Orthopedics Guide - 2021 - 120
Point of Care
Ecosystem
BP Checklist
Standardization, whether it be in one facility or across a network of sites, poses challenges for today's health systems. One area
that can be especially challenging is blood pressure (BP) measurement. BP capture continues to be one of the most inconsistently
performed tests in the clinical environment.1
for more accurate BP measurement.2
to help ensure an accurate, precise and repeatable BP measurement-every patient, every time.
PATIENT POSITIONING DURING BP CAPTURE MATTERS.3
No Talking
Back Supported
Neither the patient nor the person taking the measurement
should talk during the procedure. The patient talking or
actively listening can increase the measurement by 10 to
15 mmHg.
Cuff Placed on Bare Arm
The upper arm should be bare. Any clothing covering the
cuff location should be removed. Placing the cuff over
clothing can add 5 to 50 mmHg. Clothing covering the
cuff location should not be rolled, so as to not have a
tourniquet affect above the BP cuff.
Arm Supported at Heart Height
The patient's arm should be supported at heart level
(the middle of the cuff on the upper arm should be at
the level of the right atrium). An unsupported arm can
add 6 to 10 mmHg to the measurement. If the arm is
above heart level, the reading can be too low (-2 mmHg
per inch). If the arm is below heart level, the reading can
be too high (+2 mmHg per inch).
1 https://www.aafp.org/afp/2005/1001/p1391.html
2 http://www.gnsh.org/hai-advisory-board-system-blueprint-for-clinical-standardization/
3 https://wire.ama-assn.org/delivering-care/one-graphic-you-need-accurate-blood-pressure-reading
The patient should be seated comfortably with the
back supported. If the patient's back is not properly
supported, the measurement can increase 5 to 15 mmHg.
Legs Uncrossed
The patient should be seated comfortably with legs
uncrossed. If the patient's legs are crossed, the
measurement can increase 2 to 8 mmHg.
Feet Flat on the Floor
The patient should be seated comfortably with feet flat
on the floor. If the patient's feet are not flat on the floor,
the measurement can increase 5 to 15 mmHg.
Want to learn more? Visit: midmark.com/BPchecklist
In fact, many healthcare providers have admitted to not following AHA recommendations
Left unaddressed, this can pose serious risk for health systems. We hope you will use this checklist
© 2021 Midmark Corporation, Miamisburg, Ohio USA
MKT-00366
120
To order, visit: www.henryschein.com/medical
21MS3390
EXAM ROOM EQUIPMENT
http://www.midmark.com/BPchecklist
https://www.aafp.org/afp/2005/1001/p1391.html
http://www.gnsh.org/hai-advisory-board-system-blueprint-for-clinical-standardization/
https://wire.ama-assn.org/delivering-care/one-graphic-you-need-accurate-blood-pressure-reading
http://www.henryschein.com/medical
Orthopedics Guide - 2021
Table of Contents for the Digital Edition of Orthopedics Guide - 2021
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