Day 8 See your instructor get your number

Day 8 See your instructor, get your number and worksheet for the day Bridge/warm up: find your neighbor’s pulse Lecture: Admissions, Transfers, and Discharges Vital Signs, Height, & Weight Apply it : role play practice VS

Curriculum content to teach Admissions, Transfers, and Discharges Vital Signs, Height, & Weight

Objectives Day At the end of day the student will be able to: List NA’s role in admission process Discuss how to prepare a resident for a transfer or discharge List vital signs (VS) ranges Demonstrate proper procedure for taking VS

ADMISSION (adm) Official entry of a person into a health care setting. Stedman's

ADMITTING RESIDENT: First steps to the hospitalization process. NA’s ROLE VS, HT. , WT. , inventory sheet, meeting needs PRN and safety

Admission Potential Psychological retraction: • • • Fear Uncertainty Anger Depression due to Losses Staff need to be aware of person need culture or lifestyle, emotional , spiritual and sexually. Which can lead to fear of not being accepted by others

Preparing a resident unit Answer these: What is the DX What items may be needed Know time of arrival Know mode of transport

Diagnosis Dx or dx what is wrong with you https: //www. google. com/search? q=picture+of+diagnosis&rls=com. microsoft: en-US: IEAddress&tbm=isch&tbo=u&source=univ&sa=X&ved=0 ah. UKEwjxge. LUlo. PXAh WIbi. YKHZ 4 o. Bx. UQ 7 Ak. IQQ&biw=404&bih=385 Known cause of an illness

NEW RESIDENT: Someone who has recently arrived to your unit for care (new admission)

Welcoming new residentperson who just was admitted NA’s role in admission Making a new resident feel welcome – Prepare the person’s room before his or her arrival – Greet the person warmly and introduce yourself – Help the person settle into his or her new home – Practice good communication skills

Prepare room before arrival Note the time and resident’s condition. Introduce yourself, address with Mr & Mrs. Make comfortable, welcome and paced the admission process. Explain facility routines. Offer a tour. Introduce resident to others. Inventory personal items with care. set up the room with persons preferences Observe the person for any problems that are missed during admission.

Person rights on admission, with questions and changes during stay Right to have information about the facility’s compliance with regulations, planned changes in living arrangements, and available services including the fees for those services. Right to have information about their diagnosis, treatment, and prognosis;

Initial observations: The first things you see

Baseline data Initial values that can be compared to future measurements. Gathering of facts often involving the measurement like VS, fluid I&O, ht and wt. Used for comparison to future data.

Objective data –the facts

Resident’s identification Making sure that you know who the resident is.

. Identifying resident’s: ID band; know who they are Use to properly recognize a client. By use of name bands, photos or both. In hospital they use name, date of birth, computer scan and ID band.

RESIDENT’S BELONGINGS: Things owned/belonging to an individual such as, clothes, computers they have.

Personal possessions/personal items Your own things Possessions – our belongings

PERSON HAS A RIGHT TO CONSIDERATE , RESPECTFUL CARE AND SECURITY OF PERSONAL POSSESSIONS https: //www. google. com/search? q=picture+of+personal+item+being+treated+correctly+in+hospital&rls=com. microsoft: en-US: IE-Address&tbm=isch&tbo=u&source=univ&sa=X&ved=0 ah. UKEwicejc 9 tv. ZAh. WM 1 l. MKHWGn. C 5 o. Q 7 Ak. IQg&biw=759&bih=362#imgrc=_n. Da. JEr. Qt. Xra_M: &spf=1520484470437

Visiting policies Rules in a facility about who can see a resident and when

Transfer Occurs whenever resident is moved within health care settings

In-house transfer Occurs: 1. From one room to another 2. From one unit to another A transfer can be necessary due to changes in a person’s medical condition, either better or worse

Discuss how to prepare a resident for a transfer or discharge Persons right to inform of any transfers Must be informed in details of transfer, roommate or room changes Person right to age in place

Transfer: From one health care facility to another Discharge NA Responsibility YOUR RESPONSIBILITY – Helping the person to gather and pack all of his or her personal items – Having the person ready to leave on time – Assisting the person out of the facility or helping him or her to carry his or her belongings

Discharge/discharging resident To leave a facility permanently

Discontinue /discharged (abbreviation) dc or d/c To stop or leave the facility per doctors orders

