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Central Luzon Doctors' Hospital - Educational Institution, Inc

1. The document provides a checklist for nursing students to assess a patient's peripheral pulse. 2. It lists the necessary preparation, including equipment, supplies, and factors to consider when assessing a pulse. 3. The procedure involves explaining the assessment, positioning the patient, palpating the pulse for 15 seconds and multiplying by 4 to determine beats per minute, assessing rhythm and volume, and documenting findings.

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0% found this document useful (0 votes)
122 views2 pages

Central Luzon Doctors' Hospital - Educational Institution, Inc

1. The document provides a checklist for nursing students to assess a patient's peripheral pulse. 2. It lists the necessary preparation, including equipment, supplies, and factors to consider when assessing a pulse. 3. The procedure involves explaining the assessment, positioning the patient, palpating the pulse for 15 seconds and multiplying by 4 to determine beats per minute, assessing rhythm and volume, and documenting findings.

Uploaded by

잔잔
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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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 -

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