Lecture on Recording Patient Vital Signs

Introduction

• The lecture involves a demonstration of how to record patient vital signs by a junior doctor.
• Main focus on the procedure and documentation involved in checking observations of a patient named Harry Miles.

Procedure for Checking Vital Signs

1. Patient Identification

   • Confirm full name and date of birth: Harry Miles, 21/10/1998.

2. Vital Signs to Check

   • Blood pressure using a cuff.
   • Pulse and heart rate through physical touch.
   • Oxygen levels using a pulse oximeter.
   • Temperature via ear thermometer.

3. Execution of Procedure

   • Feel the wrist for pulse.
   • Use devices such as pulse oximeter and ear thermometer for accurate readings.

Documentation of Vital Signs

• Importance of accurate documentation on the appropriate chart.

1. Details to Document

   • Date and Time of recording.
   • Respiratory Rate and SpO2 Level
     • Note if the patient is on supplemental oxygen and details of flow rate and device type.
   • Blood Pressure
     • Document both systolic and diastolic pressures and connect them with a line.
   • Pulse Rate
   • Consciousness Level using the ACVPU scale.
   • Temperature

2. NEW Score Calculation

   • Use collected data to calculate the National Early Warning Score (NEWS).
   • Helps in deciding monitoring frequency and need for escalation.

3. Final Steps

   • Add initials to complete the documentation.

Additional Resources

• Mention of Geeky Medics collection for OSKI stations.
• Option to practice with AI powered virtual patients and advanced group practice mode.