VNSG 1400 Nursing in Health and Illness I



VNSG 1402 – Applied Skills I

Module XIII – Vital Signs

|Behavioral Objectives |Content |Skills Performance |Learning Opportunities |

|Define terms related to the assessment of vital |Terms |Perform: |Burton, M. & Ludwig, L. 2011. Fundamentals of |

|signs. |Afebrile |Oral, axillary, electronic temperatures on peers |Nursing Care Concepts, Connections & Skills. Davis. |

| |Apical heart rate |Rectal temperature on manikin |Philadelphia. |

| |Apnea |Assess radial, apical, brachial, temporal, popliteal,| |

| |Bradycardia |femoral and pedal pulses on a peer |Burton………..Chapter 17 |

| |Bradypnea |Assess fetal heart tones | |

| |Centigrade scale |Count respirations on a peer |Burton………..DVD 2 – Vital Signs |

| |Core temperature |Measure blood pressure on peers |Video |

| |Dyspnea |Graph vital signs on worksheet |#M031 “Temperature, Pulse & Respirations” |

| |Fahrenheit scale | | |

| |Hyperthermia | |Study Guide Burton……Chapter 17 |

| |Hyperventilation | | |

| |Hypothermia |Skill 11-1 |Chart utilizing graphic sheet |

| |Hypoventilation |Demonstrate technique for obtaining oral and axillary| |

| |Orthopnea |temperature. Practice rectal temperature on manikin. |DVD |

| |Orthostatic hypotension |Demonstrate use of electronic thermometer. |#6020 “Measuring Vital Signs Part |

| |Palpitation | |1: “Temperature, Pulse & Respirations” |

| |Postural hypotension | |#6021 “Measuring Vital Signs Part |

| |Respiration | |2: “Blood Pressure and Pain” |

| |Respiratory rate | | |

| |Tachycardia | | |

| |Tachypnea | | |

|Identify normal ranges of vital signs for various age|Normal ranges of vitals signs | Skill 17-4 & 17-6 |TVCC VIDEO |

|groups and nursing considerations when assessing |Fetus |Demonstrate technique for locating and assessing | |

|their vital signs. |Newborn |apical and radial pulse; locate all pulse sites. |Temp, pulse, & respiration in Measuring Vital Signs |

| |Infant | | |

| |Child |Skill 17-7 | |

| |Adult |Demonstrate technique for obtaining respirations. | |

| |Older adult | | |

| |Nursing considerations |Skill 11-1 | |

| |Size of equipment |Demonstrate technique for obtaining blood pressure. | |

| |Contraindications of equipment use | | |

| |Age of patient |Burton…..Chapter 17 p. 348 | |

| |Surgery |Demonstrate technique for obtaining | |

| |Injury |a thigh blood pressure. | |

| | | | |

|Discuss factors affecting temperature, pulse, |Factors affecting body temperature | | |

|respirations, and blood pressure. |Age | | |

| |Gender | | |

| |Exercise/activity | | |

| |Circadian rhythm | | |

| |Emotions | | |

| |Illness/injury | | |

| |Drugs | | |

| |Body build | | |

| |Body temperature | | |

| |Blood volume | | |

| |Obstruction | | |

| |Neurological disorders | | |

| |Pain | | |

| |Positioning | | |

|Identify the various types of clinical thermometers. |Thermometers |Demonstrate use of various methods used to assess | |

| |Glass |temperature | |

| |Electronic | | |

| |Tympanic | | |

| |Disposable | | |

|Discuss nursing interventions for patients with fever|Nursing interventions | | |

|or subnormal temperatures. |Fever | | |

| |Fluids | | |

| |Rest | | |

| |Antipyretics | | |

| |Light cover | | |

| |Cool packs | | |

| |Promote room ventilation | | |

| |Subnormal Temperature | | |

| |Raise room temperature | | |

| |Apply layers of cover | | |

| |Cover head | | |

| |Apply warm packs | | |

| |Warm IV fluid or blood | | |

|Identify equipment used to assess pulse or heart |Equipment | | |

|rate. |Stethoscope | | |

| |Doppler | | |

| | | | |

| | | | |

|Describe different sites where a pulse may be |Pulse sites | | |

|assessed. |Temporal | |CD-ROM # 4083 |

| |Carotid | |Tissue Perfusion Management |

| |Apical | | |

| |Brachial | | |

| |Radial | | |

| |Femoral | | |

| |Popliteal | | |

| |Dorsalis pedis | | |

|Describe characteristics of a pulse. |Pulse characteristics |Demonstrate use of Doppler in obtaining a pulse or | |

| |Pulse pressure |blood pressure | |

| |Pulse deficit | | |

| |Rhythm | | |

| |Volume | | |

|Describe characteristic of respiration. |Respiration characteristic | | |

| |Depth | | |

| |Clarity | | |

| |Uniform | | |

|Identify various methods used to measure blood |Equipment |Demonstrate use of various automated vital sign | |

|pressure. |Sphygmomanometer |machines | |

| |Mercury | | |

| |Aneroid | |Preset blood pressure arms |

| |Digital | | |

| |Dynamap | |Dynamap |

| |Automatic | | |

| |Palpation | | |

|Discuss nursing activities performed to ensure |Nursing activities | | |

|accuracy of blood pressure measurements. |Select appropriate size cuff | | |

| |Palpation of brachial pulse | | |

| |Flush method | | |

|Discuss characteristics of hypertension and |Blood pressure | | |

|hypotension. |Hypertension | | |

| |Systolic | | |

| |Diastolic | | |

| |Hypotension | | |

| |Systolic | | |

| |Diastolic | | |

|Discuss the documentation and reporting of vital |Documentation & reporting | | |

|signs. |Charting vital signs | | |

| |Graph sheet | | |

| |Nurses notes | | |

| |Reporting Vital signs | | |

| |Parameters | | |

|Discuss how fetal heart rate is monitored. |Fetal heart rate | | |

| |Determining position of fetus (Leopold’s Maneuver) | | |

| |Fetoscope | | |

| |Doppler | | |

| |Continuous monitoring | | |

v:\word\syllabus\vocation\level i\skills\VN 1402 Vital Signs 11/2012

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