Undertake routine clinical measurements
Overview
This standard covers taking and recording routine clinical measurements to establish a baseline for future comparison or as part of the individual's care plan. The recording of such measurements must take into account the individual's overall condition. It is important that where you have any concerns regarding your ability to correctly take these clinical measurements, or if you are at all unsure of your readings, you must ask another competent member of staff to check your recordings to ensure the correct actions can be instigated without delay.
These activities could be done in a variety of care settings, including hospital wards and other departments including out patients, nursing homes, the individuals own home and GP surgeries.
Performance criteria
You must be able to:
- access and accurately interpret all relevant work instructions and information
- work safely at all times and in accordance with all relevant legislation, guidelines, policies, procedures and protocols
- deal promptly and effectively with any problems within your control and report those which cannot be solved
- identify and minimise hazards and risk in the workplace
- communicate with the individual and key people at a pace, in a manner and at a level appropriate to the individual's understanding, preferences and needs
- respect the individual's rights and wishes relating to their privacy, beliefs and dignity
- provide support to the individual and ensure health and safety measures are implemented at all times
- apply standard precautions for infection prevention and control and apply other necessary health and safety measures
- check the individual's identity and confirm the planned action
- give the individual relevant information, support and reassurance in a manner which is sensitive to their needs and concerns
- gain valid, informed consent from the individual in accordance with specific procedures
- take the measurement at the prescribed time and in the prescribed sequence
- use the appropriate equipment in such a way as to obtain an accurate measurement
- seek a further recording of the measurement by another staff member if you are unable to obtain the reading or if you are unsure of the reading
- observe the condition of the individual throughout the measurement
- identify and respond immediately in the case of any significant changes in the individual's condition
- recognise and report without delay any measurement which falls outside of normal levels
- clean used equipment and return to usual place of storage after use
- dispose of waste in accordance with organisational procedures
- complete and store all relevant documentation in accordance with organisational requirements
Knowledge and Understanding
You need to know and understand:
- the current legislation, guidelines, policies, procedures and protocols which are relevant to your work practice and to which you must adhere
- the scope and limitations of your own competence, responsibilities and accountability as it applies to your job role
- how to access and interpret all relevant work instructions and information
- specific procedures for reporting issues which are beyond your competence, responsibilities and accountability
- the duty to report any acts or omissions that could be unsafe/detrimental to you or others
- the hazards and risks which may arise during the execution of your work role and how you can minimise these
- how to adapt communication styles in ways which are appropriate to the needs of the individual
- the correct use of any equipment and PPE to protect the health and safety of you and others
- the principles, practice and procedures associated with informed consent
- the needs of individuals and carers including issues relating to dignity, confidentiality, and privacy
- organisational management structures, roles, and responsibilities
- the importance of applying standard precautions to undertaking physiological measurements and the potential consequences of poor practice
- why the clinical measurements are necessary and the importance of undertaking them as directed
- why it is necessary to adjust clothing and/or reposition the individual for some clinical measurements
- the concerns and worries which individuals may have in relation to some clinical measurements
- the range and purpose of equipment used for different measurements
- the importance of ensuring equipment is appropriately prepared
- common conditions which necessitate the recording of physiological measurements
- how blood pressure is maintained
- the differentiation between systolic and diastolic blood pressure and what is happening to the heart in each reading
- the normal limits of blood pressure
- conditions where blood pressure may be high or low
- how body temperature is maintained
- what normal body temperature is
- what is meant by pyrexia, hyper-pyrexia and hypothermia
- what is normal respiratory rate
- what affects respiratory rates in individuals who are ill and well
- the normal limits of pulse rates
- what affects pulse rates – raising it and lowering it
- the sites in the body where pulse points can be found
- why an individual's pulse oximetry needs to be measured
- the findings when obtaining pulse oximetry, and the implications of these findings
- what BMI is and how it is used in weight/dietary control
- the factors that influence changes in clinical measurements
- the importance of recording all information clearly and precisely in the relevant documentation, including whether the individual is receiving oxygen
- how to complete and safely store all relevant documentation in accordance with organisational requirements