SOP FOR EXAMINATION OF VITAL SIGNS

GROUP 10 (5A)

Disusun Oleh :

1. Amelia Putri Anggraini (G0A021039)

2. Fasyha Hanum Eganingtyas (G0A021041)
3. Nabila Zahra Pratiwi (G0A021043)

PROGRAM STUDI DIPLOMA III KEPERAWATAN

FAKULTAS ILMU KEPERAWATAN DAN KESEHATAN

UNIVERSITAS MUHAMMADIYAH SEMARANG

TAHUN AKADEMIK 2023

SOP FOR EXAMINATION OF VITAL SIGNS
Tools preparation
 Thermometer
 Sthetoscope
 Tensimeter
Temperature check
1. Washing hands
2. Ask thhe client to sit or lie down, make sure the client feels comfortable
3. Roll up the client’s sleeves or open the top of the shirt until the axilla is visible
4. Dry the axilla area with tissue
5. Make sure thermometer is ready
6. Place the thermometer in the axillary area, ask the client to lower the upper arm
and place the lower arm on the chest
7. Explain to the client that the measurement will continue until the alarm sounds
8. Take a thermometer and read the result
9. Clean the thermometer with an alcohol swab
10. Tidy up client
11. Washing hands
12. Document the results of the examination

Blood pressure check

1. Adjust the client posisition
2. Place yourselft to the right of the client, if possible
3. Place the arm you want to measure
4. Place the cuff on the upper arm about 3cm above the cubital fossa
5. Determine the radial artery pulse slowly
6. Place the diaphragm of the stethoscope over the brachial pulse
7. Continue pumping untul the manometer 20 mmHg higher than the point radialis
not palpable
8. Slowly deflate the air balloon
9. Tidy up the tools
10. Tidy up the client
11. Document the results the examination

Pulse check
1. Washing hands
2. Help the client sit or lie down, make sure the client feels comfortable
3. Use the tips of two or three fingers (index finger, middle finger and ring finger
to palpate one of the 9 arteries)
4. Press the radial arteri to feel the pulse
5. Assess the number, quality and rhythm of the pulse
6. Use a watch to count your pulse rate for at least 30 second
7. Count the puulse frequency for 1 full minute if the condition is found abnormal
8. Document the results of the inspection
 CHECKING VITAL SIGNS

Nurse : “ Good morning, i’am nurse, my name is Fasyha”

Patients :” Good morning nurse”

Nurse :” I will take care for you today”

Patienst :” Yes nurse”

Nurse :” I need to take your vital signs to make sure that your temperature,
pulse, respiration and blood pressure”

Patients :” All right”

Nurse :” I’m just going to wrap this cuff around your arm and pump some air
into it so that, i can read your blood pressure. Could you please roll up
your sleeve a bit?’’

Patients :” Right.”

Nurse attaches cuff and starts pumping

Patients :” It feels a bit funny.’’

Nurse :” Don’t worry. It won’t hurt you.’’

Patients :” What is my blood pressure?”

Nurse :” Your blood pressure is 120/80.’’

Patients :’’ Is it normal?’’

Nurse :’’ Yes. It’s normal. Then i will measure your body temperature. I will
place the thermometer in your axilla then wait a few minutes for the alarm to sound.”

Patient : “Oh okat nurse”

Nurse : “Your temperature is 37C, thats normal.”

Patient : “Thank you nurse”