low platelets and measuring blood pressure

[roseisrose]

I am a student doing my Med-Surg rotation on a hem-onc floor. The standard practice there is to do manual blood pressure measurments rather than using the automatic blood pressure devices, and I was told it was because of low platelets and bleeding/bruising risk. Is this evidence-based practice? It makes sense, but I am looking for literature to support this for an assignment, and I can't seem to find any! Anyone have anything on this??

[As an aside, I hope to be an oncology nurse and feel very fortunate to be working on this floor!]

[iluvivt, BSN, RN]

I would Google.....thrombocytopenia or thrombocytopenia purpura and nursing care and you should be able to find some general recommendations. I have TP and i can tell you when they use an automatic cuff or for that matter inflate the BP cuff up too high I get horrible petechia

[roseisrose]

Thanks iluvrvt for sharing your personal experience. Before I posted the original message, I googled all kinds of terms but not the terms you mentioned exactly so I'll try that. I understand what the guidelines are and why, but for my assignment I need literature references that support the practice.

Thanks

[scadams29]

Google has a scholar search. Put you keywords in this type of search and see what is returned.

[RN813]

We use automatic cuffs even with platelets below 20. Perhaps that facility has had a problem in the past. A lawsuit usually leads to change in practice.