TPR Procedure Checklist PDF

INDIRA GANDHI MEMORIAL COLLEGE OF NURSING Check List for TPR & BP +---------+---------+---------+---------+---------+---------+---------+ | Sl.No | Step/Ta | 1 | 2 | 3 | 4 | 5 | | | sk | | | | | | +=========+=====...

INDIRA GANDHI MEMORIAL COLLEGE OF NURSING Check List for TPR & BP +---------+---------+---------+---------+---------+---------+---------+ | Sl.No | Step/Ta | 1 | 2 | 3 | 4 | 5 | | | sk | | | | | | +=========+=========+=========+=========+=========+=========+=========+ | 1. | Identif | | | | | | | | y | | | | | | | | patient | | | | | | | | and | | | | | | | | explain | | | | | | | | the | | | | | | | | procedu | | | | | | | | re. | | | | | | +---------+---------+---------+---------+---------+---------+---------+ | 2. | Collect | | | | | | | | all | | | | | | | | equipme | | | | | | | | nts. | | | | | | +---------+---------+---------+---------+---------+---------+---------+ | 3. | Wash | | | | | | | | hands | | | | | | +---------+---------+---------+---------+---------+---------+---------+ | 4. | Remove | | | | | | | | the | | | | | | | | thermom | | | | | | | | eter | | | | | | | | from | | | | | | | | the | | | | | | | | antisep | | | | | | | | tic | | | | | | | | solutio | | | | | | | | n | | | | | | | | and | | | | | | | | rinse | | | | | | | | in cold | | | | | | | | water | | | | | | +---------+---------+---------+---------+---------+---------+---------+ | 5. | Wipe | | | | | | | | the | | | | | | | | thermom | | | | | | | | eter | | | | | | | | from | | | | | | | | bulb to | | | | | | | | stem | | | | | | | | towards | | | | | | | | a | | | | | | | | rotatin | | | | | | | | g | | | | | | | | movemen | | | | | | | | t, | | | | | | | | using a | | | | | | | | clean | | | | | | | | cotton | | | | | | | | swab. | | | | | | | | Discard | | | | | | | | swab | | | | | | +---------+---------+---------+---------+---------+---------+---------+ | 6. | Read | | | | | | | | the | | | | | | | | level | | | | | | | | of | | | | | | | | mercury | | | | | | | | in good | | | | | | | | light. | | | | | | | | To read | | | | | | | | mercury | | | | | | | | line, | | | | | | | | hold | | | | | | | | thermom | | | | | | | | eter | | | | | | | | horizon | | | | | | | | tally | | | | | | | | at eye | | | | | | | | level | | | | | | | | with | | | | | | | | fingers | | | | | | | | of | | | | | | | | right | | | | | | | | hand, | | | | | | | | rotate | | | | | | | | very | | | | | | | | slowly | | | | | | | | until | | | | | | | | the | | | | | | | | silver | | | | | | | | mercury | | | | | | | | measure | | | | | | | | ment | | | | | | | | visible | | | | | | | |. | | | | | | +---------+---------+---------+---------+---------+---------+---------+ | 7. | Shakes | | | | | | | | the | | | | | | | | thermom | | | | | | | | eter | | | | | | | | if | | | | | | | | mercury | | | | | | | | level | | | | | | | | is | | | | | | | | above | | | | | | | | 35 | | | | | | | | degree | | | | | | | | C or 95 | | | | | | | | F. | | | | | | | | Shake | | | | | | | | it with | | | | | | | | quick | | | | | | | | movemen | | | | | | | | t | | | | | | | | of | | | | | | | | wrist. | | | | | | | | To | | | | | | | | shake | | | | | | | | thermom | | | | | | | | eter, | | | | | | | | hold it | | | | | | | | firmly | | | | | | | | by its | | | | | | | | stem | | | | | | | | and | | | | | | | | move | | | | | | | | away | | | | | | | | from | | | | | | | | the | | | | | | | | wall, | | | | | | | | furnitu | | | | | | | | re | | | | | | | | and | | | | | | | | equipme | | | | | | | | nt | | | | | | +---------+---------+---------+---------+---------+---------+---------+ | 8. | In oral | | | | | | | | method, | | | | | | | | | | | | | | | | - Ask | | | | | | | | the | | | | | | | | pat | | | | | | | | ient | | | | | | | | to | | | | | | | | ope | | | | | | | | n | | | | | | | | the | | | | | | | | mou | | | | | | | | th | | | | | | | | | | | | | | | | - Pla | | | | | | | | ce | | | | | | | | bul | | | | | | | | b | | | | | | | | of | | | | | | | | the | | | | | | | | rmomete | | | | | | | | r | | | | | | | | at | | | | | | | | bas | | | | | | | | e | | | | | | | | of | | | | | | | | ton | | | | | | | | gue | | | | | | | | on | | | | | | | | the | | | | | | | | sid | | | | | | | | e | | | | | | | | of | | | | | | | | the | | | | | | | | fre | | | | | | | | nullum | | | | | | | | in | | | | | | | | pos | | | | | | | | terior | | | | | | | | sub | | | | | | | | lingual | | | | | | | | poc | | | | | | | | ket, | | | | | | | | ask | | | | | | | | the | | | | | | | | pat | | | | | | | | ient | | | | | | | | to | | | | | | | | hol | | | | | | | | d | | | | | | | | the | | | | | | | | the | | | | | | | | rmomete | | | | | | | | r | | | | | | | | in | | | | | | | | pla | | | | | | | | ce | | | | | | | | by | | | | | | | | clo | | | | | | | | sing | | | | | | | | the | | | | | | | | lip | | | | | | | | s | | | | | | | | and | | | | | | | | not | | | | | | | | bit | | | | | | | | ing | | | | | | | | on | | | | | | | | the | | | | | | | | rmomete | | | | | | | | r | | | | | | | | | | | | | | | | - Lea | | | | | | | | ve | | | | | | | | the | | | | | | | | rmomete | | | | | | | | r | | | | | | | | in | | | | | | | | pla | | | | | | | | ce | | | | | | | | for | | | | | | | | 2-3 | | | | | | | | mits. | | | | | | | | | | | | | | | | - Rem | | | | | | | | ove | | | | | | | | the | | | | | | | | rmomete | | | | | | | | r | | | | | | | | wip | | | | | | | | e | | | | | | | | usi | | | | | | | | ng | | | | | | | | a | | | | | | | | cot | | | | | | | | ton | | | | | | | | bal | | | | | | | | l | | | | | | | | fro | | | | | | | | m | | | | | | | | ste | | | | | | | | m | | | | | | | | to | | | | | | | | bul | | | | | | | | b | | | | | | | | in | | | | | | | | a | | | | | | | | rot | | | | | | | | atory | | | | | | | | mot | | | | | | | | ion. | | | | | | | | | | | | | | | | In | | | | | | | | axillar | | | | | | | | y | | | | | | | | method | | | | | | | | | | | | | | | | - Bef | | | | | | | | ore | | | | | | | | pla | | | | | | | | cing | | | | | | | | the | | | | | | | | the | | | | | | | | rmomete | | | | | | | | r | | | | | | | | , | | | | | | | | dry | | | | | | | | the | | | | | | | | axi | | | | | | | | lla | | | | | | | | | | | | | | | | - Pla | | | | | | | | ce | | | | | | | | the | | | | | | | | bul | | | | | | | | b | | | | | | | | of | | | | | | | | the | | | | | | | | rmomete | | | | | | | | r | | | | | | | | in | | | | | | | | the | | | | | | | | axi | | | | | | | | lla | | | | | | | | (ce | | | | | | | | ntre | | | | | | | | of | | | | | | | | the | | | | | | | | arm | | | | | | | | pit) | | | | | | | | | | | | | | | | - Kee | | | | | | | | p | | | | | | | | the | | | | | | | | rmomete | | | | | | | | r | | | | | | | | in | | | | | | | | pos | | | | | | | | ition | | | | | | | | by | | | | | | | | pla | | | | | | | | cing | | | | | | | | the | | | | | | | | arm | | | | | | | | acr | | | | | | | | oss | | | | | | | | the | | | | | | | | che | | | | | | | | st | | | | | | | | | | | | | | | | - Do | | | | | | | | not | | | | | | | | all | | | | | | | | ow | | | | | | | | clo | | | | | | | | thing | | | | | | | | to | | | | | | | | com | | | | | | | | e | | | | | | | | in | | | | | | | | con | | | | | | | | tact | | | | | | | | wit | | | | | | | | h | | | | | | | | bul | | | | | | | | b | | | | | | | | of | | | | | | | | the | | | | | | | | rmomete | | | | | | | | r | | | | | | | | | | | | | | | | - Lea | | | | | | | | ve | | | | | | | | the | | | | | | | | rmomete | | | | | | | | r | | | | | | | | in | | | | | | | | pla | | | | | | | | ce | | | | | | | | for | | | | | | | | 3-5 | | | | | | | | mits. | | | | | | | | | | | | | | | | - Rem | | | | | | | | ove | | | | | | | | the | | | | | | | | rmomete | | | | | | | | r | | | | | | | | wip | | | | | | | | e | | | | | | | | usi | | | | | | | | ng | | | | | | | | a | | | | | | | | cot | | | | | | | | ton | | | | | | | | bal | | | | | | | | l | | | | | | | | fro | | | | | | | | m | | | | | | | | ste | | | | | | | | m | | | | | | | | to | | | | | | | | bul | | | | | | | | b | | | | | | | | in | | | | | | | | a | | | | | | | | rot | | | | | | | | atory | | | | | | | | mot | | | | | | | | ion. | | | | | | | | | | | | | | | | In | | | | | | | | rectal | | | | | | | | method | | | | | | | | | | | | | | | | - wea | | | | | | | | r | | | | | | | | glo | | | | | | | | ves | | | | | | | | | | | | | | | | - \*w | | | | | | | | ipe | | | | | | | | the | | | | | | | | the | | | | | | | | rmomete | | | | | | | | r | | | | | | | | wit | | | | | | | | h | | | | | | | | dry | | | | | | | | cot | | | | | | | | ton | | | | | | | | fro | | | | | | | | m | | | | | | | | bul | | | | | | | | b | | | | | | | | to | | | | | | | | ste | | | | | | | | m | | | | | | | | in | | | | | | | | cir | | | | | | | | cular | | | | | | | | mot | | | | | | | | ion | | | | | | | | and | | | | | | | | dis | | | | | | | | card | | | | | | | | the | | | | | | | | swa | | | | | | | | b. | | | | | | | | | | | | | | | | - \*r | | | | | | | | ead | | | | | | | | the | | | | | | | | the | | | | | | | | rmomete | | | | | | | | r | | | | | | | | and | | | | | | | | be | | | | | | | | sur | | | | | | | | e | | | | | | | | tha | | | | | | | | t | | | | | | | | the | | | | | | | | mer | | | | | | | | cury | | | | | | | | is | | | | | | | | bel | | | | | | | | ow | | | | | | | | 95 | | | | | | | | deg | | | | | | | | ree | | | | | | | | Fah | | | | | | | | renheit | | | | | | | | | | | | | | | | - lub | | | | | | | | ricate | | | | | | | | the | | | | | | | | bul | | | | | | | | b | | | | | | | | up | | | | | | | | to | | | | | | | | 2.5 | | | | | | | | cm | | | | | | | | | | | | | | | | - tur | | | | | | | | n | | | | | | | | the | | | | | | | | pat | | | | | | | | ient | | | | | | | | on | | | | | | | | you | | | | | | | | r | | | | | | | | sid | | | | | | | | e | | | | | | | | wit | | | | | | | | h | | | | | | | | but | | | | | | | | tocks | | | | | | | | tow | | | | | | | | ards | | | | | | | | you | | | | | | | | r | | | | | | | | sid | | | | | | | | e | | | | | | | | | | | | | | | | - OR | | | | | | | | put | | | | | | | | the | | | | | | | | bab | | | | | | | | y | | | | | | | | on | | | | | | | | bot | | | | | | | | h | | | | | | | | thi | | | | | | | | ghs | | | | | | | | of | | | | | | | | the | | | | | | | | mot | | | | | | | | her | | | | | | | | wit | | | | | | | | h | | | | | | | | the | | | | | | | | fac | | | | | | | | e | | | | | | | | dow | | | | | | | | nwards | | | | | | | | | | | | | | | | - sep | | | | | | | | arate | | | | | | | | the | | | | | | | | ski | | | | | | | | n | | | | | | | | fol | | | | | | | | ds | | | | | | | | aro | | | | | | | | und | | | | | | | | the | | | | | | | | anu | | | | | | | | s | | | | | | | | wit | | | | | | | | h | | | | | | | | the | | | | | | | | thu | | | | | | | | mb | | | | | | | | and | | | | | | | | for | | | | | | | | efinger | | | | | | | | | | | | | | | | - ins | | | | | | | | ert | | | | | | | | the | | | | | | | | the | | | | | | | | rmomete | | | | | | | | r | | | | | | | | 1.2 | | | | | | | | 5cm | | | | | | | | int | | | | | | | | o | | | | | | | | rec | | | | | | | | tum. | | | | | | | | | | | | | | | | - hol | | | | | | | | d | | | | | | | | the | | | | | | | | the | | | | | | | | rmomete | | | | | | | | r | | | | | | | | in | | | | | | | | pla | | | | | | | | ce | | | | | | | | for | | | | | | | | 1mt | | | | | | | | | | | | | | | | - rem | | | | | | | | ove | | | | | | | | the | | | | | | | | the | | | | | | | | rmomete | | | | | | | | r | | | | | | | | and | | | | | | | | wip | | | | | | | | e | | | | | | | | it | | | | | | | | fro | | | | | | | | m | | | | | | | | ste | | | | | | | | m | | | | | | | | to | | | | | | | | bul | | | | | | | | b | | | | | | | | wit | | | | | | | | h | | | | | | | | a | | | | | | | | dry | | | | | | | | cot | | | | | | | | ton | | | | | | +---------+---------+---------+---------+---------+---------+---------+ | 9. | - Rea | | | | | | | | d | | | | | | | | the | | | | | | | | tem | | | | | | | | peratur | | | | | | | | e, | | | | | | | | hol | | | | | | | | ding | | | | | | | | the | | | | | | | | rmomete | | | | | | | | r | | | | | | | | at | | | | | | | | eye | | | | | | | | lev | | | | | | | | el | | | | | | | | and | | | | | | | | rot | | | | | | | | ate | | | | | | | | it | | | | | | | | til | | | | | | | | l | | | | | | | | rea | | | | | | | | ding | | | | | | | | is | | | | | | | | vis | | | | | | | | ible | | | | | | | | and | | | | | | | | rea | | | | | | | | d | | | | | | | | it | | | | | | | | acc | | | | | | | | urately | | | | | | | |. | | | | | | | | | | | | | | | | - Sha | | | | | | | | ke | | | | | | | | dow | | | | | | | | n | | | | | | | | the | | | | | | | | mer | | | | | | | | cury | | | | | | | | lev | | | | | | | | el. | | | | | | | | | | | | | | | | - Cle | | | | | | | | an | | | | | | | | the | | | | | | | | rmomete | | | | | | | | r | | | | | | | | usi | | | | | | | | ng | | | | | | | | soa | | | | | | | | p | | | | | | | | and | | | | | | | | wat | | | | | | | | er. | | | | | | | | | | | | | | | | - Dry | | | | | | | | it | | | | | | | | and | | | | | | | | sto | | | | | | | | re | | | | | | | | it | | | | | | | | in | | | | | | | | dis | | | | | | | | infecta | | | | | | | | nt | | | | | | | | sol | | | | | | | | ution. | | | | | | +---------+---------+---------+---------+---------+---------+---------+ | 10. | - mak | | | | | | | | e | | | | | | | | the | | | | | | | | pat | | | | | | | | ient | | | | | | | | com | | | | | | | | fortabl | | | | | | | | e | | | | | | | | | | | | | | | | - rem | | | | | | | | ove | | | | | | | | the | | | | | | | | tem | | | | | | | | peratur | | | | | | | | e | | | | | | | | tra | | | | | | | | y | | | | | | | | fro | | | | | | | | m | | | | | | | | the | | | | | | | | pat | | | | | | | | ient | | | | | | | | sit | | | | | | | | e | | | | | | | | and | | | | | | | | rep | | | | | | | | lace | | | | | | | | it | | | | | | | | | | | | | | | | - was | | | | | | | | h | | | | | | | | han | | | | | | | | ds | | | | | | | | | | | | | | | | - rec | | | | | | | | ord | | | | | | | | the | | | | | | | | mea | | | | | | | | sured | | | | | | | | tem | | | | | | | | peratur | | | | | | | | e | | | | | | +---------+---------+---------+---------+---------+---------+---------+ Checklist for pulse +---------+---------+---------+---------+---------+---------+---------+ | Sl.No | Step/Ta | 1 | 2 | 3 | 4 | 5 | | | sk | | | | | | +=========+=========+=========+=========+=========+=========+=========+ | 1 | | | | | | | +---------+---------+---------+---------+---------+---------+---------+ | 2 | | | | | | | +---------+---------+---------+---------+---------+---------+---------+ | 3 | | | | | | | +---------+---------+---------+---------+---------+---------+---------+ | 4 | | | | | | | +---------+---------+---------+---------+---------+---------+---------+ | 5 | - Pla | | | | | | | | ce | | | | | | | | tip | | | | | | | | s | | | | | | | | of | | | | | | | | thr | | | | | | | | ee | | | | | | | | fin | | | | | | | | gers | | | | | | | | oth | | | | | | | | er | | | | | | | | tha | | | | | | | | n | | | | | | | | thu | | | | | | | | mb | | | | | | | | lig | | | | | | | | htly | | | | | | | | ove | | | | | | | | r | | | | | | | | pul | | | | | | | | se | | | | | | | | sit | | | | | | | | e | | | | | | | | | | | | | | | | - Aft | | | | | | | | er | | | | | | | | get | | | | | | | | ting | | | | | | | | reg | | | | | | | | ular | | | | | | | | pul | | | | | | | | se, | | | | | | | | cou | | | | | | | | nt | | | | | | | | for | | | | | | | | one | | | | | | | | who | | | | | | | | le | | | | | | | | loo | | | | | | | | king | | | | | | | | at | | | | | | | | the | | | | | | | | sec | | | | | | | | ond | | | | | | | | han | | | | | | | | d | | | | | | | | on | | | | | | | | the | | | | | | | | wri | | | | | | | | st | | | | | | | | wat | | | | | | | | ch. | | | | | | | | | | | | | | | | - Ass | | | | | | | | ess | | | | | | | | for | | | | | | | | rat | | | | | | | | e, | | | | | | | | rhy | | | | | | | | thm | | | | | | | | and | | | | | | | | vol | | | | | | | | ume | | | | | | | | of | | | | | | | | pul | | | | | | | | se | | | | | | +---------+---------+---------+---------+---------+---------+---------+ | 6 | | | | | | | +---------+---------+---------+---------+---------+---------+---------+ | 7 | | | | | | | +---------+---------+---------+---------+---------+---------+---------+ Checklist for respiration +---------+---------+---------+---------+---------+---------+---------+ | Sl.No | Step/Ta | 1 | 2 | 3 | 4 | 5 | | | sk | | | | | | +=========+=========+=========+=========+=========+=========+=========+ | 1 | Check | | | | | | | | the | | | | | | | | respira | | | | | | | | tion | | | | | | | | with | | | | | | | | the | | | | | | | | pulse | | | | | | +---------+---------+---------+---------+---------+---------+---------+ | 2 | Note | | | | | | | | the | | | | | | | | rise | | | | | | | | and | | | | | | | | fall of | | | | | | | | patient | | | | | | | | 's | | | | | | | | chest | | | | | | | | or | | | | | | | | abdomen | | | | | | | | as | | | | | | | | patient | | | | | | | | is | | | | | | | | breathi | | | | | | | | ng | | | | | | +---------+---------+---------+---------+---------+---------+---------+ | 3 | - Cou | | | | | | | | nt | | | | | | | | res | | | | | | | | piratio | | | | | | | | n | | | | | | | | fro | | | | | | | | m | | | | | | | | 30 | | | | | | | | sec | | | | | | | | onds | | | | | | | | and | | | | | | | | mul | | | | | | | | tiply | | | | | | | | the | | | | | | | | num | | | | | | | | ber | | | | | | | | by | | | | | | | | two | | | | | | | | if | | | | | | | | res | | | | | | | | piratio | | | | | | | | ns | | | | | | | | are | | | | | | | | reg | | | | | | | | ular | | | | | | | | and | | | | | | | | unl | | | | | | | | abored | | | | | | | | | | | | | | | | - Cou | | | | | | | | nt | | | | | | | | for | | | | | | | | six | | | | | | | | ty | | | | | | | | sec | | | | | | | | onds | | | | | | | | in | | | | | | | | inf | | | | | | | | ants | | | | | | | | or | | | | | | | | if | | | | | | | | the | | | | | | | | res | | | | | | | | piratio | | | | | | | | ns | | | | | | | | are | | | | | | | | irr | | | | | | | | egular | | | | | | +---------+---------+---------+---------+---------+---------+---------+ | 4 | Assess | | | | | | | | the | | | | | | | | rate, | | | | | | | | rhythm | | | | | | | | and | | | | | | | | charact | | | | | | | | er | | | | | | | | of | | | | | | | | respira | | | | | | | | tion | | | | | | +---------+---------+---------+---------+---------+---------+---------+ | 5 | Record | | | | | | | | the | | | | | | | | respira | | | | | | | | tion | | | | | | +---------+---------+---------+---------+---------+---------+---------+