SYSTEMS PLUS COLLEGE FOUNDATION

Angeles City
COLLEGE OF NURSING

NCM_101 RLE
PERFORMANCE EVALUATION CHECKLIST
2nd Semester, AY 2023-2024

Check List: BLOOD PRESSURE

Student's Name: _________________________________ Rotation #:_________
Group#: _ ___ Date: __

0 1 2
1. If appropriate, introduced self and verified client’s identity.
2. Explained procedure to client and discussed how results will be
used.
3. Gathered appropriate equipment.
4. Performed hand hygiene and observed other appropriate infection
prevention procedures.
prevention
5. Providedprocedures.
for client privacy.
6. Positioned the client appropriately.
7. Wrapped the deflated cuff evenly around the upper arm. Applied
the center of the bladder directly over the brachial artery.
8. Performed a preliminary palpatory determination of systolic
pressure, if client’sthe
a. Palpated initial examination.
brachial artery with the fingertips.
b. Pumped up the cuff until brachial pulse was no longer felt.
c. Released the pressure completely in the cuff, and waited 1 to 2
minutes before making further measurements.
9. Positioned stethoscope appropriately.
a. Inserted the ear attachments of the stethoscope in ears so that
they tilted slightly forward.
b. Ensured that the stethoscope hung freely from the ears to the
diaphragm.
d. Placed the stethoscope directly on the skin, not on clothing over
the site
10. Auscultated client’s blood pressure.

a. Pumped up the cuff until the sphygmomanometer read 30 mm

Hg above the point where the brachial pulse disappeared.
b. Released the valve cuff carefully so that the pressure decreased
at rate of 2 to 3 mm Hg per second.
c. Identified the manometer reading at Korotkoff phases 1, 4, and
5 as pressure fell.
d. Deflated the cuff rapidly and completely.
e. Waited 1 to 2 minutes before making further determinations.
f. Repeated above steps to confirm the accuracy of the reading.

Variation: Obtaining a Blood Pressure by the Palpation Method

a. Palpated the radial or brachial pulse site as the cuff pressure

was released.
Variation: Taking a Thigh Blood Pressure
a. Helped the client assume a prone position.
b. Exposed the thigh, taking care not to expose the client unduly.
c. Located the popliteal artery
d. Wrapped the cuff evenly around midthigh with the
compression bladder over the posterior aspect of the thigh and the
e. Performed preliminary palpatory determination of systolic
pressure while palpating the popliteal artery, if it was client’s initial
Variation: Using an Electronic Indirect Blood Pressure Monitoring
Device
a. Placed the blood pressure cuff on the extremity according to
the manufacturer’s guidelines.
b. Turned on the blood pressure switch.
c. Set the device for the desired number of minutes between
blood pressure determinations, if appropriate.
d. Removed the cuff and checked skin condition periodically.

12. Removed the cuff from the client’s arm.

13. Wiped the cuff with an approved disinfectant.

Legend:
2: done correctly and knows rationale
1: done correctly but don’t know rationale
0: not done

Remarks:

_________________________________________________________________________________

Evaluated by: _______________________ Student Signature: _________________

Signature of the Clinical Instructor