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Assessing Blood Pressure 
Assessing Blood Pressure
Student accurately measures and records blood pressure. **PLEASE NOTE** If you make an error and self-correct it, the grade will be assigned as if that error did not occur unless otherwise noted on rubric.
Rubric Code: ZXAW2W8
By khristyn77
Ready to use
Public Rubric
Subject: Medical  
Type: Assessment  
Grade Levels: Graduate

Powered by iRubric Blood Pressure
  Poor

0 pts

Fair

1 pts

Good

3 pts

Excellent

4 pts

Permission

Examiner asks for permission to take client's blood pressure.
Poor

Examiner does not ask for permission.
Fair

N/A
Good

Examiner performs task with no errors.
Excellent

Examiner performs task with no errors and does so efficiently and with confidence.
Patient Position

Examiner places patient in sitting or lying position with forearm supported at the level of the heart.
Poor

Examiner does not ensure that client's arm is supported at the level of the heart.
Fair

N/A
Good

Examiner performs task with no errors.
Excellent

Examiner performs task with no errors and does so efficiently and with confidence.
Preparation

Examiner exposes upper arm and palpates the brachial or radial artery.
Poor

Examiner does not expose arm OR
does not palpate the artery.
Fair

N/A
Good

Examiner performs task with no errors.
Excellent

Examiner performs task with no errors and does so efficiently and with confidence.
Cuff Position

Examiner places the cuff approximately 1 inch superior to the site for auscultating the brachial artery and centers the cuff bladder over the artery. (above the elbow)
Poor

Cuff not placed approximately 1 inch superior to elbow crease
OR
not centered over artery.
Fair

N/A
Good

Examiner performs task with no errors.
Excellent

Examiner performs task with no errors and does so efficiently and with confidence.
Cuff Position (Con't)

Examiner wraps cuff snugly around upper arm, placing the manometer in easily viewed position.
Poor

Cuff not snug
AND
Manometer not easily viewed.
Fair

After attempting inflation, examiner notes that cuff not snug and re-positions
OR
Manometer not easily viewed and after inflating, must deflate and re-position
Good

Examiner performs task with no errors.
Excellent

Examiner performs task with no errors and does so efficiently and with confidence.
Inflating Cuff 1st time

Examiner tightens the thumbscrew of the pressure bulb and pumps the bulb until pulse beat is no longer palpable, mentally notes the reading, and rapidly deflates cuff.
Poor

Pulse not palpated
OR
Reading not noted
OR
Cuff not rapidly deflated.
Fair

Thumbscrew not tightened
AND
Examiner does not quickly recognize that this is the problem and correct it.
Good

Examiner performs task with no errors.
Excellent

Examiner performs task with no errors and does so efficiently and with confidence.
Stethoscope position

After waiting 30 seconds, examiner places the bell or diaphragm of the stethoscope over the brachial artery.
Poor

Examiner does not wait 30 seconds
AND
Does not place stethoscope properly
Fair

Examiner does not wait 30 seconds
OR
Examiner does not place stethoscope properly
Good

Examiner performs task with no errors.
Excellent

Examiner performs task with no errors and does so efficiently and with confidence.
Inflating Cuff 2nd time

Examiner tightens the thumbscrew of the pressure bulb and pumps the bulb until manometer reads approximately 20-30 points higher than where sound disappeared on initial inflation.
Poor

Bladder not inflated to where manometer reads 20-30 points above where it disappeared on initial inflation.
Fair

Thumbscrew not tightened
AND
Examiner does not quickly recognize that this is the problem and correct it.
Good

Examiner performs task with no errors.
Excellent

Examiner performs task with no errors and does so efficiently and with confidence.
Deflating the cuff/Systolic measure

Examiner slowly opens the valve by loosening the thumbscrew and watches the indicator to fall slowly. Listens for the beat to begin and takes the reading on the gauge where it is heard first (Systolic)
Poor

Cuff is deflated too fast and reading is not obtained.
Fair

Cuff is deflated too slowly (patient may experience discomfort).
Good

Examiner performs task with no errors.
Excellent

Examiner performs task with no errors and does so efficiently and with confidence.
Diastolic measurement

Examiner listens to the pulsations until they are no longer heard or become very soft. Student notices where the sound changes and records this as the diastolic reading.
Poor

Reading not obtained.
Fair

Reading obtained, but examiner is unsure if it is correct.
Good

Examiner performs task with no errors.
Excellent

Examiner performs task with no errors and does so efficiently and with confidence.
Recording the blood Pressure

Examiner records the blood pressure writing the letters BP in front of the reading.
Poor

Reading not recorded correctly
Fair

N/A
Good

Examiner performs task with no errors.
Excellent

Examiner performs task with no errors and does so efficiently and with confidence.



Keywords:
  • blood pressure


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