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U10 Pt Procedures & Vital Signs

U10 Pt Procedures & Vital Signs. Patient Procedures. ALWAYS BEGIN TESTS/PROCDURES WITH THE 6 Rules of PATIENT PROCEDURES. Patient Procedures 6 rules. Introduce yourself. Patient Procedures. Introduce yourself Identify the pt.--Make sure you are with the correct pt. Patient Procedures.

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U10 Pt Procedures & Vital Signs

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  1. U10 Pt Procedures & Vital Signs

  2. Patient Procedures • ALWAYS BEGIN TESTS/PROCDURES WITH THE • 6 Rules of PATIENT PROCEDURES

  3. Patient Procedures6 rules • Introduce yourself

  4. Patient Procedures • Introduce yourself • Identify the pt.--Make sure you are with the correct pt

  5. Patient Procedures • Introduce yourself • Identify the pt.--Make sure you are with the correct pt • Explain the procedure to the pt

  6. Patient Procedures • Introduce yourself • Identify the pt.--Make sure you are with the correct pt • Explain the procedure to the pt • Explain to the pt that if they feel uncomfortable/pain at any time, they are to tell you and that you will stop the procedure.

  7. Patient Procedures • Introduce yourself • Make sure you are with the correct pt • Explain the procedure to the pt • Explain to the pt that if they feel uncomfortable/pain at any time, they are to tell you and that you will stop the procedure. • Ask the pt if they understand or if they have any questions

  8. Patient Procedures • Introduce yourself • Make sure you are with the correct pt • Explain the procedure to the pt • Explain to the pt that if they feel uncomfortable/pain at any time, they are to tell you and that you will stop the procedure • Ask the pt if they understand or if they have any questions • Record Results

  9. Vital Signs • Tests/procedures that are indicators of internal homeostasis (homeostasis is the maintaining of a constant internal environment—breathing, heart rate, body temperature, internal functions).

  10. Vital Signs • Represents the general health of the pt at that point in time

  11. Important factors of Vital Signs • Understand how to do the procedure/test

  12. Important factors of Vital Signs • Understand how to do the procedure/test • Know how to perform the procedure or test with confidence

  13. Important factors of Vital Signs • Understand how to do the procedure/test • Know how to perform the procedure or test with confidence • Must be accurate

  14. Important factors of Vital Signs • Understand how to do the procedure/test • Know how to perform the procedure or test with confidence • Must be accurate • Must be able to keep the pt comfortable.

  15. Factors that may influence VS • Physical • Walking, running, illness, stairs etc….

  16. Factors that may influence VS • Physical • Emotional-afraid, bad day, stress etc…..

  17. Factors that may influence VS • Physical • Emotional-afraid, bad day, stress etc….. • Equipment • Failures • To big or small • Low batteries

  18. Vital Signs • Temperature • Pulse/Heart rate • Respiratory Rate • Blood pressure • Ht • Wt

  19. Temperature • Physiology: The body maintains a constant temperature, this helps to maintain homeostasis (the internal environment of the body), this is controlled by the brain.

  20. Temperature • Physiology: The body moves blood to the core of the body to increase the temperature of the blood, which in turns increases the body temperature----fever.

  21. Factors that influence Temperature • Liquids

  22. Factors that influence Temperature • Liquids • Weather

  23. Factors that influence Temperature • Liquids • Weather • Exercise

  24. Factors that influence Temperature • Liquids • Weather • Exercise • Infections

  25. Factors that influence Temperature • Liquids • Weather • Exercise • Infections • Stress

  26. Is a Fever a good thing? • Yes—the increase in temperature helps the body destroy any pathogens. Pathogens are temperature sensitive.

  27. Is a Fever a good thing? • Yes—the increase in temperature helps the body destroy any pathogens. Pathogens are temperature sensitive. • Sometimes not--- a prolonged fever (having a fever for a long period of time), can cause brain injuries.

  28. Temperature Sites • Oral--mouth

  29. Temperature Sites • Oral—mouth • Rectal- ummmmm

  30. Temperature Sites • Oral—mouth • Rectal- ummmmm • Tympanic--ear

  31. Temperature Sites • Oral—mouth • Rectal- ummmmm • Tympanic—ear • Axillary- arm pit

  32. Temperature Sites • Oral—mouth • Rectal- ummmmm • Tympanic—ear • Axillary- arm pit • Temporal Scan-forehead/behind the ear

  33. Temperature Value/Readings • Normal- 98.6 degrees F

  34. Temperature Value/Readings • Normal- 98.6 degrees F • Rectal temperature: subtract 1 degree

  35. Temperature Value/Readings • Normal- 98.6 degrees F • Rectal temperature: subtract 1 degree • Axillary temperature- add 1 degree

  36. Types of thermometers • Glass

  37. Types of thermometers • Glass • digital

  38. Types of thermometers • Glass • Digital • Digital Probe

  39. Types of thermometers • Glass • Digital • Digital Probe • Tympanic

  40. Types of thermometers • Glass • Digital • Digital Probe • Tympanic • Temporal Scan

  41. Pulse/Heart Rate • The number of times the heart beats per minute.

  42. Pulse/Heart Rate • The number of times the heart beats per minute. • Documented as ___B/M ( beats per minute)

  43. Pulse/Heart Rate • Factors the affect the HR. • Exercise

  44. Pulse/Heart Rate • Factors the affect the HR. • Exercise • Food

  45. Pulse/Heart Rate • Factors the affect the HR. • Exercise • Food • Illness

  46. Pulse/Heart Rate • Factors the affect the HR. • Exercise • Food • Illness • Stress

  47. Pulse/Heart Rate • Factors the affect the HR. • Exercise • Food • Illness • Stress • Medications—OTC, Rx, illegal

  48. 3. Carotid • 4. Brachial • 5. Radial ***** • 7. Popliteal

  49. Taking a pulse Never use your thumb. Your thumb has a small pulse that can be felt. Pulse is taken on the thumb (radial) side of the pts wrist.

  50. Pulse Characteristics • Rate: how fast the heart is beating

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