Comparison of Upper Arm and Forearm Blood Pressure Cuff Placement in an Intensive Care Unit

2.50
Hdl Handle:
http://hdl.handle.net/10755/151926
Type:
Presentation
Title:
Comparison of Upper Arm and Forearm Blood Pressure Cuff Placement in an Intensive Care Unit
Abstract:
Comparison of Upper Arm and Forearm Blood Pressure Cuff Placement in an Intensive Care Unit
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:Cherrington, Candace C., PhD, RN
P.I. Institution Name:Wright State University
Title:Associate Professor
Co-Authors:Sieglinde Ewing BSN, RN, Staff Nurse
[22nd International Nursing Research Congress - Research Presentation] Purpose: Nurses are responsible for the correct measurement of blood pressure of the patients under their care and, if necessary, the administration of proper treatment. Experience shows that guidelines for correct placement and correct size of blood pressure cuffs are not always followed. Previous studies have shown that incorrect technique will lead to incorrect blood pressure measurements and subsequent improper treatment. An understanding of the daily practice of blood pressure assessment was necessary to answer the research question: What is the frequency of improper blood pressure cuff placement and use of incorrect cuff size in the intensive care unit?
Methods: An observational, exploratory study was conducted on a 12-bed intensive care unit and a convenience sample of 100 patients were observed on randomly selected days and shifts.
Results: For 25% (n=25) of patients the cuff was improperly placed and 8% (n=8) of patients were found to be wearing the incorrect size of cuff. The majority of incorrectly placed cuffs were found on the forearm and almost all incorrectly sized cuffs were too small.
Conclusion: Ongoing education about correct blood pressure cuff size and placement are needed but the observations suggest that nurses are often forced to place cuffs on forearms due to the patients? co-morbidities, such as upper arm obesity or mastectomy. As multiple studies have shown that upper arm and forearm blood pressure measurements are not interchangeable. To enhance the quality and safety of patient care further studies are needed to determine the appropriate formula for translation of forearm blood pressure readings to comparable upper arm measurements.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleComparison of Upper Arm and Forearm Blood Pressure Cuff Placement in an Intensive Care Uniten_GB
dc.identifier.urihttp://hdl.handle.net/10755/151926-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Comparison of Upper Arm and Forearm Blood Pressure Cuff Placement in an Intensive Care Unit</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Cherrington, Candace C., PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Wright State University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">candace.cherrington@wright.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Sieglinde Ewing BSN, RN, Staff Nurse</td></tr><tr><td colspan="2" class="item-abstract">[22nd International Nursing Research Congress - Research Presentation] Purpose:&nbsp;Nurses are responsible for the correct measurement of blood pressure of the patients under their care and, if necessary, the administration of proper treatment. Experience shows that guidelines for correct placement and correct size of blood pressure cuffs are not always followed. Previous studies have shown that incorrect technique will lead to incorrect blood pressure measurements and subsequent improper treatment.&nbsp;An understanding of the daily practice of blood pressure assessment was necessary to answer the research question: What is the frequency of improper blood pressure cuff placement and use of incorrect cuff size in the intensive care unit? <br/>Methods: An observational, exploratory study was conducted on a 12-bed intensive care unit and a convenience sample of 100 patients were observed on randomly selected days and shifts. <br/>Results: For 25% (n=25) of patients the cuff was improperly placed and 8% (n=8) of patients were found to be wearing the incorrect size of cuff. The majority of incorrectly placed cuffs were found on the forearm and almost all incorrectly sized cuffs were too small. <br/>Conclusion: Ongoing education about correct blood pressure cuff size and placement are needed but the observations suggest that nurses are often forced to place cuffs on forearms due to the patients? co-morbidities, such as upper arm obesity or mastectomy. As multiple studies have shown that upper arm and forearm blood pressure measurements are not interchangeable. To enhance the quality and safety of patient care further studies are needed to determine the appropriate formula for translation of forearm blood pressure readings to comparable upper arm measurements.</td></tr></table>en_GB
dc.date.available2011-10-26T11:18:17Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:18:17Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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