General Nursing (RGN)
Checking and Recording of Pulse
Assessment and documentation of pulse rate, rhythm and volume to monitor cardiovascular status and identify abnormalities.
Purpose
- Determine pulse rate.
- Assess rhythm and volume.
- Monitor cardiovascular status.
- Identify abnormal pulse findings.
Indications
- Routine monitoring of vital signs.
- Cardiovascular assessment.
- Monitoring response to treatment.
- Patients requiring regular pulse monitoring.
Equipment
- Watch with second hand
- Pulse/vital signs chart (Manual or electronic)
- Pen
Procedure steps
- Explain procedure to patient.
- Perform hand hygiene.
- Position patient comfortably.
- Locate the pulse site, commonly the radial artery, using the pads of first three fingers.
- Apply gentle pressure to feel the pulse.
- Count the pulse rate for a full minute or according to protocol.
- Note rhythm and volume/strength.
- Record pulse rate, rhythm and volume with date and time.
- Perform hand hygiene.
- Report abnormal findings.
- Reposition patient comfortably.
Precautions
- Use finger pads rather than the thumb.
- Avoid excessive pressure.
- Count for a full minute when rhythm is irregular.
- Assess rate, rhythm and volume.
- Report abnormal findings promptly.
Educational resource only. Follow current Nursing and Midwifery Council guidance, local institutional protocols, scope of practice, and clinical supervision.
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