BP

  1. I'm in Fundamentals this semester and learning to take vital signs. I am having a horrible time hearing when I am taking BP. I'm in a quiet room with no distractions but I just can't seem to get it. Any suggestions?
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  2. 10 Comments

  3. by   JUSTanLPN
    A good stethoscope makes all the difference.
  4. by   BostonFNP
    Make sure the ears buds are angled forward.

    Practice.
  5. by   Sun0408
    Make sure the bell is "on".. Some can turn and if it is turned the wrong way, you will not hear anything. To check put your stethoscope on and tap, if you don't hear it loudly, turn the bell until you do..
  6. by   springchick1
    Thanks guys! I tried a different stethoscope and that helped a lot. I'll keep practicing!
  7. by   emtb2rn
    Also palpate the brachial pulse prior to placing the scope on the arm. That way you'll know you're in the correct area. With practice you won't need to palpate but it helps when you're learning.
  8. by   Jus3
    Quote from Sun0408
    Make sure the bell is "on".. Some can turn and if it is turned the wrong way, you will not hear anything. To check put your stethoscope on and tap, if you don't hear it loudly, turn the bell until you do..
    Good to know... I wasn't aware of this.
  9. by   nurseprnRN
    Earbud placement is key. The earbuds must be aimed forward to the tip of your nose, not pointed back towards the pinna (like they do on TV ). Anatomically, aiming them forward points them down the ear canal. You can rotate the headset pieces on your stethoscope until they fit your ears perfectly.
  10. by   Compassion_x
    I used to have a problem hearing BPs even in the quiet, like you. But a new stethoscope made ALL the difference. I have a Littmann classic II now and I love it. Also note the earbud placement and having the diaphragm/bell the right position.
  11. by   blackvans1234
    Medial aspect of the supinated AC.
    If you can palpate it, you can auscltate it!
    Make sure stethoscope bell is on (lightly tap while earbuds in)
    Earbuds forward
  12. by   springchick1
    I passed on my first attempt! Thanks for all the advice!

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