Nursing student freaking about BPs - page 2

I suppose I should post this on the student forum but I think I need the help & advice of seasoned nurses. I just started nursing school (LPN) 3 weeks ago. I have no former experience in the health ... Read More

  1. by   P_RN
    EMS is a wonderful source! Another tip would be to feel for the radial pulse at the wrist while you are deflating the cuff. When you can feel the pulse is the systolic.

    Next place the diaphragm of the steth. over the inside of the elbow (antecubital fossa) reinflate, and see if you can hear the systolic at the number it was when you felt the pulse.

    I sometimes have to cock my head so my shoulder will stabilize the earpiece at my ear. Keep trying. If you can't hear it, then try a different steth. Ask your coworkers/other students for help. Once you learn, then be available to teach the next bunch of students.
  2. by   GoldenFire5
    Quote from Dieselmota
    I had the same problem until I switched out the earpieces. I need earpieces with bigger holes.
    One of the earpieces fell off my el cheapo Prestige school-issued stethoscope last week. I bought some replacement earpieces for $1.99. I can't believe how much better I can hear! It's like I have a new stethoscope! I can hear the S2 split on inspiration! And when I take BPs I can hear the whoosh of the blood as it rushes past rather than just a dull thump.
    I'm amazed at the difference.
  3. by   Agatha
    Quote from Meloney
    I bought some replacement earpieces for $1.99. I can't believe how much better I can hear! It's like I have a new stethoscope! I can hear the S2 split on inspiration! And when I take BPs I can hear the whoosh of the blood as it rushes past rather than just a dull thump.
    I'm amazed at the difference.
    Meloney,

    Hi! Can you tell me what type you bought? I'm going to try this as well.

    Thanks,

    Agatha
  4. by   destiny5
    Quote from Agatha
    Meloney,

    Hi! Can you tell me what type you bought? I'm going to try this as well.

    Thanks,

    Agatha
    yea, me too
  5. by   lovingtheunloved
    So I've been a CNA for years, and I still have this problem. I hear the systolic, see something shiny, look away, hear the diastolic but was looking at whatever shiny thing diverted my attention, and have to start all over.
  6. by   peds4now
    Next place the diaphragm of the steth. over the inside of the elbow (antecubital fossa) reinflate, and see if you can hear the systolic at the number it was when you felt the pulse

    I would always do this until you get the hang of it. The textbooks say to anyways, so it is a must for testing. Also one other "obvious" thing. Make sure you tap your stethoscope to make sure it is open on the side you will use. I fidget with mine and sometimes find it closed when I go to use it. I'd just start taking everyone's Bp. Practice being assertive an explaining that quiet is necessary. And then try to trust yourself and go for it.

    In the hospital the time when you will need that manual might be when someone is changing status (i.e., near code) and the floor machine isn't picking it up. Then you will need to trust yourself to listen way low down until you actually hear it, even if it is way out of range. Keep practicing!
  7. by   GoldenFire5
    Sure, they are the Prestige Medical Stethoscope Replacement Parts brand. There was only one kind in the store.

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