OSCE Checklist Blood Pressure Measurement

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OSCE Checklist: Blood Pressure Measurement

Introduction
1 Wash your hands and don PPE if appropriate

2 Introduce yourself to the patient including your name and role

3 Confirm the patient's name and date of birth

4 Briefly explain what the procedure will involve using patient-friendly language

5 Gain consent to proceed with blood pressure measurement

6 Position the patient sitting on a chair, with their arm comfortably placed at heart level

7 Check if the patient has a preference as to which arm to use: avoid using an arm that has
local pathology such as post-mastectomy lymphoedema
8 Ask the patient to adequately expose their upper arm on the relevant side by rolling up their
sleeve
9 Ask the patient if they have any pain before proceeding with blood pressure measurement

Attaching the blood pressure cuff


10 Check that the blood pressure cuff size is appropriate for the patient's arm and that it is fully
deflated
11 Confirm the location of the brachial artery by palpating medial to the biceps brachii tendon
and lateral to the medial epicondyle of the humerus
12 Wrap the blood pressure cuff around the patient's upper arm, lining up the cuff marker with
the brachial artery

Measuring blood pressure


13 Ensure the valve on the blood pressure cuff is closed

14 Palpate the patient’s radial pulse, located at the radial side of the wrist, with the tips of
your index and middle fingers aligned longitudinally over the course of the artery
15 Inflate the blood pressure cuff until you can no longer feel the patient's radial pulse. Note the
reading on the sphygmomanometer at the point at which the radial pulse becomes
impalpable. This reading is an approximate estimate of the patient's systolic blood pressure.
16 Open the valve and deflate the blood pressure cuff

17 Close the valve on the blood pressure cuff

18 Position the diaphragm of your stethoscope over the brachial artery

19 Re-inflate the cuff 20-30 mmHg above the systolic blood pressure you previously estimated

20 Then slowly deflate the cuff at around 2-3 mmHg per second

21 Identify the first Korotkoff sound

22 Identify the fifth Korotkoff sound

To complete the procedure…


23 Once an blood pressure has been obtained, remove the blood pressure cuff

24 Explain to the patient that the procedure is now complete


25 Discuss the blood pressure results with the patient, including any further steps that may
need to occur (e.g. follow-up, further investigations, initiation of treatment)
26 Thank the patient for their time

27 Dispose of PPE appropriately and wash your hands

28 Document the lowest blood pressure recording in the patient's notes

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