VITAL SIGNS EXAMINATION

BY YOHANES K. WINDI, S.Pd., M.Kes., MPH

Greetings and responses 1

•Good morning, sir/ madam, etc• Good afternoon, sir/ madam, etc• Goodevening sir/ madam, etc• Good day sir/ madam, eow are you?

•Good morning, sister/ nurse• Good afternoon sister/ nurse • Good evening sister/ nurse

Greetings and responses 2

• Hallo there!• Hai !!• Hallo!!• Hullo!• How are you feeling?• What do you feel today?

• Hai• Hullo• Hallo!

INTRODUCING YOURSELF

•I am (Jhon, Ann, Mike), your nurse•My name is..................the nurse in charge today•I am the nurse in charge, my name is................•I am here to help you. I am the nurse. My name is ............. (I am.......................)

• Please to meet you •Good to see you• Nice to meet you•Thank you, sister• Great,• Fine• Alright•Good then

• How is your headache?• How do you feel your…?• What about your…….?• Do you still feel pain on your.....?• What’s your complaints?• Do you sleep well?• How is your sleep last night?

• It’s growing better/ worst/ teribble• Not too bad, but it doesn’t bother me so much• It’s getting better/ worst• I feel better now• I can’t sleep last night• I sleep well/ soundly• I awake until early in the morning

ASKING CONDITION

ENCOURAGING

• Don’t worry, you’ll be fine• Nothing to worry, we’ll take care on you• Don’t think about it, you’ll be okay• Well.....that’s usual/ common, you’ll getting better soon

• Thank you nurse, I hope so• Well.....I hope to recover soon. Much works to do at home/ office• Sure......but sometimes I feel helpless here• yeah.......

• Why?• Why should I?• Do I need to do so?• Is that important?

• Alright....I need to confirm you identity.• Fine......Would I see your bracelet, please! • Would you state your name, please? And your age?• Could you tell me your name and your date of birth, please?

CONFIRMING IDENTITIES 1

• Okay..... I am Dorothy Simons, 27 years old• Fine.....It’s Don. Don Mcdonald. I am 30• My name is Richard chamberly, 45 years old

• Well..... It’s normal procedure here. We know you are the right person. So we can give good care/ medication• Ehmmm.... I need to know you...So I do not make mistake in giving care/ medication• I need to know you, so we can collaborate in medication process

CONFIRMING IDENTITIES 2

• Okay sister!• Go ahead, sister!• Right!• Fine!• Sure!

• I am going to take your vital signs! Is that okay for you?• I am doing routine things....examining your vital signs. Would be that alright?• Well...I need to check your blood pressure, temperature, pulse rate and your respiration.

EXPLAINING PROCEDURES

• Okay sister!• Go ahead, sister!• Right!• Fine!• Sure!

• First, I’ll take your blood pressure• I’ll measure your blood pressure• I’m going to take your blood pressure• I’m going to measure your blood pressure• Lets do the blood pressure first!!

EXPLAINING PROCEDURES

TAKING BP

• Okay sister!• Go ahead, sister!• Right!• Fine!• Sure!

• I need your hand, I going to wrap this cuff• I need to roll this cuff around here.....your upper arm • Alright...I will set up this equipments on your upper arm

TAKING BP

• Okay sister!• Go ahead, sister! I can feel it tightening• Right!• Fine!• Sure!

• Alright....Now I am inflating it. You will tighten around your arm.• Okay.... I am pumping it. Do you feel alright?• It’s tightening a little bit. Is that okay??

• How is my blood pressure?• Is it high/ low?• Is it normal?• Is that fine/ good?

• It’s fine/ ok/ good• It’s normal (below or above normal)• It’s higher/lower than yesterday• It’s 120/80 mmhg• It’s slightly increase/ decrease• It increases/ decreases sharply (gradually)• It rises/ falls sharply• It considerably high/ low

TAKING TEMPERATURE

• I’ll take your temperature• I’ll measure your temperature• I’m going to take your temperature• I’m going to measure your temperature• Let’s see your temperature?

• Okay sister!• Go ahead!• sister!• Right!• Fine!• Sure!

• Okay sister!• Go ahead!• sister!• Right!• Fine!• Sure!

TAKING TEMPERATURE

• I’ll take your temperature• I’ll measure your temperature• I’m going to take your temperature• I’m going to measure your temperature• Let’s see your temperature?