Discharging Resident ONE type OF DISCHAGE When a person leaves a health care setting without a doctor’s order, the person is said to leave Against Medical Advice (AMA)

VITAL SIGNS: (VS) Certain key measurements that provide essential information about a person's overall health. T P R B/P 5 th VS is pain and now O 2 SATS

Temperature, Pulse, Respirations (acronym) TPR Pulse Temperature Respiration https: //encryptedtbn 0. gstatic. com/images? q=tbn: ANd 9 Gc. Rp 4 Aswlh. Ey. O 92 ps. HNl 5 z 7 Tfz. MGh. SSPJsey 8 f. ZCn. L 7 YD 9 o 4 DKs 9

B/P Blood Pressure

KEYS with VS • • Privacy -pull curtain, expose only as needed Comfort-positioning Confidentiality with results When and where to do VS-after eating/drinking and activities or emotional

Recording and Reporting Vital Signs Accuracy is important Recheck any abnormal results Report an abnormal measurement immediately Recoding promptly

VS Measure – to find out the amount- TPR, B/P Compare – look for similarities. Check each time Deviation – a change- report to nurse If there a change or abnormal report to nurses.

Temperature – the degree of heat Temperature =measurement of the bodies warmth

Fahrenheit (abbreviation) F Degrees Fahrenheit= Use correct unit of measurement as per policies https: //www. google. com/search? biw=404&bih=385&tbm=isch&sa=1&ei=sb 7 z. We_UNab. Ujw. T 7 trf. ABw&q=picture+of+fahrenheit&oq=picture+of+fahrenhei&gs_l=psyab. 1. 0. 0 l 3 j 0 i 30 k 1. 93019. 246920. 0. 249525. 12. 0. 0. 421. 2042. 0 j 1 j 0 j 1. 12. 0. . . 1. 1. 64. psy-ab. . 0. 12. 2035. . . 0 i 24 k 1 j 0 i 67 k 1. 0. o. QT 2 h. Uvxw. Ho

BODY TEMPERATURE: The heat produced by our body Difference btw heat produced and lost. Pyrexia Febrile Afebrile

Measuring temperature: How warm or cool a resident is Measured by the means of a thermometer. Types: Oral, axillary, rectal, temporal and tympanic Infection control- use sheath or prove cover

Factors Affecting Body Temperature • • • Physical or emotional stress Environmental temperature Time of the day Age Gender Illness – persons elevated temp is call febrile MUST ASK IF THEY HAVE EATEN, DRANK OR SMOKED IN THE LAST 10 MINS. ALSO NOTE IF THEY HAVE JUST EXERCISED OR HAVE EMOTIONAL STRESS.

Thermometer- /THərˈmämədər Instrument for measuring heat Threm/ o/ Root combining form Heat combining form meter suffix measure instrument https: //www. google. com/search? tbm=isch&sa=1&ei=1 uy. IWtek. C 4 K 0 jg. Syp. ITQCQ&q=picture+of+thermom eter&oq=picture+of+themo&gs_l=psyab. 1. 0. 0 i 13 k 1 l 10. 372562. 375863. 0. 378810. 7. 5. 0. 2. 2. 0. 156. 638. 0 j 5. 5. 0. . . 1 c. 1. 64. psyab. . 0. 7. 643. . . 0 j 0 i 67 k 1 j 0 i 30 k 1 j 0 i 10 i 24 k 1 j 0 i 24 k 1. 0. XFK 37 Rx-q. JM#imgrc=z. M-KK 8_Z 8 d. R 56 M:

Shaken down

Oral temperature: (O) Body heat measured in the mouth (O) Range: 97. 6 -99. 6 SAFETY KEYS: Use correct instrument, proper placement, use cover and give instructions

TYMPANIC Relating to the eardrum

TYMPANIC TEMPERATURES: Measurement of body temperature via the ear. – Tympanic thermometers are fast and accurate. – The tympanic thermometer will only go into the ear ¼ - ½ inch. 98. 6 degrees

Temporal temperature 98. 6 degrees

AXILLARY= Underarm

AXILLARY TEMPERATURE (ax): Body heat taken under the arm Less reliable but can be safer for confused, disoriented, or uncooperative or residents with dementia ax=axillary ax -Range 96. 6 -98. 6

