
4. Proceed to explain the procedures: Im going to take your vitals
in a moment, but first I would like to know if you have smoked
recently? ok, did you have any hot or cold beverage recently?
Ok, Are you in pain? Perfect.
5. Well Im gonna wash my hands, gather the supplies and Ill be
back with you in a moment. (At the same time check arm
circumference to determine cuff size)
6. GO wash hands again
7. Collect:
-Kidney dish
-Thermometer
-2 Thermometer sheaths
-Alcohol swabs
-Gloves
-Sphygmomanometer (appropriate cuff size)
-Stethoscope
8. Knock door again and ask: May I come in?
9. Proceed to explain the procedures more in detail: Well Im gonna
start by taking your temperature and then I will proceed to take
your pulse, respiration and blood pressure, is that ok?
10. Take thermometer, check that is below 96 F but shake anyways.
The small lines count as 0.2. Insert thermometer inside sheath
and ask: could you open your mouth please? And put it SL (under
the tongue).
11. Proceed to take the pulse and respiration for 1 min each. Make
sure the arm is resting on a table. If the patient is lying on a bed
then put arm across chest.
12. Keep measurements in mind and proceed to PUT ON GLOVES!!