Name:

Yudhi
Sumar
sono

NI
M :
2021027

Pr
odi:
D3Keper
awat
anPar
alel

Takingandrecor
dingafullsetofvi
tal
signswhi
chi
ncl
udest
emper
aturpul
se
respir
ati
onsandbloodpressure.

Nur
se :
Knockknockhel
l
omr
s.Smi
th
Mr
s.Smi
th :
Hel
l
o
Nur
se :mynameisLi
saandi ’
m goi
ngt
obey
ourCNAt
odayandi
am camet
o
t
akeasetofvi
tal
signsokay
Mr
s.Smi
th :
okay
Nur
se :i’
m goingtogowashmyhandsbef oregetstar
tedandprovi
deprivacy
andi wi
llberightwithyousoi ’
m goi ngtowashmyhandsi ’
m goi
ngt o
provi
depr i
vacyandf ormysuppl iesi’v
egotat hermometeri’
vegota
bl
oodpr esurecuffandast ethoscopeandi haveawatchwithasecond
handokayi thinkthat’
sitsoi’
m goi ngtogoaheadandposi ti
on,mrs.
Smithhereshe’ sl
ayinginthebedshe’ ssemisoupsemifowler’
s
posit
ionthat’
sf i
nearey oucomf ortableokay.
Mr
sSmi
th :
yes
Nur
se :sol
etmest
artwi
thgoaheadi
’
m goi
ngt
otakey
ourt
emper
atur
efi
rst
okay
.
Mr
s.Smi
th :
Okay
Nur
se :sowi ththedigit
al thermometeri’m goingtor emov et heprobeunt i
li
t
wai tf
orittobeepi ’m goingtoplacet heprobecov eront opushdown
kindofhar dtogeti ttotosnaponokayandt hengoundery ourtongue
okayunt ilt
hethermomet erbeepsv erygood97. 9i ’
m goingt odegrees
fahrenheiti’
m goingt ogoaheadandgetr i
dofmypr obeinthet r
ash
canr i
ghtov erherejustjustpushthebut tonandi tpopsof fokayi’
m
goingt oplacethatbacki ntheholderandi ’
m goingt odocumenther
temper atur
eninetysev enpointnineandi alsowantt odocumentt he
sitethatwasanor al t
emperaturesomeonewr it
eor alnexttothatokay
nowi ’m goingtodoy ourpul
seandr espir
ationokaymr s.Smi t
h
Mr
s.Smi
th :
Okay
Nur
se :all
ri
ghtsoi’
m goingtogoaheadandf indherradialpulsei
t’
sont he
anteri
orsi
deofthet het
humbsideoft heanteri
orwr i
standi’m goingto
fi
lli
twitht
wot othreefi
nger
syounev erwanttof eelthepul
sewi thyour
thumbsoi’m goi
ngt ousemyfingert
ipshereandi ’
m alsogoingtogo
aheadandturnyourpalm pr
oney oucandoi twit
ht hepalm upordown
 j
ustwhatev
eryoupr
eferwhat
everi
smostcomf
ort
abl
eist
hisokayf
or
andscr
eam okay
.
Mr
s.Smi
th :
okay
Nur
se :
Thanky
ou
Nur
se :all
righti ’m goingt ocountherr adialpulseofonef ul
l minutei ’
m going
touset hi sclockov erher esowheni i
’m pul sef oronef ul
lmi nitui’
m
goingt ouset hi
scl ockov erheresowheni i’
m goi ngt ost artwheni t
getst ot he12andt henwheni tcomesbackar oundt ot he12af terone
fullmi nut ei’
m goi ngt ocountherr espi r
ationssoonei nhalewonder f
ul
i
nhal eandexhal ei sonesoi ’m goingt ocountpul sef oronemi nute
respirat onsf oronemi nut eyouj ustrelaxt hanky oumr s.Smi th.Okay
thanky oumr s.Smi thaccount antherpul ser ateat63beat spermi nute
andy ourr espiratoryr at eis15nowwheni r
ecor dt hosei don’thav et o
write63beat spermi nut eijustwr i
te63andi t
’sunder st
oodt hatt hat’
s
foronef ull
mi nuteandwhati ’mf eeli
ngf orwi t
ht her adialpulsei severy
ti
mei feel t
hepul sehi tmyf i
nger t
ipst hat’sonebeatokaysobet ween
60and100i snor mal av eragef oranadul tsot hatl ookst hat’sgoodum
respirat oryratei count ed15af ullinhaleandaf ullexhal easonei
count ed15any wher ebet ween12and20woul dbenor mal f
oranadul t
soifi twasany thi
ngl esst han12orgr eatert hant han20i wouldgo
aheadandr eportthatt ot henur seokayt hel astthingwe’ r
egoi ngt odo
i
st akey ourbloodpr essur eokay .
Mr
s.Smi
th :
Okay
Nur
se :allrightsot odobl oodpr esur et hef ir
stt hingi wantt odoi sum y ou
hav emyequi pmentr eadyandi ’m goi ngt ogoaheadandcl eanmy
stet hoscopet obeputt oget her,okaysoi ’
m goi ngt ocl eant he
