Manual vs. automatic blood pressure cuffs - page 2

On your med-surg floor, who routinely takes vital signs -- you or your nurse's aide? Do you rely on an automatic bp cuff or do you take the bp manually? What about when a patient comes back post-op... Read More

  1. by   RNforLongTime
    Originally posted by JMP
    Blood pressures

    Manual is always the best. Non-invasive BP cuffs- are secondary to manual. Non-invasive can be false for a number of reasons, pts are moving arm, the cuff is too big- too small- the non-invasive (manuals) are taking the BP by vibration. And many factors can alter the vibration.

    Of course, art lines are the gold standard. But on the floors, manual should be the gold standard.
    I agree! When I worked the tele floor, we checked manual pressures on all pt's in A Fib. If I disagreed with what a CNA obtained with the machine then I checked a manual pressure.

    Now that I'm an ICU nurse, we typically use art lines but I've had CV surgeons ask me when I've called regarding Low BP not responding to pressors what the cuff pressure is.
  2. by   LoisJean
    Here's one for you: my husband had been moved from Recovery Room to a semi-private. His vitals were stable and while he was alert and oriented, he was still groggy. The nurse came into his semi- private and applied the automatic cuff to his arm. She set the timer and left the room. I ventured out behind her to find a bathroom. I then decided to go and find a soda machine. After about 15 minutes I returned to find my hubby's arm blue right down to the fingers. The automatic cuff had not deflated and apparently there was not a functioning alarm to alert anyone.

    I know you guys are busy, but nothing beats the manual cuff for accuracy, comfort and safety...IMHO.

    Lois Jean