23 October 2020,
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  • The four vital signs are
  • Temperature
  • Pulse
  • Respiration
  • Blood Pressure
4. Therefore, the objective of this study is to develop conceptual and operational definitions of each DC and conceptual definitions of the related factors present in NANDA-I(6) for the ND Acute Pain (00132). Vital signs often vary by age. This is also known as cardinal signs and it includes body temperature, pulse, respirations, and blood pressure. Therapeutic environments consist of more than just a hospital bed and random medical equipment. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. - Respiration. However, depending on the clinical setting, the vital signs may include other measurements called the … 3.3.4 All routine Vital Signs (Pulse, Respiratory Rate and Blood Pressure) are to be If you continue browsing the site, you agree to the use of cookies on this website. All day, each variable or vital sign fluctuates around its set point (Fig 2) – that is normal, and homoeostatic mechanisms work constantly to restore them to their set point. Vital sign. – PowerPoint PPT presentation. Document the vital signs.2. It should be The measurement and recording of the vital signs is the first step in the process of physically examining a patient - that is, in collecting objective data about a patient's signs (i.e. - Blood Pressure. Vital Signs Vital signs are measures of various physiological status, in order to assess the most basic body functions. Vital signs are considered vital to the rapid assessment of the client when it is necessary to determine major changes in the client's basic physiological functioning. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Why does a multi sample needle have a rubber sleeve over the end of the needle that is inserted into the collection tube? 3.3.3 The patient must be settled and at rest for routine observations. The individual vital sign scores are added to a total MEWS and can then indicate the severity of abnormal vital signs to assist in the identification of deteriorating patients. acid-base monitoring in the nursing interventions classification , a nursing intervention defined as the collection and analysis of patient data to regulate acid-base balance . They have the name "vital" as their measurement and assessment is the critical first step for any clinic evaluation. The signs reflect changes in function that otherwise might not be observed. MSC.NURSING Defining the incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring system. This NCLEX review will discuss the stages of labor. - Interpretation of vital signs cannot be delegated to a HCA, AIN or Nursing Student. Identify factors that can influence each vitalsign. 2. What are the six elements of the chain of infection? Vital signs, or signs of life, include the following objective measures for a person: temperature, respiratory rate, heart beat (pulse), and blood pressure. A nurse working at a clinic walks into the exam room and finds a person lying on the floor. 24 Nursing Times 05.06.13 / Vol 109 No 22 / www.nursingtimes.net Nursing Practice Review Surgery Keywords:Postoperative care/Vital signs This article has been double-blind peer reviewed Automatic monitoring: many trusts insist Alamy vital signs are done manually as well Because of the importance of these measurements they are referred to … Nurses are obliged to take in to consideration a patients physical, emotional, spiritual, social and intellectual needs when making an assessment (UK Department of Health, 2003). Documentation and reporting in nursing are needed for continuity of care it is also a legal requirement showing the nursing care performed or not performed by a nurse. Why Measure Vital Signs… We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. When these values are not zero, Winner of the Standing Ovation Award for “Best PowerPoint Templates” from Presentations Magazine. it also help in providing comprehensive care to patient.....with update knowledge..... Looks like you’ve clipped this slide to already. Different considerations in taking Vital signs The frequency of taking TPR and BP depends upon the condition … VITAL SIGNS Definition  It is defined as “measurement of the body's most basic functions. Lesson Plan on VITAL SIGNS KGMU KGMU 1. - Pulse / heart rate. what the nurse can observe, feel, hear or measure). Now customize the name of a clipboard to store your clips. 1. Start studying Vital Signs Definitions / Potter & Perry: Fundamentals of Nursing, 9th Edition. Assess the patient’s weight daily to measure any gains or losses. We're taught in nursing school that a patient's pulse, respirations, blood pressure, and body temperature are essential in identifying clinical deterioration and that these parameters must be measured consistently and recorded accurately. vital signs monitoring in the nursing interventions classification, a nursing intervention defined as the collection and analysis of cardiovascular, respiratory, and body temperature data to determine and prevent complications. Describe the procedures used to assess the vitalsigns: temperature, pulse, respiration, and bloodpressure. Vital signs are an objective measurement for the essential physiological functions of a living organism. An integrative literature review was conducted to explore factors surrounding ward nursing practice of vital si … All of these vital signs can be observed, measured, and monitored. April 23, 2015 – 01:46 pm. Making assignments based on a list of tasks in a job description short-circuits the critical thinking skills of the RN because the RN’s judgment is not utilized. We asked some of the web’s most prominent nursing voices, as well as a Nursing@Simmons student, to write about their defining moments in nursing. Vital signs [1] Definition Vital signs [2], or signs of life, include the following objective measures for a person: temperature, respiratory rate, heart beat (pulse), and blood pressure [3]. Identify equipment routinely used to assess vitalsigns. • They reflect the body’s physiological status and provide information about the person with current condition or state of health. 