ear piecessomeal cohol andi ’m al sogoi ngt ocl eant hedi aphragm of
tgest ethoscopet hedi aphr agm i st helargersi deandt hebel lsidei s
thisot hersi deher eokaysot hati nt hetrashcan.Al lr
ightsot hisisr eady
gotmybl oodpr essur ecuf fher ei ’
m goi ngt ogoaheadandf i
ndy our
brachi alpul seokayt hebr achi alpul sei alway sst artrightint hecent er
oft heant ecubi tal spaceagai ndon’ tusey ourthumbusey ourf inger ti
ps
andi ’
m goi ngt ost artint hecent erher eandt henabi tlikethei nsi deof
theel bowandt heni ’
m goi ngt owor kmymayi nsi deandi ti
sadeeper
arter ysoi ’m goi ngt ohav et opushpushdownal ittl
ehar dert ot of eel
thatt opal pat eitokayi ’
mf eel thatt opal pt eitokayi ’m goingt ol ineup
onmybl oodpr essur ecuf ft hear terymar kerher et hi
si smr s.Smi th’s
l
ef tar m soi ’m goingt olineupt hear t
erymar kerwi thwher ei feltthat
brachi alpul seokayv erygoodt haky oujustst r
aighty ourarmt her efor
meandi ’m goi ngt opl acet hiscuf far oundi tiwanti tt obesnugandi
wanti tt obepr et t
yst raightokayv erygoodal lr
ightandi wantt he
bot tom oft hecuf fher et obeaboutandi nchabov et hebendi nt he
honort heant ecubi t
al space, okayr eady?
Mr
s.Smi
th :r
eady
Nur
se :
okayandi
makesur
eyoucanseeev
ery
thi
ngher
eandi
’
m act
ual
l
y
 goingr eposi ti
onmy selfjustal i
ttlebitnowwheny ouputt his
stethoscopei ny ourear syoudowantt omakesur ethattheear pieces
areangl edf orwar dort owar dy ourpat ientandi ’
m goi ngtogi vethisa
l
ittl
et apt omakesur eitisont hel oudestsi debecausei twi l
lyoucan
turnitandcl i
cki tandt urnitoffont hissi dewher eit’
sont hebel tside
butwe’ regoi ngt ouset hediaphr agm wi thal ar gersi deandt hatsounds
goodokayi ’
m goi ngt opl acet hisant ecubi t
al spaceandi fyou’llmake
surey ourt ubingi sn’tgoi ngtor ubort oucht hatwi llreal
lydecr easeon
theext rasoundsnowi ’m goi ngt opumpt hisupi don’tknowwhatmr s.
Smi th’sbloodpr essur enor mal l
yr unssoi ’m goi ngt ogoaheadand
pumpupt hebl oodpr essur ecuf fort hesphy gmomanomet ertoabout
180mi ll
imet ersofmer curyandt heni ’
m goi ngt osl owlywi t
hmyv alve
herei ’
m goi ngt ost artwi thitturnedof fjustunt ilitstopspumpi tupt o
180sl owl yreleaset heai randi wantmyneedl et odr opslowandst eady
aboutf ivet otenmi lli
met ersofmer cur ypersecoondokaysoi t’
spr etty
slow–y ouhav et of air
lysl owt obeaccur atebutwedowantt osteady
dropoft heneedl e, okayar eyour eadymr s.Smi t h?
Mr
s.Smi
th :
Ready
Nur
se :
thi
sisgoi
ngtosqueezey
ouar
mjustabi
tbuti
t’
sonl
ygoi
ngt
olasta
f
ewsecondsokay
Nur
se :okay120ov er82al lr
ightgoaheadr emovet hisbl oodpr essurecuff
thanky oui’m goingtor ecor
dt heresultasaf raction120ov er82and
alsowantt odat etiethisandi’m goingtor ecordt hati nmr s.Smith’
s
chart,all
ri
ghti’m goingt ogoaheadandcl eant hisst ethoscopepne
mor etimeaf t
erusi ngittomakesur et hatit’
scl eanf orthenextper son
i
ft heydoi ncaset heydof orgettocleanitbef oret heyusei t
isthere
any t
hingelset hatdoy ouneedany thingri
ghtnowmr s.Smi t
h?
Mr
s.Smi
th :
No
Nur
se :
arey
oucomf
ort
abl
e?
Mr
s.Smi
th :
yeah
Nur
se :
okaywel
lthanksf
orl
ett
ingmet
akey
ourv
ital
signs
Mr
s.Smi
th :
thanky
ou
Nur
se :andi’
m goingtogoaheadandst or
ethesesi
ppliesandi’mt owashmy
handsbeforei l
eavetheroom andi’
m goingt
ounpr ovi
dedpr i
vacyopen
thecutai
nbackupandi ’
m goingtogodocumenti nherrecordherv i
tal
signsandiftherewasany t
hingabnormalout
sideofthenor malrange
i
’dreportt
hattot henur
seimmedi at
elyokayt
hanky ou
Mr
s.Smi
th :
thanky
ou