Rectal Final section of the large intestine Rect/o Rectal Relating to rectum Section which feces forms in the descending colon collects to be expelled from the body. https: //www. google. com/search? rls=com. microsoft%3 Aen-US%3 AIE-Address&biw=341&bih=326&tbm=isch&sa=1&ei=U 0 g 6 Wv 6 Co. L 1 m. AGIpqb. IDw&q=picture+of+rectum&oq=picture+of+rectum&gs_l=psy-ab. 12. . . 168917. 174266. 0. 181571. 7. 7. 0. 0. 161. 1047. 0 j 7. 7. 0. . . 1 c. 1. 64. psy-ab. . 0. 6. 903. . . 0 j 0 i 67 k 1. 0. IGx. Q 6 LNVlf. U

Rectal temps Measurement of body temperature via the rectum. Safety keys: check for S/S prior, correct position, use lubrication and insert 1 in only on adults. Normal range ® 98. 6 -100. 6

Rectal temperature position

Rectal temp – May be necessary in the following situations: • Unconscious residents • Residents with poorly-fitted dentures or missing teeth • Anyone having trouble breathing through the nose Help the resident to the left side-lying (Sims’) position.

Temp. Site Fahrenheit Celsius Mouth (oral) 97. 6°– 99. 6° 36. 5°– 37. 5° Rectum (rectal) 98. 6°– 100. 6° 37. 0°– 38. 1° Armpit (axilla) 96. 6°– 98. 6° 36. 0°– 37. 0° Ear (tympanic) 98. 6 ° 37 ° Head(Temporal) 98. 6 ° 37 °

Pulse Heart beat which can be felt in various parts of the body

When the heart beats, it sends a wave, or pulse, of blood through the arteries • When checking the pulse, we look at the – Pulse rate – Pulse rhythm • An irregular pulse rhythm is called dysrhythmia – Pulse amplitude – NOT to use your thumb Adults Rate 60 -100 BPM

Pulse rate How fast the heart beats 60 -100 Beats Per Minute (BPM)

Factors Affecting the Pulse Physical activity (increases the body’s need for oxygen and nutrients) Emotion: Anger and anxiety, illness, pain, fever, and excitement Medications: brady or tachycardia Why is it important to know these factors?

Stethoscope

APICAL (AP) Apical pulse is located to the left of the sternum. Apical pulse taken with use of a stethoscope Count for one full min listen for lub dub as one

Radial Pulse at the wrist

Radial A common site for NA to take a clients’ pulse, Site situated near the radius or the thumb side of the hand or forearm, at the bend of wrist

Abnormal Pulse Rates an arrhythmia Tachycardia [tak″e-kahr´de-ah] Heart beat above 100 BPM Tachycardia Prefix/ root Tachy/ cardia Fast/ heart https: //www. google. com/search? rlz=1 C 1 GGRV_en. US 749&biw=1280&bih=918&tbm=isch&sa=1&ei=pqy. NWsj. SHu. H_0 g. Ke 3 qa. QAg&q=picture+of+Tachycardia+&oq=picture+of+Tachycardia+&gs_l=psyab. 3. . 0 i 30 k 1 j 0 i 8 i 30 k 1. 3256. 6237. 0. 7518. 3. 3. 0. 0. 58. 167. 3. 3. 0. . . 1 c. 1 j 2. 64. psy-ab. . 0. 3. 167. . . 0 j 0 i 67 k 1. 0. LOBRN 409 c. Lk#imgrc=jz. PU-VOWRKRN-M:

Abnormal Pulse Rates Tachycardia – rapid heart beat above 100 BPM Result from fever, infection or heart failure. Bradycardia- slow pulse lower than 60 BPM Indicate dehydration, infection, or shock.

Abnormal Pulse Rates Slow (prefix) Brady= cardia= heart Bradycardia – (brad″e-kahr´de-ah) Slow pulse rate under 60 beat per minutes (BPM) https: //www. google. com/search? q=picture+of+slow&rls=com. microsoft: en-US: IEAddress&tbm=isch&source=iu&ictx=1&fir=r. UAXGt_SSAYsj. M%253 A%252 CS 1 RUKh. Gm. U 3 Vcr. M%252 C_&usg=__Nku. DOyp. Wy. Fr. J 67 q 4 Bf. Ft. UZ 0 Pv. Y%3 D&sa=X&ved=0 ah. UKEwjbm. Iuw 69 z. XAh. XIj. FQKHdx. DCh. MQ 9 QEILDAB#imgrc=_&spf=1511719761267

Factors Affecting Respiration Physical activity Anxiety, pain, fear Fever Infections and diseases of the heart and lungs Stroke or head injury Medications KNOWING YOU ARE TAKING RESPs.

