Metropolitan Ambulance Service STAGES Rural Ambulance Victoria Work Instruction Version 1 1/3/01 Palpate and Record a Radial Pulse EQUIPMENT: Patient KEY POINTS 1. Prepare patient 1. Position – supine, sitting or reclining. 2. Explanation procedure to patient. 3. Rest arm across chest. 2. Locate radial artery 1. Ventral aspect of wrist. 2. Lateral to flexor tendon. 3. Locate artery. 3. Palpate radial pulse 1. Feel pulsation by light pressure application at site. 2. Count rate for 15 seconds or 30 seconds, if irregular. 3. Note rhythm and strength. 4. Record 1. Multiply 15 second rate x 4 (or 30 second x 2) and record. 2. Record rhythm - regular/irregular. 3. Record strength - strong/weak. Number WI: 2.1.3 Sheet 1 of 1 RATIONALE To calculate rate per minute. Metropolitan Ambulance Service Rural Ambulance Victoria Work Instruction Version 1 1/3/01 Palpate and Record a Radial Pulse EQUIPMENT: Patient ACTIVITY CRITICAL PERFORMANCE Number WI: 2.1.3 Sheet 1 of 1 COMPETENCY ASSESSMENT PASS FAIL 1. Prepare patient 1. Positions patient – sitting supine or reclining. 2. Explains procedure to patient. 3. Positions arm across chest. ......... ......... ......... .......... .......... .......... 2. Locate radial artery 1. Ventral aspect of wrist. 2. Lateral to flexor tendon. 3. Locates artery. ......... ......... ......... .......... .......... .......... 3. Palpate radial pulse 1. Feels pulsation by light pressure application at site. 2. Counts rate for 15 seconds or 30 seconds if irregular. 3. Notes rhythm and strength. ......... ......... ......... .......... .......... .......... 4. Record 1. Records: - rate per minute; - rhythm; - strength. ......... ......... ......... .......... .......... .......... 2. Accuracy: - plus or minus 5 beats per minute. ......... .......... CANDIDATES NAME: ____________________________________________ DATE:________________ Comments: ................................................................................................................................... ........................................................................................................................................................ ........................................................................................................................................................ Instructor: (please print) ........................................... Satisfactory practical performance Unsatisfactory practical performance
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