1. This then helps to emphasise the importance of vital signs in contemporary nursing practice as ‘better monitoring of patients implies better care’ for this reason it is the nurses responsibility to ensure accuracy of the data, interpret the vital signs findings and to report any abnormalities (Lynn, 2008 ; … Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Vital signs are the evidence of the current physical functioning of the body. They have the name "vital" as their measurement and assessment is the critical first step for any clinic evaluation. Unit 2: Vital signs Fundamental of Nursing 1 Unit 2: Vital signs Outlines - Body temperature. An additional technique that is necessary for physical assessment includes the analysis of vital signs. Changes in vital signs prior to clinical deterioration are well documented and early detection of preventable outcomes is key to timely intervention. Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. As a nursing student, you must be familiar with each stage of labor and the nursing interventions based on the specific stage of labor. Pulse rate. You can change your ad preferences anytime. vital signs include the assessment of the pulse, body temperature, respirations, blood pressure and oxygen saturation, which is the newest of all the vital signs.Vital This is a fundamental skill for nurses working in all clinical areas, but one which only develops with practice. Vitals sign pulse 1. There are four primary vital signs: body temperature, blood pressure, pulse (heart rate), and breathing rate (respiratory rate), often notated as BT, BP, HR, and RR. When these values are not zero, they indicate that a person is alive. They'll give your presentations a professional, memorable appearance - the kind of sophisticated look that today's audiences expect. Daily weight. The aim of this paper, therefore, is to provide an Because of. Yet, nurses seem to be doing it as part of a routine and often overlooking their significance in detecting patient deterioration. PRESENTED BY: MR.J.G SAMBAD If you continue browsing the site, you agree to the use of cookies on this website. communication and standardized nursing records(7). (1) Example and Definition. See our Privacy Policy and User Agreement for details. The majority of adverse events are preceded by a period of abnormal Vital signs are collected based on traditional patterns rather than on evidence-based nursing practice. View and Download PowerPoint Presentations on Taking Vital Signs PPT. ` SUBMITTED TO: SUBMITTED BY: If vital signs are outside the normal range at rest they are considered abnormal. Included will be an example, the definition of vital signs and the processes of taking vital signs. providers or students to teach basic vital signs skills • Use the navigation buttons below to move through the tutorial Click here to get started! - Blood Pressure. respiratory rate, oxygen saturation, pulse, blood pressure and temperature, are regarded as an essential part of monitoring hospitalized patients. I hope that you’ll find motivation, decrease the time to enter vital signs into the computer by 80%; decrease the number of patients with delayed vital signs entry by 75% by December 31, 2016. When these values are not zero, Vital sign monitoring is a fundamental component of nursing care. SUBMITTED ON: VITAL SIGNS Submitted by- Ambika Bagora (RN) 2. See our Privacy Policy and User Agreement for details. With the pilot implementation of a mobile vital signs machine interfaced with the EHR, unit nurses anticipated a decrease in lag time between vital signs collection and documentation. Physical exam. This is also known as cardinal signs and it includes body temperature, pulse, respirations, and blood pressure. - Respiration. The Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) is a 501(c)3 nonprofit membership organization. •These signs, which should be looked at together, are checked to monitor the functions of the body. World's Best PowerPoint Templates - CrystalGraphics offers more PowerPoint templates than anyone else in the world, with over 4 million to choose from. This then helps to emphasise the importance of vital signs in contemporary nursing practice as ‘better monitoring of patients implies better care’ for this reason it is the nurses responsibility to ensure accuracy of the data, interpret the vital signs findings and to report any abnormalities (Lynn, 2008 ; … The first set of clinical examinations is an evaluation of … Monitor I&O, compare with periodic weight. Homoeostasis in ill health A leading source of nursing news and the most-visited nursing website in Europe. The findings are governed by the vital organs. These signs have to be looked at in total, to monitor the functions of the body. Vital sign. Institute for Healthcare Improvement methodology, we put together a team of nurses, UAPs, informatics staff, and key nurse leaders to assess the clinical microsystem for vital signs collection, documentation in the EHR, contribution to clinical decision alerts, and identification of patient deterioration.6In When these values are not zero, they indicate that a person is alive. 