Equipments:
1. sphygmomanometer
2. stethoscope
3. jot down pad and pen
Procedure:
1. Inspect equipment for defects to avoid stopping n the middle of the procedure or cause any delays.
2. Wash hands.
3. Explain the procedure including the discomfort of a tightening cuff, the importance of relaxing the patient's arm and why silence during reading is preferred to the client.
4. Have client sit or lie down as preferred. Give her 15 minutes rest if client came in from the long walk under the heat of the sun or from exercise.
5. Position arm at heart level with palm up exposing patient's forearm.
6. Place deflated cuff around arm with the tubing over the brachial artery approximately 1 inch or 2 fingers above.
7. Make sure the gauge us easily visible and registered at zero.
8. Locate brachial pulse. Place bell/diaphragm of the stethoscope over site of the strong pulse.
9. Close air-cock of rubber bulb. Inflate cuff until mercury rises to 160mmHg or 30mmHg above the likely systolic pressure of the client.
10. Deflate the cuff slowly and gradually to allow escape of air from the cuff.
11. Keep eyes at level indicator.
12. Listen for the first distinct sound. Note level of mercury. This is the systolic pressure.
13. Continue deflating cuff slowly.
14. Note level of mercury when last distinct sound is heard just before it fades off. This is the diastolic pressure.
15. Rapidly deflate cuff to zero when sounds have disappeared.
16. If it is necessary to re-check your readings wait 30 seconds-1 minute before doing so. Repeat steps 8-15.
17. Fold cuff as you unwind it off the client's arm.
18. Write down readings in jot down notebook, record result in chart.
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