Pulse

1.	Goal: The patient’s pulse is assessed accurately without injury and the patient experiences minimal discomfort. Check physician’s order or nursing care plan for frequency of pulse assessment. More frequent pulse measurement may be appropriate based on nursing judgment.
2.	Identify the patient.
3.	Explain the procedure to the patient.
4.	Close curtains around bed and close door to room if possible.
5.	Perform hand hygiene and put on gloves as appropriate.
6.	Select the appropriate peripheral site based on assessment data.
7.	Move the patient’s clothing to expose only the site chosen.
8.	Place your first, second, and third fingers over the artery. Lightly compress the artery so pulsations can be felt and counted.
9.	Using a watch with a second hand, count the number of pulsations felt for 30 seconds. Multiply this number by 2 to calculate the rate for 1 minute. If the rate, rhythm, or amplitude of the pulse is abnormal in any way, palpate and count the pulse for 1 minute or longer.
10.	Note the rhythm and amplitude of the pulse.
11.	Cover the patient and help him or her to a position of comfort.
12.	Remove gloves, if necessary. Perform hand hygiene.