Question

Write a rationale for each step on the skills checklist for vital signs.

1.Introduce yourself

2.Confirm client (two identifiers)

3.Check for latex allergy

4.Follow protocol for latex sensitivity

5.Provide privacy

6.Explain the procedure

7.Perform hand hygiene

7.Ensure the patience is either in a sitting or lying position

8.Document the client's blood pressure on the appropriate flow sheet or record, be sure to indicate the site on whether you measure the blood pressure on the right or the left side of the client’s body.

Answer 1

1.Introduce yourself - A professional gesture to let the patient know who is going to check their vital signs and add a sense of trust and comfort during the procedure

2.Confirm client (two identifiers) - To ensure the service is being provided to the correct individual and guarantee the authenticity of the patient's identification process

3.Check for latex allergy - Patient with latex allergy can experience symptoms like sneezing, coughing, difficulty breathing, and scratchy throat during the procedure. Hence, nurses take a check on that prior to the procedure and use latex free gloves and equipments in case someone has a latex allergy

4.Follow protocol for latex sensitivity - To determine the particular information required to check whether the patient has the tendency of latex reaction, and subsequently educate them according to the outcome

5.Provide privacy - It is a basic human right that provide the patient with a secure environment to receive their medical care with confidence

6.Explain the procedure - To inform the patient about the things that the nurse is going to perform and get the informed consent from the patient in case they find something unsuitable. It also helps in better cooperation as the patient now already know what has to be done and responds accordingly

7.Perform hand hygiene - As a standard safety precaution against communicable infection

7.Ensure the patience is either in a sitting or lying position - There are significant postural effect on the blood presure and heart rate. Also it makes the patient feel comfortable during the whole procedure

8.Document the client's blood pressure on the appropriate flow sheet or record, be sure to indicate the site on whether you measure the blood pressure on the right or the left side of the client’s body - While measuring the blood pressure on one side of patinet's body there are chances of a possible coarctation of the aorta, which can different reading on the other side and hence it becomes important to document the client's blood pressure on the appropriate flow sheet and indicate the site of measurement