PAPER

STANDARD OPERATIONAL PROCEDURE CHECKING VITAL SIGNS

TEACHER: NUR ASIA

BY:

NAME : IJAS

CLASS : XII TKJ

SUBJECTS : ENGLISH

SMK NEGERI 1 TOBADAK

SCHOOL YEAR 2022

 FOREWORD

Thank God we pray to God almighty for the blessing of His grace and

pleasure so that the author can complete this paper. As for this paper entitled "

Standards Operational Procedure of Checking Vital Signs" which is the task of

English language subjects.

The writing of this paper can be completed with contributions from

various parties through their thoughts and materials. So that the express of

gratitude is addressed to the party sincerely.

Hopes that all forms of bantuan given can be worth worship and get

rewards by His side. Realized that the writing of this paper is far from perfect,

both the material and the systematics of the discussion. This is due to the limited

knowledge, experience and ability of the author. Therefore, all constructive

criticism and suggestions from various parties are highly expected. Thus this

paper is compiled author, for all its shortcomings apologize and hopefully can be

useful for everyone and the author.

Tobadak, 1 April 2022

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 TABLE OF CONTENTS

COVER .......................................................................................................................
FOREWARD .............................................................................................................ii
TABLE OF CONTENTS ..............................................................................................iii
CHAPTER I PRELIMINARY........................................................................................1
1.1 Background.....................................................................................................1
CHAPTER II DISCUSSION .........................................................................................3
2.1 Standard Operating Procedures (SOP) of Checking Vital Signs .....................3
CHAPTER III CLOSING.............................................................................................12
3.1 Conclusion ....................................................................................................12
3.2 Suggestions ..................................................................................................12
BIBLIOGRAPHY

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 CHAPTER I

PRELIMINARY

1.1 BACKGROUND

Basically, SOP (Standard Operating Procedure) is a regulatory

software, which regulates the stages of a certain work process or work

procedure. Because the work procedure in question is fixed, routine, and

does not change, the work procedure is standardized into a written

document called a standard operating procedure or abbreviated as SOP. This

written document is further used as a standard for the implementation of

certain work (Budihardjo, 2014: 7).

SOP is also closely related in the world of Health including in checking

the vital signs of patients. Vital signs are a quick and efficient way of

monitoring a client's condition or identifying problems and evaluating

responses to a given intervention. According to Heni and Hijriani (2018) the

time to measure vital signs is:

1. When the patient first entered the health facility

2. When examining patients on home visits

3. In hospitals / health facilities with regular schedules according to the

program

4. Before and after invasive surgical or diagnostic procedures

5. Before, during and after blood transfusion

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6. When the general state of the patient changes

7. Before, during and after administration of the drug

8. Before, and after nursing interventions that affect vital signs

9. When the patient gets nonspecific physical symptoms

10. Shivering is the body's response to temperature differences in the body.

Based on the description above, then we will discuss about the standard

operating procedure procedures vital signs in detecting or monitoring

patients' medical problems.

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 CHPATER II

DISCUSSION

2.1 STANDARD OPERATING PROCEDURE (SOP) of CHECKING VITAL SIGNS

A. Tool Preparation

1. Thermometer in its place (axila, oral, rectal)

2. 3 bottles containing soap solution, disinfectant, clean water

3. Bent

4. Tissue

5. Ticking watches

6. Tensimeter

7. Stethoscope

8. Pens and notebooks

9. Glove

10. Lubricant

B. Patient and Environmental Preparation

1. Provide information about the actions to be taken

2. Preparing the patient in a state of rest/relaxation

3. Setting up a safe and comfortable environment

C. Implementation Procedures

1. Measuring Axillary Temperature

a. Washing hands

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b. Carrying tools close to the patient

c. Explaining the procedure to the patient

d. Set the patient's position as comfortable as possible

(sitting/supine)

e. Ask the patient to open the sleeves (if you need to be helped)

f. When wet armpits dry with tissue

g. Take a thermometer (when the thermometer is stretched

disinfectant take and clean with tissue from the base to the

reservoir in a twisting direction, then to clean water and clean

with tissue

h. Check the thermometer to make sure the temperature is below

35oC

i. Place the thermometer directly on the patient's axial arm, the

flexion arm above the chest

j. Wait until 5-10 minutes then remove, clean and read the results

k. Inform the patient of the examination results

l. Re-tidying the patient's clothes and helping to a comfortable

position

m. Put in a soap solution clean with tissue from the base to the

reservoir with Circular movement, put it into a disinfectant

solution clean with tissue then put it in clean water and clean with

tissue from base to reservoir by Moving circular

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 n. Lower the mercury until the reservoir then put the thermometer

in place

o. Washing hands

p. Record temperature measurement results in a notebook

2. Measuring Oral Temperature

a. Washing hands

b. Carrying tools close to the patient

c. Explaining the procedure to the patient

d. Set the patient's position as comfortable as possible

(sitting/supine)

e. Take the thermometer out of place (when the thermometer is

stretched disinfectant take and clean with tissue from the base to

the reservoir in a twisting direction, then put it in clean water and

clean with tissue)

f. Check the thermometer to make sure the temperature is below

35oC

g. Ask the patient to open his mouth, slowly placing the

thermometer under the tongue.