Respirations (Resp) To breathe; One inspiration and one expiration equals respiration

Measuring Respiration (breaths) Respiratory rate is determined by watching person’s chest the rise (inhalation) the fall( exhalation) One respiration (breath) = 1 inhalation and 1 exhalation Counting the number of breaths that occurs in 1 minute When measuring respiration, we look at – Respiratory rate 12 -20 breath/minutes – Respiratory rhythm pattern – Depth of respiration

Measuring Respiration Below 12 or above 20 resp/min report to LN Ways to have accurates: 1. if irregular count for a full min. 2. avoid telling person you are taking their resps 3. politely ask person not to talk with you count 4. if unable to see the movement check other sites

If respiration rate is outside range retake and report. 12 -20/min Abnormal respiratory patterns – Tachypnea – Bradypnea – Dyspnea – Orthopnea – Hyperventilation:

Shortness Of Breath (acronym) SOB https: //www. google. com/search? q=picture+of+short+of+breath&rls=com. microsoft: en-US: IEAddress&tbm=isch&tbo=u&source=univ&sa=X&ved=0 ah. UKEwie 4 o. Ckk. YTXAh. VKRCYKHe. AFDeg. Q 7 Ak. IQQ&biw=401&bih=385

Fast breathing Tachypnea /ˌtakə(p)ˈnēə/ Prefix/ root Tachy/ pnea Fast/ breathing Greater than 20 breaths/ minutes https: //www. google. com/search? rls=com. microsoft%3 Aen-US%3 AIEAddress&biw=371&bih=353&tbm=isch&sa=1&ei=UGu. HWv 2 MJo. Puzg. Kt 8 b. CQCQ&q=picture+of+fast+breathing&oq=picture+of+fast+breathing&gs_l=psyab. 3. . . 94070. 98307. 0. 99295. 14. 0. 0. 224. 1587. 0 j 9 j 1. 10. 0. . . 1 c. 1. 64. psy-ab. . 5. 5. 750. . . 0 j 0 i 67 k 1 j 0 i 30 k 1. 0. kbq. K 1 PIebx. M#imgrc=v. FBg. OJi. Vk. Mf. VOM: &spf=1518824193973

Slow breathing Bradypnea Prefix/ root Brady/ pnea Slow/ breathing https: //www. google. com/search? rls=com. microsoft%3 Aen-US%3 AIEAddress&biw=371&bih=353&tbm=isch&sa=1&ei=t. Wu. HWruu. Cc. Lwzg. Kuwpnw. BA&q=picture+of+slow+breathing&oq=picture+of+slow+breathing&gs_l=psyab. 3. . . 81414. 87158. 0. 88090. 8. 8. 0. 0. 170. 988. 0 j 7. 7. 0. . . 1 c. 1. 64. psyab. . 1. 3. 431. . . 0 j 0 i 7 i 30 k 1 j 0 i 13 k 1 j 0 i 8 i 7 i 30 k 1 j 0 i 13 i 30 k 1 j 0 i 8 i 13 i 30 k 1. 0. Wy. TM 1 e. WA 1 i 4#imgrc=1 uj. Pn. CWk. LGg. Ru. M: &spf=1518824283261

Difficulty breathing Dyspnea – [disp-ne´ah] Dys/pnea Difficulty/ breathing Prefix/suffix https: //www. google. com/search? q=picture+of+breathing&rls=com. microsoft: en-US: IE-Address&tbm=isch&source=iu&pf=m&ictx=1&fir=FNea 2 SWym. Tszh. M%253 A%252 CDs. WDqa. PLx. AXro. M%252 C_&usg=__Ssz 71 b. AS 17 ar_g 0 v. VRua. X 6 CBZ 4%3 D&sa=X&ved=0 ah. UKEwjmm. YTXg 5 DXAh. UF 5 o. MKHc 97 BQo. Q 9 QEILDAB&biw=404&bih=385#imgrc=FNea 2 SWym. Tszh. M:

