CENTRAL LUZON DOCTORS’ HOSPITAL - EDUCATIONAL
INSTITUTION, INC
Romulo Highway, San Pablo, Tarlac City
Tel No. (045) 982-5019/982-5052/982-0264 Fax No. (045) 982-0780/982-2757
NURSING DEPARTMENT
CHECKLIST ON NURSING PROCEDURES (NCM _______)
___________Semester, A.Y. _____________
VITAL SIGNS
ASSESSING THE PERIPHERAL PULSE
Name of Student: Date:
RATING SCALE:
1 - NO
2 - YES
3 - MASTERED
GRADING SYSTEM: Raw Score / Total Score x 50 + 50
Performed
Preparation NO YES Mastered Comments
1. Assess:
● Clinical signs of cardiovascular alterations, other
than pulse rate, rhythm, or volume
● Factors that may alter pulse rate
● Site most appropriate for assessment
2. Assemble equipment and supplies:
● Watch with a second hand or indicator.
● If using Doppler ultrasound stethoscope (DUS),
obtain the transducer probe, the stethoscope
headset, transmission gel, and
tissues/wipes
Procedure
1. Explain to the client what you are going to do, why it is
necessary, and how she can cooperate.
2. Wash hands and observe other appropriate infection
control procedures
3. Provide for client privacy.
4. Select the pulse point
5. Assist the client to a comfortable resting position.
6. Palpate and count the pulse. Place two or three middle
fingertips lightly and squarely over the pulse point.
● Count for 15 seconds and multiply by 4. Record
the pulse in beats per minute on your worksheet.
If taking a client's pulse for the first time, when
obtaining baseline data, or if the pulse is irregular,
count for a full minute.
An irregular pulse also requires
taking the apical pulse. Is irregular,
count for a full minute.
7. Assess the pulse rhythm and volume.
● Assess the pulse rhythm.
● Assess the pulse volume.
8. Document the pulse rate, rhythm,
and volume and your actions in
the client record.
Variation: Using a Doppler Ultrasound Stethoscope (DUS)
Procedure
● If used, plug the stethoscope headset into one of
the two output jacks located next to the volume
control
● Apply transmission gel either to the probe at the
narrow end of the plastic case housing the
transducer or to the client's skin.
● Press the "on" button.
● Hold the probe against the skin over the pulse
site. Use a light pressure, and keep the probe in
contact with the skin.
● After assessing the pulse, remove all the gel from
the probe to prevent damage to its surface. Clean
the transducer with aqueous solutions.
RAW SCORE -
-
TOTAL SCORE
FINAL GRADE -