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Pluse Checks on Adults

Ensure a quiet environment to minimize distractions.

Gather necessary equipment (e.g., gloves, watch or timer).

Wash hands or use hand sanitizer.

Here are some additional steps that could be included in the Preparation section of the New Pulse Checks on Adults checklist

Verify the patient's identity using two identifiers (e.g., name and date of birth)

Explain the procedure to the patient to ensure understanding and cooperation

Position the patient comfortably, ensuring they are relaxed and in a suitable location for the pulse check

Check the patient's medical history for any conditions that may affect pulse assessment (e.g., arrhythmias)

Ensure that the patient is not engaging in any activities that could alter their pulse rate (e.g., exercise, stress)

Confirm that the equipment is functioning properly (e.g., checking the watch or timer for accuracy)

Prepare a clean surface for setting down equipment if needed

Review any specific institutional protocols or guidelines related to pulse checks

Introduce yourself to the patient.

Obtain consent to perform the pulse check.

Assess the patient's overall condition (alertness, breathing).

Locate the radial pulse on the wrist or carotid pulse on the neck.

Use the tips of the index and middle fingers to palpate the pulse.

Press gently to feel the pulse without occluding it.

Count the number of beats for 30 seconds and multiply by 2 for beats per minute.

Note the rhythm (regular or irregular) and strength (weak, normal, or strong).

Record the pulse rate (in bpm) in the patient's chart.

Document any observations about the rhythm and strength.

Note the time and any relevant contextual information (e.g., patient activity).

If the pulse is abnormal, reassess and notify appropriate medical personnel.

Provide necessary interventions based on findings (e.g., positioning, oxygen).

Continuously monitor the patient as needed.

Clean hands after the procedure.

Dispose of any used materials appropriately.

Update the healthcare team on the findings and any actions taken.

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