CDAMP Take & Record Vital Signs (click here to download)
CDAMP MODULE V skill: Take and Record Vital Signs (Complete this skill on 4 patients, use separate sheets for each skill)
EVALUATION: Take and Record Vital Signs
STUDENT NAME ______________________________ID#___________
DATE _____________________________PATIENT’S INITIALS___________
Materials: 0 –10 points
The following armamentarium is present:
___ Gloves, wrist watch with second hand, digital thermometer, disposable
plastic sheaths, disinfectant, 2×2 gauze sponges, stethoscope,
sphygmomanometer, patient’s chart, pen
Steps: 0 – 10 points each
Obtains & Records Pulse:
___ 1. Seats patient upright
___ 2. Washes hands and gloves up
___ 3. Explains procedure
___ 4. Instructs patient to rest wrist on arm of chair or counter
___ 5. Locates radial pulse with pads of first three fingers over wrist
___ 6. Gently compresses radial artery so that pulse can be felt
___ 7. Using second hand on watch, counts number of pulsations for 30
seconds, and notes any irregular rhythm patterns
___ 8. Keeping fingers on pulse, counts rise and fall of chest for 30 seconds
___ 9. Multiplies pulse and respiration counts by 2 and records on paper
along with any evidence of rhythm irregularities
Obtains and Records Temperature:
___10. Places a disposable sheath over tip of digital thermometer
___11. Explains procedure to patient
___12. Turns on thermometer and when display shows it is ready, gently
places tip under patient’s tongue
___13. Leaves in place until display indicates final reading, then removes
from patient’s mouth
___14. Records the reading on paper
___15. Turns off thermometer and disinfects thermometer as recommended
by manufacturer
Obtains and Records Blood Pressure:
___16. Explains procedure to patient and instructs patient to extend arm at
heart level
___17. Places blood pressure cuff around patient’s arm about 1 inch above
antecubital space and secures it in place
___18. Opens valve to expel any air from cuff
___19. Positions ear pieces of stethoscope in a forward manner into the ears
___20. Places diaphragm of stethoscope over brachial artery, securing in
place with thumb. Places other fingers under elbow to hyperextend
artery
___21. Locks bulb valve and inflates cuff using pumping pressure on bulb
until inflation level reaches a reading of 160 – 180
___22. Deflates cuff at a rate of 2 – 4 millimeters of mercury per second by
slightly releasing the bulb valve
___23. Notes reading when first detecting a distinct thumping sound
(systolic pressure)
___24. Continues to slowly deflate pressure listening to pulsing sounds to note when
all sounds disappear (diastolic pressure).
___25. Rapidly deflates cuff and removes from arm
___26. Correctly records reading on paper, indicating which arm was used
___27. Disinfects ear pieces and diaphragm of stethoscope according to manufacturer’s
directions
___28. Removes gloves and washes hands
___29. Records vital signs on patient’s chart
______ TOTAL POINT AVERAGE
Preceptor declares skill was successfully completed. (75% of total possible points)
PRECEPTOR’S SIGNATURE __________________________________
STUDENT’S SIGNATURE _____________________________________