Got a cna test coming up, its a skills retake. I've noticed that in some cna skills videos they rest the patient's arm on the bed while, this one places the patient's arm on top of a pillow that rests on top of a over bed table...which one should I do?? There's so many versions on how to do one skill...they should just standardize it.
You DO NOT inflate the cuff till it reaches 30mmHG, you inflate it till you do not here the pulse. Once you stop hearing the pulse you then deflate the cuff till you hear the pulse again
We have taught it 2 ways in the past(through feeling the loss of pulse on the radial artery or hearing the loss of pulse at the brachial artery) but we primarily use the listening method now We pump till we hear the loss of pulse and then add 30. Hope that clarifies.
+AZMTI I'm taking my state boards exam next week. I've been studying, I'll be practicing all of next week. but I would like to know any tips before I take my exam. Any help would be great !
My girlfriend works at a skilled nursing facility. Most of her patients are elderly and rather frail. What would be the best stethoscope for taking blood pressure manually? I am going to get her a Littmann Cardiology stethoscope. Would the Master Cardiology Stethoscope with a single sided 2 inch, 3.2 Ounce chestpiece work better than a Littmann Cardiology IV with a double sided 1.3 & 1.7 inch, 3.1 Ounce chestpiece.
I have to say you are spot on with your blood pressure readings. OK, even advisable to feel the pulse disappear and go 30mmHg above that until the nurse becomes familiar with a patients blood pressure which makes a lot of sense. Then I don't think it is so important to feel the pulse. However, I do have a question for AZMTI. I know that certain size arms take certain size blood pressure cuffs, specifically the bladder, but I don't know the science behind the bladder width especially. Does the blood pressure bladder width have to EVENLY COMPRESS the length of the brachial artery that is under it? The reason I asked that because even at home if I don't get my cuff on just right and high enough on my arm, it feels like it is too tight at the bottom of cuff and not very tight at top and visa versa. But it is far worse in the doctors office. However you are the exception rather then the rule since you put the cuff on to contour with the lady's arm and got it on tight enough and that is why I have such issues with the majority of the nurses and some doctors when they take my blood pressure. It seems like it is really hard to get an accurate reading.
Advocate Muletwa, the entire field uses electronic everything now, unless you have yourself an old fashioned doctor or nurse. Most places don't even call for CNA'S to do vitals too much anymore. They are making med-techs take vitals and that's with and electronic blood pressure cuff not manually. They need to teach people this job hands on not from books, silly corrupted world. How can you train from a book a hands on job. Purely all hands on from start to finish. But they expect you to pretend there's a privacy curtain there like that's important when someone is in need of help. All they teach goes out the window when your in the real world not the land of make believe. Peace ✌
I'm in Montana getting ready to take the CNA Skills Test and this seems all wrong to me from here. First of all, you do not raise the residents arm above the heart and you inflate the cuff to between 160 and 180. Also, I would be listening with the diaphragm the whole time, not taking the radial pulse then halfway through switch to the brachial pulse...wtf!
lol nice you got it. good job for paying attention. can anyone else point out any other issue that she could of have done better? I am currently taking clinicals and its not easy at all. I wish I had more hands on training. before my review and board Exam.
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Remember to have the patient uncross their legs. This can make a difference
Yes
Got a cna test coming up, its a skills retake. I've noticed that in some cna skills videos they rest the patient's arm on the bed while, this one places the patient's arm on top of a pillow that rests on top of a over bed table...which one should I do?? There's so many versions on how to do one skill...they should just standardize it.
You DO NOT inflate the cuff till it reaches 30mmHG, you inflate it till you do not here the pulse. Once you stop hearing the pulse you then deflate the cuff till you hear the pulse again
We have taught it 2 ways in the past(through feeling the loss of pulse on the radial artery or hearing the loss of pulse at the brachial artery) but we primarily use the listening method now We pump till we hear the loss of pulse and then add 30. Hope that clarifies.
+AZMTI I'm taking my state boards exam next week. I've been studying, I'll be practicing all of next week. but I would like to know any tips before I take my exam. Any help would be great !
? U didn't teach how u count and actually take blood pressure. u showed , I didn't learn anything from this. I don't get it.
My girlfriend works at a skilled nursing facility. Most of her patients are elderly and rather frail. What would be the best stethoscope for taking blood pressure manually?
I am going to get her a Littmann Cardiology stethoscope.
Would the Master Cardiology Stethoscope with a single sided 2 inch, 3.2 Ounce chestpiece work better than a Littmann Cardiology IV with a double sided 1.3 & 1.7 inch, 3.1 Ounce chestpiece.
I have to say you are spot on with your blood pressure readings. OK, even advisable to feel the pulse disappear and go 30mmHg above that until the nurse becomes familiar with a patients blood pressure which makes a lot of sense. Then I don't think it is so important to feel the pulse.
However, I do have a question for AZMTI. I know that certain size arms take certain size blood pressure cuffs, specifically the bladder, but I don't know the science behind the bladder width especially. Does the blood pressure bladder width have to EVENLY COMPRESS the length of the brachial artery that is under it? The reason I asked that because even at home if I don't get my cuff on just right and high enough on my arm, it feels like it is too tight at the bottom of cuff and not very tight at top and visa versa. But it is far worse in the doctors office. However you are the exception rather then the rule since you put the cuff on to contour with the lady's arm and got it on tight enough and that is why I have such issues with the majority of the nurses and some doctors when they take my blood pressure. It seems like it is really hard to get an accurate reading.
Can the doctors and nurses use Electronic sphyg. in the hospital to patients and if yes which ones to you recommend
Advocate Muletwa, the entire field uses electronic everything now, unless you have yourself an old fashioned doctor or nurse. Most places don't even call for CNA'S to do vitals too much anymore. They are making med-techs take vitals and that's with and electronic blood pressure cuff not manually. They need to teach people this job hands on not from books, silly corrupted world. How can you train from a book a hands on job. Purely all hands on from start to finish. But they expect you to pretend there's a privacy curtain there like that's important when someone is in need of help. All they teach goes out the window when your in the real world not the land of make believe. Peace ✌
Where I’m from, this isn’t part of the skills checklist
She released that valve quite quickly on the second demonstration, but I could be wrong about that...
I have never ever been taught to put a persons arm on a pillow.
wrong "you wash your hands before you write down your results lol fail.
I just saw an orb passed by lol starting from 4:27 wait for it....
I don't get locking bed brakes for this skill.
Why do you need to use a pillow to take her blood pressure? When I go to the doctor's office, they never do this.
Always check pressure at heart level......
Marilyn Phan She used the pillow to provide cushion for her patient arm = comfort measures.
I'm in Montana getting ready to take the CNA Skills Test and this seems all wrong to me from here. First of all, you do not raise the residents arm above the heart and you inflate the cuff to between 160 and 180. Also, I would be listening with the diaphragm the whole time, not taking the radial pulse then halfway through switch to the brachial pulse...wtf!
I agree but you know every trainer is not the same and you know that, they don't all teach the same way.
Diana Nelson and state tests are probably different from each other
wash hands and then record.
Privacy curtain is not needed on this skill. I passed both my CNA written and skills test .
HIPAA Privacy Rule states that you must.
joyce sharpe I was failed for not pulling my privacy curtain on this skill
She should have washed hands before recording results.
lol nice you got it. good job for paying attention. can anyone else point out any other issue that she could of have done better?
I am currently taking clinicals and its not easy at all.
I wish I had more hands on training.
before my review and board Exam.