just my 2 cents worth
1st i need to comment what was posted
i can't get vitals from some elderly people -- sometimes radial, sometimes apical.
is it ok to spend 10 to 20 minutes just on pulse, as long as i finish the whole implementation on time?
no it is not ok to spend 20-30 minutes on just a pulse. a pcs is a total of 2.5 hours and that includes reading the chart, writing your care plans, all of implementation and the evaluation phases. a student only spends 1hour- 1 hour 30 minutes in the room tops. so to spend 20-30 minutes just on a pulse…is not practical and it doesn’t show proficiency. to be successful at cpne ™ not only do you have to do things correctly but you have to be proficient at them, show organization and manage your time.
the only way you get proficient is by practicing… so grab your family and friends and do extra at work and you will become proficient and successful at vs for the clinical.
also if you can’t feel a radial pulse cdm can be invoked and you can do an apical.
frankie is correct the b/p cuff can only be pumped up to no more than 30 mm above the baseline. do you know how to establish the pt’s baseline systolic…. the student has to take the last 24 hours, prior to the pcs, of systolic’s add them together and then divide them to get the average…. the last b/p on the chart is not the baseline.
the b/p cuff also as to be place on the arm correctly…. mid way between the shoulder and the anticubital….and the arrow on the cuff has to point to the brachial area and the brachial pulse needs to be assessed prior for stethoscope placement.
i know a student formally on this site that failed a pcs because the arrow on the cuff wasn’t placed correctly on the pt’s arm.
frankie is also correct many times students take vs for granted…. you’d be surprised how much your head is pounding when you try to take a b/p or a pulse and how it disturbs our hearing….
ineverseeu….it’ s time to grab that stereoscope + b/p cuff and attack your family, friends, pt’s at work and co-workers to practice ….practice… practice so you can also be successful at cpne ™