h. Ask the patient to purse his lips

i. Wait until 3-5 minutes then remove, clean and read the results

j. Inform the patient of the results

k. Re-tidying the patient's clothes and helping a comfortable position

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 l. Put in a soap solution clean with tissue from the base to the

reservoir with Circular movement, put it into a disinfectant

solution clean with tissue then put it in clean water and clean with

tissue from the base to the reservoir with circular movement

m. Lower the mercury until the reservoir then put the thermometer

in place

n. Washing hands

o. Record temperature measurement results in a notebook

3. Measuring rectal temperature

a. Washing hands

b. Carrying tools close to the patient

c. Explaining the procedure to the patient

d. Closing the curtains/door of the room

e. Wearing gloves

f. Assisting the patient in sims's position (pediatric patients can lie

on their stomachs)

g. Ask the patient to lower the bottom of the bottom to the bottom

of the gluteal (if you need to be helped)

h. Open the panta until the release is visible from the outside, when

the release looks dirty clean with tissue

i. Take a thermometer to make sure the temperature is 35oC

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 j. Smear lubrication at the end of the thermometer (2.5-4 cm for

adults and 1.5-2.5 cm for infants/children)

k. With the left hand is not dominant raising the buttocks over the

patient

l. Insert the thermometer into the rectal slowly (if it feels that there

is a prisoner immediately Pull the thermometer)

m. Hold the thermometer

n. Wait 2-3 minutes then lift, clean and read the results

o. Inform the patient of the examination results

p. Re-tidying the patient's clothes and helping to a comfortable

position

q. Put in a soap solution clean with tissue from the base to the

reservoir with circular movement, put into a disinfectant solution

clean with a tissue with circular movement then put it in clean

water right with a tissue from the base to the rervoir with circular

movement

r. Lower the mercury until the reservoir then put the thermometer

in place

s. Removing gloves

t. Washing hands

u. Record temperature measurement results in a notebook

4. Studying Pulse

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 a. Washing hands

b. Carrying tools close to the patient

c. Explaining the procedure to the patient

d. Set the patient's position as comfortable as possible

(sitting/supine)

e. Fingering / determining the location of the arteries / pulse to be

calculated

f. Check the pulse by placing the fingertips, middle fingers, and ring

fingers above the arteries to be counted

g. When the pulse is fixed, hold the watch with a second pointer on

the other hand.

h. Counting the pulse for 1/4 minute (if the pulse is regular) the

result is multiplied by 4, if the pulse is irregular count for a full 1

minute

i. Tidying the patient back and helping the patient into a

comfortable position

j. Inform the patient of the examination results and tell the patient

the action is complete

k. Washing hands

l. Record the results of temperature measurements in the

notebook.

5. Studying Breathing

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 a. Washing hands

b. Carrying tools close to the patient

c. Explaining the procedure to the patient

d. Set the patient's position as comfortable as possible

(sitting/supine)

e. Put the patient's arm in a relaxed position

f. Observe a complete respiratory cycle then begin to calculate the

frequency of breathing and pay attention to the depth, rhythm,

and character of the exhalation for 30 seconds the result is

multiplied by 2 if breathing is regular but if the breathing is

irregular or the patient infant / small child count for a full minute.

g. Rearrange the patient's comfortable position

h. Inform the patient of the examination and inform that the action

is complete

i. Washing hands

j. Record temperature measurement results in a notebook

6. Measuring Blood Pressure

a. Washing hands

b. Carrying tools close to the patient

c. Explain the purpose and procedures in the patient

d. Disinfect the stethoscope handle to be attached to the ear and

also disinfect the stethoscope diaphragm

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e. Set the patient's position as comfortable as possible

f. Placing the tensimeter next to the top of the patient's arm

g. Ask/help the patient roll/open the sleeves to be examined

h. Attach a cuff on the upper arm about 2.5cmdiatas fossa cubiti (not

too strong) and and an arrow on the maset parallel to the brachial

artery

i. Fingering the brachial artery with the middle finger and forefinger

j. Wear a stethoscope on the ear, place the diaphragm of the

stethoscope over the brachial artery and hold it with your thumb

or several fingers.

k. Close the valve /screw of the balloon pump by turning clockwise

and unlocking the mercury if using mercury tension

l. Pumping 30 mmHg above the pulsation point is missing

m. Open the screw slowly (mercury drops by about 2-3

mmHg/second)

n. Listen carefully while reading the mercury scale where the sound

of the arterial pulse is heard first until it disappears (the first pulse

is systolic pressure and the last pulse is the diastolic pressure

sound)

o. Deflate quickly after the sound of the pulse is not heard until the

mercury is at zero (if you want to repeat the waiting check

approximately 2 minutes)

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 p. Open the cuff, neatly rolled/folded then the cuff is placed in place,

the monster water is locked, the tensimeter is closed

q. Rearrange the patient's position

r. Inform the patient of the results of the examination and inform

that the action is complete

s. Washing hands

t. Record temperature measurement results in a notebook

7. Evaluation

a. Tidy up and clean up the tools

b. Convey the results of measuring the patient's vital signs

c. Position the patient in a comfortable position

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 CHAPTER III

CLOSING

3.1 CONCLUSION

Based on the description above, it can be concluded that in checking

vital signs, it is very concerned about patient comfort and personal hygiene

in checking and hygiene of the tools used.

3.2 SUGGESTION

Management is expected to create Standard Operating Procedures

(SOP) in accordance with the situation and conditions that may apply.

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 BIBLIOGRAPHY

Budihardjo. 2014. "Practical Guide to Drafting SOPs". Jakarta : Achieve Asa

Success

Heni and Hijriani. 2018. "Basic Nursing II". Cirebon : LovRinz Publishing

Https://www.academia.edu accessed on April 1, 2022 at 1:15 PM LOCAL TIME

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