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Vital Signs Assessment Script

Richie introduces himself as the student nurse and asks the patient their name. He explains he will take the patient's vital signs including temperature, pulse, respiratory rate, and blood pressure to monitor their baseline health and for any issues. Richie asks about the patient's recent activities and medical history, especially regarding hypertension. He describes the assessment process and says it may cause some discomfort but will be quick. Richie proceeds with the patient's permission after confirming they do not have an arteriovenous fistula. He takes the patient's vital signs and finds them all to be normal, indicating good health.

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Richie Vila
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12K views2 pages

Vital Signs Assessment Script

Richie introduces himself as the student nurse and asks the patient their name. He explains he will take the patient's vital signs including temperature, pulse, respiratory rate, and blood pressure to monitor their baseline health and for any issues. Richie asks about the patient's recent activities and medical history, especially regarding hypertension. He describes the assessment process and says it may cause some discomfort but will be quick. Richie proceeds with the patient's permission after confirming they do not have an arteriovenous fistula. He takes the patient's vital signs and finds them all to be normal, indicating good health.

Uploaded by

Richie Vila
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • Health Assessment Procedure

Good morning, my name is Richie, your student nurse for today. May I know your name?

I’m here to take your vital signs which includes your temperature, pulse rate, respiratory rate and blood
pressure. So the purpose of this assessment is intended to take the baseline information and to monitor
of any risk for alteration in health.

But before we proceed, may I know what activity you did before coming in here? What food did you
take? Do you have any history of hypertension? How about your family, did they have any history of
hypertension?

During the assessment there will be instances like putting the thermometer on your underarm/armpit
and also I will be also putting the cuff on your arm and it will might tighten a little and this will not cause
any pain but the tightening might be uncomfortable to you but it will be just very quick.

Another thing, do you have an av fistula? Alright then we may proceed to the assessment.

So here are the materials that we’re gonna need are disinfectant for hand hygiene, stethoscope,
sphygmomanometer, cottonballs, thermometer and kidney basin which serve as trash collector.

Now we'll start (remove the watch and start the hand hygiene)

Are you comfortable in your position?

(Disinfect the thermometer)

Will it be alright if I lift your sleeves?

(Habang naghihintay for temperature pwede icheck yung pulse rate)

Your temperature is ____ normal

Your heart rate/pulse rate is _____ normal and regular and also the breathing is normal

Your respiration is ______ it is also regular and normal

Now im going to proceed to the blood pressure.

I'm going to wrap this on your arm. Make sure its not too tight, not too loose.

Palpate the brachial artery then pump up the cuff until brachial pulse is no longer felt then release and
wait for 1-2 minutes to do another measurement

I identified the manometer reading of korotkoff phases 1 4 and 5 and noted of blood pressure _______

Your blood pressure is normal,

Now that im done assessing we can disenfect the materials that we used

To summarize, your blood pressure is _____ your respiration_____ temperature_____ pulse rate ______

I'm glad to to tell you that all of your vital sign is normal and that is a sign of good health. Thank you

Common questions

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Asking about recent activity and food intake is important because these factors can influence vital signs, such as pulse rate and blood pressure. For example, physical activity can temporarily elevate heart rate and blood pressure, while food intake can affect metabolic rate and cardiovascular parameters .

The critical steps include placing the cuff on the patient's arm, palpating the brachial artery, inflating the cuff until the brachial pulse is no longer felt, and noting the manometer readings of Korotkoff phases 1, 4, and 5 before releasing the cuff for a second measurement after 1-2 minutes .

Richie prepares disinfectant for hand hygiene, a stethoscope and sphygmomanometer for measuring blood pressure, cotton balls, a thermometer for temperature measurement, and a kidney basin for waste collection. Disinfectant ensures cleanliness, and each tool plays a specific role in gathering vital signs data .

Richie follows hygiene protocols by performing hand hygiene at the beginning of the assessment and disinfecting the thermometer before use. He also disinfects all materials used after completing the assessment to prevent cross-contamination .

Richie ensures patient comfort by explaining each step of the procedure, seeking consent before performing actions, and checking if the patient is comfortable in their position. He also warns that the blood pressure cuff might feel tight but ensures it will not be painful .

Richie positions the patient comfortably, explains the process, lifts the sleeves appropriately, and ensures the cuff is neither too tight nor too loose before palpating the brachial artery to measure the blood pressure .

Richie waits 1-2 minutes after the initial blood pressure measurement to take a repeat reading. This step ensures accuracy and accounts for any transient changes in arterial pressure due to the cuff's manipulation .

Before starting a vital signs assessment, Richie considers the patient's recent activities, dietary intake, and personal or family history of hypertension .

Richie checks the pulse rate, possibly while waiting for the temperature reading, and observes regularity and normalcy in both pulse and breathing patterns to ensure that both are within normal limits during the assessment .

Richie concludes by summarizing the vital signs readings, confirming they are all within normal ranges, and communicating that this indicates good health. He expresses satisfaction with the results and proceeds to disinfect the used materials .

Good morning, my name is Richie, your student nurse for today. May I know your name? I’m here to take your vital signs which

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