Discomfort in breathing if in other position then sitting or standing Orthopnea ȯr-ˈthäp-nē-ə / Ortho/pnea Prefix/ root Ortho/ pnea Position/ breathing https: //www. google. com/search? q=pictures+orthopneic+position&rls=com. microsoft: en-US: IEAddress&tbm=isch&tbo=u&source=univ&sa=X&ved=0 ah. UKEwi 4 ju. XR 0 qv. ZAh. UCz. VMKHb. T 3 Cr. QQs. AQIKA&biw=371&bih=353#imgrc=YTx. Dp. W-3 p. Bvo. NM: &spf=1518825521874

Hyperventilation Increased rate of breathing and depth

O 2 sats Oxygen saturation level 90 -100%

O 2 safety Applying oxygen safety concepts including turning oxygen on and off or transferring between wall and tank at preestablished flow rate for stable clients;

Oxygen (chemical abbreviation) O 2 https: //www. google. com/search? biw=393&bih=370&tbm=isch&sa=1&ei=2 s. Lz. Wf. Gv. FOaijw. T 5 -ojg. AQ&q=picture+oxygen&oq=picture+oxygen&gs_l=psyab. 1. 0. 0 j 0 i 8 i 30 k 1 l 9. 98610. 101525. 0. 103285. 7. 7. 0. 0. 166. 1001. 0 j 7. 7. 0. . . 1. 1. 64. psy-ab. . 0. 7. 996. . . 0 i 67 k 1 j 0 i 30 k 1. 0. Vi. T 0 vd. Z_OT 0#imgrc=-Oyggz 1 te. XUdd. M: &spf=1509147362008

Blood Pressure (B/P) Force of blood against the artery Blood pressure Acronym=BP or B/P

blood pressure (acronym) BP or B/P blood pressure

Blood pressure cuff a manual shygmomanometer

BLOOD PRESSURE(B/P) The force that the blood exerts against the arterial walls Sites: upper arm, forearm, thigh and lower leg Two ways of measuring blood pressure – Manually operated sphygmomanometer and a stethoscope – Automated sphygmomanometers

Blood pressure numbers Systolic – top number of blood pressure Diastolic – low number on the blood pressure Example: Systolic/ Diastolic 120/80

https: //img 2. tfd. com/mk/B/X 2604 -B-25. png

Factors Affecting Blood Pressure Cardiac output Blood volume Resistance to blood flow Age Gender Race Accurate: B/P arm at heart level with palm up take after resting and with in a comfortable position

Blood Pressure Range: • Normal Systolic 100– 119 Diastolic 60– 79 • (Low) hypotension Below 100/60 • Pre-hypertensive Systolic 120– 139/Diastolic 80– 89 • (High) hypertension (htn) 140/90 or above

If you feel B/P is incorrect – Deflate cuff wait at least 60 seconds, Retake and check the other arm too. Report all figures to the charge nurse

Abnormal Blood Pressure Hypertension Hypotension Postural hypotension

Hypertension (htn) Increased blood pressure https: //www. google. com/search? rlz=1 C 1 GGRV_en. US 768&biw=678&bih=642&tbm=isch&sa=1&ei=ZXvz. We 7 o. Ou. Lk 0 g. Liw. Yng. C Q&q=picture+of+hypertension&oq=picture+of+hyper&gs_l=psyab. 1. 1. 0 l 10. 16020. 18257. 0. 24838. 8. 8. 0. 0. 73. 419. 8. 8. 0. . . 1. 1. 64. psy-ab. . 0. 2. 125. . . 0 i 13 k 1. 0. dl 0 Je 7 r. IRnc

Hypotension Decreased blood pressure

Postural hypotension To sit up and feel faint

Information B/P needed Frequency to measure BP (any specific times) Which arm to use- no on Iv or shunt site, mastectomy or painful side Person’s normal blood pressure range Position during procedure: lying down, sitting, or standing or orthostatic B/P Correct cuff size to use: ped, child, regular adult, extra-large or bariatric. Observations, report and record: persons result, concerns & complaints When to report the BP measurement Position is important to results. higher the arm above the heart the lower the B/P

Sphygmomanometer / sfiɡmōməˈnämədər Instrument to take the blood pressure Sphygm/o Blood pressure cuff, Blood pressure machine https: //www. google. com/search? q=picture+of+pulse&rls=com. microsoft: en-US: IEAddress&tbm=isch&tbo=u&source=univ&sa=X&ved=0 ah. UKEwj. Cruv. M 6 b_YAh. XGRSYKHec. GDo 0 Qs. AQIKw&biw=361&bih=344#imgrc=p 5 XB 9 i. PVFd. FRZM: &spf=1515120870448

