Presentation on theme: "Presentation title SUB TITLE HERE Vital Signs in the Ambulatory Setting: An Evidence-Based Approach Cecelia L. Crawford, RN, MSN How to Measure Respirations."— Presentation transcript:
Presentation title SUB TITLE HERE Vital Signs in the Ambulatory Setting: An Evidence-Based Approach Cecelia L. Crawford, RN, MSN How to Measure Respirations
Respiration Measurement - An Overview Equipment for accurate respiratory measurement Watch or clock with second hand or digital second counter Stethoscope Pen or pencil Flowsheet, chart, or medical record Clean hands and fingers! Patient in a comfortable & relaxed position Waited 5 minutes if patient was active Enough time to count the respiratory rate
Terminal Digit Preference Some people may show a preference for certain numbers in respiratory rate readings* Zeros, even numbers, odd numbers Be aware you might “like” certain numbers more than others! (*Roubsanthisuk, W., Wongsurin, U., Saravich, S., & Buranakitjaroen, P., 2007) Respirations – It’s All About The Numbers!
Respiratory Rate Procedure 1.Wash hands & put on gloves, if appropriate 2.Provide privacy 3.Assist patient to a comfortable & relaxed position
Respiratory Rate Procedure 4. Position patient for clear view of chest movement 5. Place patient’s arm or your own hand in a relaxed position across stomach or lower chest 6. Observe a complete respiratory cycle An inhale and an exhale http://www.lane.k12.or.us/CSD/CAM/level1/ASSESS
Respiratory Rate Procedure 7. Count for 60 sec Full minute count for: Children Irregular respirations Very fast or very slow respirations 8. Count for 30 sec and multiply X2 Shorter time counts = inaccurate data
Normal Respiratory Rates AGEBREATHS/MIN Newborn to 6 weeks30 - 60 Infant (6 weeks to 6 months)25 - 40 Toddler ( 1 to 3 years)20 - 30 Young Children ( 3 to 6 years)20 - 25 Older Children (10 to 14 years)15 - 20 Adults12 - 20 (Mosby’s Critical Care Nursing Reference, 2002; Perry & Potter, 2006)
Respiratory Rate 9. Pediatric patients If panting, use stethoscope to count Agitation can result in inaccurate RR
Respiratory Rate Procedure Respiratory rates are NOT a reliable way to determine low oxygen levels! RN and MD assessment is needed
Respiratory Rate Procedure 10. Inform the RN or MD for: Difficult to count respirations Very fast or very slow breathing Irregular breathing If patient seems to be having trouble breathing
Respiratory Rate Procedure 11. Discuss respiratory rate with patient or parent 12. Remove gloves & wash hands
Respiratory Rate Procedure 13. Document the Results Flowsheet, clinic record, or clinic chart 14. Communicate the Results RN MD
Respiratory Measurement in the Clinic YOU can make the difference: Welcoming presence Decrease any anxieties & fears Reassure patients & family Accurate vital signs
Your consent to our cookies if you continue to use this website.