19. Apply evidence-based practice and research related to vital signs across the life span.
Consider the evidence or research that ultimately affects how we care for different age
groups. You have several boxes throughout the chapters that highlight how and why
things are different for older adults as compared with younger adults.
Think about what I said in lab about blood pressure. About a decade ago, nurses would
place a blood pressure cuff on a patient’s arm and pump it up to 200-220 mm Hg. We
now have research that says this is not the best way to do blood pressure because the
old way was causing a great deal of damage to patients. Now, we have the two step
blood pressure process that we learned in class to prevent harm associated with
measuring blood pressure.
Teamwork & Communication:
20. Collaborate with interdisciplinary team members related to patient education
concerning vital signs and physical assessment.
Consider the patient who has high blood pressure measurements or an abnormal bruise
pattern on the abdomen noted on physical assessment. In either case, you will
communicate your findings to your charge nurse and the patient’s physician. For the
patient with the high blood pressure, you may need to consult the dietary department
for diet modifications. For the patient with the abnormal bruise, you may need to consult
social services, if you suspect the bruise is a result of abuse.
Back in module 1, the ATI book chapter 2 was assigned. This chapter reviewed all
members of the “interprofessional team” or “interdisciplinary team” that help take care
of the patient.
Informatics:
21. Describe how the computer system is used for documentation of vital signs and the
physical assessment.
This simply refers to how we document our vital signs and physical assessment in the
computer. For vital signs, we know that we need the temp value, the route the temp was
taken, and if it was in degrees F or degrees C.
Quality Improvement:
22. Identify related quality improvement techniques to improve safety regarding the
delegation of vital signs.
While it is an acceptable practice to delegate vital signs to nursing assistants or LPNs,
the nurse is ultimately responsible for assessment and monitoring vital signs. One way
we have work to improve safety with this is requiring staff to include vital signs in hand-
off or bedside reporting. Also, the nurse has autonomy in deciding if vital signs need to
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