Sphygmomanometer PRESSURE: Inflate the cuff only to the extent necessary 160 -180 mm. Hg For state Know persons normal range Inflate 30 mm hg above normal

Chest Steth/o, Stethoscope https: //www. google. com/search? q=picture+of+chest+with+the+heart&rls=com. microsoft: en-US: IEAddress&tbm=isch&tbo=u&source=univ&sa=X&ved=0 ah. UKEwi. Po. YTA 6 r_YAh. WG 5 i. YKHTPu. CD 4 Q 7 Ak. IRQ&biw=738 &bih=352#imgrc=Pe. Wi. Xj 2 t. Rt 3 ly. M: &spf=1515121113425 An instrument to listen to Sound within the body Like blood pressure, apical pulse. https: //www. google. com/search? rlz=1 C 1 GGRV_en. US 749&biw=1280&bih=918&tbm=isch&sa=1&ei=K 6 i. NWsv. HEIu. S 0 g. Kovpzg. BA&q=picture+of+Myocarditis&oq=pic : ture+of+Myocarditis&gs_l=psy-ab. 12. . 0. 228262. 230699. 0. 232848. 2. 2. 0. 0. 62. 98. 2. 2. 0. . . 1 c. 1 j 2. 64. psy-ab. . 0. 2. 97. . . 0 i 67 k 1. 0. 6 H 3 Nsza_x. Ss#imgrc=_u. GZ 7 Ixx_eg. Xl. M

Stethoscope CLEAN: Wiping the earpieces and diaphragm before (a) and after (p) use WARM: Cold diaphragms can startle cause discomfort to a person.

Ranges The difference between the lowest and the highest values or numbers

ABNORMAL VITAL SIGNS: Any value of VS outside the normal range. Temperature: 98. 6 temporal, tympanic or oral, 99. 6 rectal, 97. 6 axially Pulse: both radial or apical 60 -100 BPM Reparation: 12 -20 /min B/P 120/80 Systolic 100– 119 Diastolic 60– 79 O 2 (oxygen) sats 90 -100 % • KNOW your parameters, recheck and report abnormal vital signs to your nurse.

Vital signs (VS) Temperature, Pulse rate, Respirations, Blood Pressure, Oximetry and pain Abbreviations TPR, BP, O 2

KEYS with VS • • Privacy -pull curtain, expose only as needed Comfort-positioning Confidentiality with results When and where to do VS-after eating/drinking and activities or emotional

pain – very uncomfortable feeling; hurting The fifth vital sign

algia pain

Measuring Height (ht) and Weight (wt) Height is measured in feet: (’), (ft) and inches: (”), (in) or centimeters (cm) Weight is measured in pounds (lbs), (#) or kilograms (kg) Upright scale

Weight (wt) wt

SCALES: A device to weigh people on. UPRIGHT SCALE

Alternate types of scales

WEIGHING: To find out how many pounds someone is Weighting is used to identify nutrition, medication dosage and general health.

WEIGHT: How many pounds Pound or kilogram a persons weight. Proper amount is calculated by height and amount of pounds or kilogram for proper nutritional status. Weight is measured in pounds (lbs), (#) or kilograms (kg)

Bed measurement Weighting of a person while in bed

Height How tall someone is Is the measurement of vertical distance. Indicates how tall someone or thing is.

height (abbreviation) ht https: //www. google. com/search? q=picture+of+medical++height&rls=com. microsoft: en-US: IEAddress&tbm=isch&tbo=u&source=univ&sa=X&ved=0 ah. UKEwj. Uybj. Un. IPXAh. XBMSYKHRp 8 AZYQ 7 Ak. IRw&biw=401&bih=385#imgrc=Cf-n 8 f. Rw. Gwl. Ad. M: &spf=1508640644799

Measuring height Determine how tall a resident is Height is measured in feet: (’), (ft) and inches: (”), (in) or centimeters (cm)

Accurate wt. and ht. Wt: Balance scale , toilet person, complete at the same time with same scale and lightly dresssed. Ht: Same scale with level measuring bar

Form use to record VS, ht. and wt. at state

Apply it Role play Practice TPR and B/P Practice ht and wt

E- tickets List one role with admission process List one way to make someone feel welcome List why a person my be transferred Define temperature, pulse, respirations, blood pressure and O 2 sats