• May open your mouth, please and put the thermometer under your tongue • Hold it for five minutes• Hold the thermometer on your armpit• Hold it for five minutes• Wait until five minutes

• Okay• Right• Fine

• How is my temperature?• Is it high/ low?• Is it normal?• Is that fine/ good?

• It’s fine/ ok/ good• It’s normal (below or above normal • It’s higher/lower than yesterday• It’s 38.5 oC• It’s slightly increase/ decrease• It increases/ decreases sharply (gradually)• It rises/ falls sharply• It considerably high/ low

PULSE RATE TAKING

• Okay sister!• Go ahead!• sister!• Right!• Fine!• Sure!

• Good. Now, I am going to measure your pulse rate?• Teriffic, I want to count your pulse right now!• It’s time to measure your pulse, alright??

• How is my pulse rate?• Is it high/ low?• Is it normal?• Is that fine/ good?

• It’s fine/ ok/ good• It’s normal (below or above normal • It’s higher/lower than yesterday• It’s 70/ minute• It’s slightly increase/ decrease• It increases/ decreases sharply (gradually)• It rises/ falls sharply• It considerably high/ low

RESPIRATION RATE TAKING

• How is my respiration?• Is it high/ low?• Is it normal?• Is that fine/ good?

• It’s fine/ ok/ good• It’s normal (below or above normal • It’s higher/lower than yesterday• It’s 17/ minute• It’s slightly increase/ decrease• It increases/ decreases sharply (gradually)• It rises/ falls sharply• It considerably high/ low

ENDING UP

• Well done. Here are your vital signs. Your BP is.........; Temperature........ And Pulse...........

• Ok...I am leaving know• Just press that call button if you need something• Have a good rest• Bye....bye..... See you later

• Ok...thank you• Thank you very much• Alright• Fine• Bye......• See you!

TAKING VITAL SIGNSSister MaryMr. Jack Sister MaryMr. Jack Sister MaryMr. Jack Sister Mary

Mr. Jack Sister MaryMr. Jack Sister Mary

Mr. Jack Sister Mary

Mr. Jack

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:

Good morning!!Morning sister!How are you today?Not so good. I still feel a little pain on my chest.Do you?Yes, But it doesn’t bother me so much.That is fine. I am going to measure your vital signs. May I ?Go ahead, sisterAnyway, I am Mary.......the nurse in charge at the momentPleased to meet you Mary!Thank you. Would you tell me your name and date of birth!Why you’re asking?Well...just to make sure that you are the correct patient. So we can provide a good care on you.Alright, then

Sister Mary

Mr. Jack

Sister Mary

Mr. Jack

Sister Mary

Mr. Jack

Sister Mary

Mr. Jack

Sister Mary

So, your name and date of birth?

Well.....Jack Dewey. I am 34 years old.

May I see your bracelet?

Sure!! Okay........ Jack Dewey. Good, lets with your blood pressure. I am going to wrap thus cuff on you upper arm and inflate it.

Go ahead

It’s little bit tightening, isn’t it?

Yes.......I can feel it. So how is my blood pressure?

Hmmmm.....good. Little bit higher but you are okay. It’s 120/90 mmhg.

Sister Mary

Mr. Jack

Sister Mary

Mr. Jack

Sister Mary

Mr. Jack

Sister Mary

Mr. Jack

Now, would you hold the thermometer in your armpit? I am going to examine your temperature

Okay………But may I lay down?

Yes. But hold it for five minutes. Okay?

Okay!

After five minutes.

Let me see it. That’s good. Your temperature is 36,8o C.

Is that fine?

Oh yes…very good. Nothing serious happened.

Fine

Sister Mary

Mr. Jack

Sister Mary

Mr. Jack

Sister Mary

Mr. Jack

Sister Mary

Mr. Jack

Okay Mr. Jack......Now I need to count your pulse rate

Okay………Go ahead sister?

Alright......give your hand?

Okay!

After one minutes.

Very well.......it looks fine . Your Pulse rate is 70/minute

Really?

Oh yes…very good. It is normal.

Great

Mr. Jack

Sister Mary

Mr. Jack

Sister Mary

Mr. Jack

Sister Mary

Mr. Jack

Sister Mary

What about my respiration?

Well.....it also looks good. Your respiration rate is 18. It’s normal on your age.

Okay!

Teriffic. All done. Finish. Your Blood pressure is 120/90, pulse rate is 70, temperature is 37 and respiration is 18. All look fine.

Thank you nurse.

That’s ok. I am leaving now. If you need any help just press that button, okay?

Alright....thank again

Okay...have good rest. See you later