Table of Contents
What vital signs should be reported to the nurse immediately?
The four main vital signs routinely monitored by medical professionals and health care providers include the following:
- Body temperature.
- Pulse rate.
- Respiration rate (rate of breathing)
- Blood pressure (Blood pressure is not considered a vital sign, but is often measured along with the vital signs.)
What blood pressure should be report to the nurse immediately?
If the Certified Nursing Assistant obtains a patient’s systolic blood pressure and finds it is greater than 180 mmHg or the diastolic blood pressure is greater than 120 mmHg, this is an emergency and should be reported immediately to a registered nurse or immediate supervisor.
What respiratory rates should a CNA report to the nurse right away?
The lower the blood pressure, the less the heart is perfusing blood to the rest of the blood. A temperature of 99.5 is within normal limits. A pulse of 60 beats per minute is also normal, as the range for a normal heart rate is 60-100 beats per minute. Respirations should be between 12 and 20 per minute.
Can CNA take temperature?
Although digital thermometers are preferred, staff members can still use manual (glass) thermometers. The following is an example of a basic procedure for taking a resident’s oral temperature: A digital thermometer should stay in place until it beeps. A glass thermometer should stay in place for three to five minutes.
Which temperature is considered to be the most accurate CNA?
Cards
| Term Temperature | Definition Measurement of body heat/amount heat in the body |
|---|---|
| Term Average Rectal temperature | Definition 99.6 ºF |
| Term Most common temperature measured by | Definition Orally |
| Term Most accurate of temperature measured by | Definition Rectal, 1 ºF higher then oral. |
Which pulse rate should you report to the nurse immediately?
For an adult, pulse rate of 50 is reported to the nurse at once. For an adult, pulse rate of 110 is reported to the nurse at once. You are taking a resident’s pulse. The beats are not spaced evenly.
How do you take an oral temperature the nurse aide should?
Cover the thermometer probe with a plastic sheath and place under the resident’s tongue. 6. Make sure the resident’s mouth remains closed until the thermometer indicates that the reading is complete.
What adult respiration rates would the CNA immediately report?
CNA Review Unit 19-Vital Signs
| A | B |
|---|---|
| Respiration | Breathing |
| Normal respiration rate is … | 16/ minute |
| Report respirations below… | 12/minute |
| Report respirations above … | 22/minute |
What are the four routes for measuring temperature?
There are 4 ways to take (measure) a temperature:
- Under the armpit (axillary method)
- In the mouth (oral method)
- In the ear (tympanic method)
- In the rectum/bum (rectal method)
What is BT in vital signs?
There are 4 major vital signs: blood temperature, blood pressure, pulse (heart rate) and breathing rate (respiratory rate). These are sometimes referred to as BT, BP, HR, and RR.
What should be included in a CNA report?
In addition to routine care, you will note any activities you assist with, such as helping a resident walk down the hall, and anything the resident does unassisted, such as going to the dining hall on his or her own. This will give the reader an idea of what was done for the resident and what his or her capabilities were at any given time.
What do you need to know about being a CNA?
First, make sure you understand the nursing process and how CNA’s fit in with it. When we think about it, CNA’s are the eyes, ears, hands and nose of the nurses. We use these senses when providing care and with the right skill, we can assist the nurse with valuable patient information that may avert a serious problem.
When do you use your senses as a CNA?
We use these senses when providing care and with the right skill, we can assist the nurse with valuable patient information that may avert a serious problem. Things get confusing though when we make judgments about the things we’re seeing, feeling, smelling and hearing.
What do nurses need to know about patient complaints?
The nurses need to know when patients have complaints such as those listed above; the nurse can assess the patient and determine what course of treatment or intervention is needed. CNA’s cannot pass judgment on these statements. It’s not in our role to do so. Our job is to REPORT the statements, accurately and without added