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Vital Signs Not performed Buffalo Concussion Physical Examination Form2minute Supine Rest1minute StandingBlood Pressure (MMH) Patient Name: Date: Physician: Sports Med Physician Fellow ResidentHeart
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How to fill out vital signs not performed

01
Begin by gathering the necessary equipment for measuring vital signs, such as a thermometer, blood pressure cuff, and pulse oximeter.
02
Ensure a clean and quiet environment for accurate measurements.
03
Start by taking the patient's temperature using a thermometer. Place the thermometer under the patient's tongue or in the armpit for accurate readings.
04
Next, measure the patient's blood pressure using a blood pressure cuff. Wrap the cuff around the patient's upper arm and inflate it to the appropriate pressure level following the manufacturer's instructions.
05
Use a stethoscope to listen for the patient's heartbeat while slowly deflating the cuff. Note the systolic and diastolic readings.
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Finally, use a pulse oximeter to measure the patient's oxygen saturation and pulse rate. Attach the device to the patient's finger or earlobe and wait for the readings to stabilize.
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Record all measurements accurately in the patient's medical record or vital signs chart.

Who needs vital signs not performed?

01
Vital signs not performed may be required for patients who are unable to cooperate due to their medical condition or mental state. This can include individuals who are unconscious, in a coma, or experiencing severe agitation or confusion.
02
Additionally, vital signs not performed may be necessary for patients who are physically unable to have their vital signs measured, such as those with amputated limbs or severely restricted movement.
03
In some cases, healthcare professionals may also choose not to perform vital signs if it is deemed unnecessary for the patient's specific condition, as determined by medical guidelines and clinical judgement.
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Vital signs not performed refers to the lack of monitoring of key indicators such as blood pressure, pulse rate, temperature, and respiratory rate in a patient's medical record.
Healthcare providers or medical professionals responsible for the care of the patient are required to document vital signs not performed in the patient's medical record.
Vital signs not performed should be clearly documented in the patient's medical record, including the reason why they were not monitored and any alternative assessments or interventions performed.
The purpose of documenting vital signs not performed is to track the monitoring of key indicators and ensure that any gaps in care are addressed appropriately.
The information reported on vital signs not performed should include the specific vital signs that were not monitored, the reason for not monitoring them, and any actions taken in response.
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