IPG

Name: Lisa Fox, RN

Date(s): 4 Mar 2016
Subject: Practicum in Health Science
Grade Level: 11-12
Opening Hook/Warm Up:
TEK: 130.205.c8(A)(D)
Client presented for an appointment, after
--The student is expected to describe the preobtaining her BP and noting an increase, this procedural preparation and the procedure of
lead me to ask specific questions and blood
obtaining an accurate blood pressure.
work that indicated that this client was
--The student will accurately record their
extremely sick with pre-eclampsia. Because
findings.
of these findings, we moved towards delivery
immediately, which gave us a newborn that
Objective: Student Friendly: I will describe the
was not compromised and got the client on
pre-set up of taking a blood pressure;
the road to recovery. We had an excellent
demonstrate taking the blood pressure; and
outcome because of noting a change on a
record the blood pressure within +/- 4 mmHg
simple BP.
of my examiners findings.
Big Understanding: It is important for students to accurately obtain and record a clients blood
pressure because the blood pressure is used as a diagnostic tool in the health of a client. It
provides information of a clients past, present, and future health status. Changes can
indicate developing health concerns and impending emergency situations.
Summative Assessment Evidence: The student is able to verbalize the proper steps in the
procedure prior to a hands-on return demonstration of their understanding.
Higher Level Questions to Incorporate: Higher Level Questions to Incorporate: 1. Why is it
necessary to obtain a past blood pressure history from your client? 2. Why is it important to
add 20-30 mmHg to the initial systolic reading you obtained?
Instructional Strategies / Student Activities/ Grouping Patterns:
Cooperative Grouping- Students in pairs of 2, then rotating.
Homework and Practice- Students will practice in the skills lab and can practice on
family members at home.
Advanced Organizers- Students will have a handout utilizing an order of steps for the
skill. (See the steps in Explain Procedure under the Modeling section of the IPG)
Cues and Questions- Students will be asked questions throughout the presentation.
Teacher Input/Modeling: IDO:
1. Present opening hook.
2. State the objective you expect the students to accomplish. Make sure the students have a
copy of the Check Off criteria.
Explain Procedure:
3. Perform your ABCs.
4. Make sure:
a) Patient has been at rest for at least 5 minutes prior to taking the BP.
b) Patient has not smoked or had caffeine for at least 30 minutes prior to taking BP.
c) Patient does not have their legs crossed.
d) You have the correct size cuff for the patient.
5. Clean the stethoscope earpieces, diaphragm, and bell with an alcohol swab, if not your
personal equipment.
6. Show where the BP cuff is placed on the arm, identifying landmarks and markings on the
cuff.
7. Wrap the cuff around the arm snuggly and fasten the Velcro, making sure you can see the
manometer.
8. Then roll the screw to the closed position, clockwise. Make sure you dont tighten too
tight that you cannot open it when need.