Checking pulse

Sort of like every ER pt having a resp rate of 18 or 20.
I go 16 most of the time... 18-20 if they're a little excited (but normal). I'll add ETCO2 cannula if it actually seems to be fast/slow.
 
I think any more than 6 seconds becomes long and awkward. You can get a reliable count with 6 seconds, monitor will confirm it.
 
I think any more than 6 seconds becomes long and awkward. You can get a reliable count with 6 seconds, monitor will confirm it.

The tough one is RR. For pulse, you can just have your partner shake hands with the pt after you and not let go for a minute while you talk as if this isn't weird. Getting a good RR without making the pt alter her breathing is tough.
 
The tough one is RR. For pulse, you can just have your partner shake hands with the pt after you and not let go for a minute while you talk as if this isn't weird. Getting a good RR without making the pt alter her breathing is tough.

You shake hands weird.
 
I count the seconds between each breath (just pick any point in the respiratory cycle and count to the next one).
2 seconds = 30 resp/min
3 sec = 20
4 sec = 15
It may not be for everyone, but I'm rarely off by more than 2 breaths per minute.
 
I count the seconds between each breath (just pick any point in the respiratory cycle and count to the next one).
2 seconds = 30 resp/min
3 sec = 20
4 sec = 15
It may not be for everyone, but I'm rarely off by more than 2 breaths per minute.

I like that.
 
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