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Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance
Published on: March 21, 2013
Staff knowledge of orthostatic vital signs measurement
Kathleen Schell1, Denise L Lyons
1Kathleen Schell is an associate professor at the University of Delaware's School of Nursing. Denise Lyons is a gerontology and adult clinical nurse specialist and a WISH/NICHE program manager at ChristianaCare.
Purpose:
To determine the nursing staff's knowledge of the proper procedure for measuring orthostatic vital signs.
Methods:
The Knowledge of Orthostatic Vital Signs Survey was sent via email to direct staff on 31 patient-care units in a large hospital system.
Results:
Eighty percent of the participants were RNs and 12% were unlicensed assistants. Survey results showed that many respondents did not know how to properly size the cuff and were uncertain about the timing of measurements with position changes. Fifty-seven percent of respondents did not correctly identify abnormal findings with regard to the systolic BP, but 80% were aware of the diastolic BP drop in orthostatic hypotension.
Conclusion:
This survey identified gaps in the staff's knowledge about the proper procedure for measuring orthostatic vital signs.
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Preparation:
Guidelines For Measuring Vital Signs
Before taking a patient's vital signs, a nurse would consider and assess the patient's comfort level and ensure appropriate equipment is available.
Introduction to Vital Signs
Vital signs help healthcare professionals assess an individual's well-being and detect any functional changes...
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Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Pre-Procedural Guidelines for Assessing Blood Pressure
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Several factors...

