Additional Answer to Module 2- Vital Signs

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2. Guidelines for nurses when measuring vital sign: * Nurses Responsibility/ Delegation- The assessment, measurement and monitoring of vital signs are important skills for all health care practitioners. In many instances vital signs will be assessed, measured and monitored by health care assistants and nursing students, under the direction and supervision of a RN or RPN. However, nurses at this point must meet the nursing practice and standards set by CNO on delegations. * Equipment- Medical devices are suitable for use with infants, children and young people and are appropriate for setting where they are to be used. (Ex. Hospital, community or home) * Knowledge of Clients’ Range- A patient’s usual values may differ from the acceptable range for that age or physical state. A patient’s usual values serve as a baseline for comparison with later findings; thus you detect changes in condition over time. * Knowledge of Clients’ history and Clients’ Status- To learn the patients’ past medical history and overall health status and the use of vital signs to validate the clients’ condition. * Environmental Factors- When assessing the patient’s temperature in a warm, humid room may yield a value that is not a true indicator of the patient’s condition. * Systematic Approach – In order to avoid missing important health data of the patients and to ensure accuracy of findings, many aspects of the patient assessment may be done simultaneously, organized and step by step. * Frequency of Assessment -Based on the patient’s condition, collaborate with the health care provider to decide the minimum frequency of vital sign assessment. The nurse is responsible for judging whether more frequent assessments are necessary. * Analysis and Verification of Results- Analyze the results of vital sign measurements, and incorporate all the clinical

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