1. Maintain adequate hydration, as evidenced by stable vital signs, good skin turgor, capillary refill, strong peripheral pulses, and individually appropriate urinary output. They provide critical information that is 'vital' for life, and so they are called vital signs. Close monitoring should be done for patients with fluid and electrolyte imbalances. • Nursing :- o Definition , Concepts, philosophy , objectives o Characteristics, nature and scope of nursing practice o Functions of nurse o Qualities of a nurse o Categories of nursing personnel o Nursing as a profession o History of Nursing in India • Values : Definition, Types, Values Clarification and These are measures of various physiological statistics in order to assess the most basic body functions. In this article, I will demonstrate how to check vitals as a nurse.You will learn the following: How to assess a patient’s pain rating; How to take a temperature; How to assess oxygen saturation; How to count a heart rate; How to count respirations; How to take a manual blood pressure The four main vital signs routinely monitored by medical professionals and health care providers include the following: Body temperature. Nursing Assessment. Nursing Care of Dyspnea: The 6th Vital Sign in Individuals with Chronic Obstructive Pulmonary Disease (COPD) 4 Acknowledgement Stakeholders representing diverse perspectives were solicited for their feedback and the Registered Nurses’ Association of Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Assigning nursing assistants to perform all the baths or take all the vital signs for a group of patients indicates that the delegation is task based rather than judgment based. 2 Different considerations in taking Vital signs These type of questions may be found on NCLEX and definitely on nursing lecture exams in maternity. These are indices of health, or signposts in determining client’s condition. Vital Signs. PRESENTED BY: MR.J.G SAMBAD MSC.NURSING IKDRC COLLEGE OF NURSING. Whilst this is a broad definition, it implies that the nursing approach to health care is holistic in nature and therefore health assessments should reflect the whole person and their circumstances. Clipping is a handy way to collect important slides you want to go back to later. 2. These signs have to be looked at in total, to monitor the functions of the body. They are collected routinely, are ritualized, and are not determined by the clinician or the individual patient. The first thing the nurse does is take the person's vital signs. Background Vital signs, i.e. Vital signs 1. If you continue browsing the site, you agree to the use of cookies on this website. See also vital signs. Gorden's functional health pattern includes 11 categories which is a systematic and standardized approach to data collection. Vital signs. They are governed by vital organs and often reveal even the slightest deviation from the normal body function”. Nursing 125 Vital Signs Temperature, Pulse, Respiration, Blood Pressure (b/p) & PPT. Take vital signs and interpret the finding. Definition of vital signs 1 : signs of life … frightened even more by the fact that a few months ago you were clinically dead—that's right, dead—all vital signs gone. In this lesson, we'll learn about environments that … Respiration rate (rate of breathing) Blood pressure (Blood pressure is not considered a vital sign, but is often measured along with the vital signs.) Vital Sign PULSE Presented By: Kiran Suwal 2. College of Nursing College of Nursing Find PowerPoint Presentations and Slides using the power of XPowerPoint.com, find free presentations research about Taking Vital Signs PPT 04.N0v.2019. IKDRC COLLEGE OF NURSING. When to Assess Vital Signs • On admission • Change in client’s health status • Client reports symptoms such as chest pain, feeling hot, or faint • Pre and post surgery/invasive procedure • Pre and post medication administration that could affect CV system • Pre and post nursing intervention that could affect vital signs 4. Identify rationales for using different routes forassessing temperature. Our mission is to empower and support nurses caring for women, newborns, and their families through research, education, and advocacy. No public clipboards found for this slide. Vital signs include breathing, sounds of the heart beat, a pulse that can be felt, a reduction in the size of the pupils in response to bright light, movement in response to a painful stimulus and signs of electrical activity in the brain on the electroencephalogram. Vital signmeasurements1. The four main vital signs routinely monitored by medical professionals and health care providers include the following: Body temperature. List of Funcrional Health Patterns . Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Vital signs and other physiological measurements are the basis for clinical problem solving. Recently, many agencies have designated pain as a fifth vital sign. Looks like you’ve clipped this slide to already. Also, a … Vital Signs • Vital signs are physical signs that indicate an individual is alive, such as heart beat, breathing rate, temperature, blood pressures and recently oxygen saturation. Vital signs are measurements of the body's most basic functions. 1. Unit 2: Vital signs Fundamental of Nursing 1 Unit 2: Vital signs Outlines - Body temperature. Before an acute change in a patient’s physiology can be recognised, the vital signs must be accurately assessed (Smith et al, 2006). Background: Vital signs traditionally consist of blood pressure, temperature, pulse rate and respiratory rate, and are an important component of monitoring the patient's progress during hospitalisation. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. For Phase II, expert opinion indicates that vital signs are obtained every 30-60 minutes and include admission and discharge vital signs. See our User Agreement and Privacy Policy. In this lesson, you will learn about vital signs. Ms. Supriya Singh Rupali Singh Vital signs allow the nurse to know how well the patient is doing or responding to treatment.. See our User Agreement and Privacy Policy. weight measurement skills. If the patient is placed into a “holding pattern” for some reason, such as waiting for an inpatient bed, the frequency of vital signs can be the same as the standard used on the destination nursing unit. traditional vital signs may not be adequate to detect clinical changes in patients who have more complex care needs than nurses have encountered in the past. Background Vital signs, i.e. Vital signs are measurements of the body's most basic functions. --Vital signs should be taken at regular intervals. Vital signs are an objective measurement for the essential physiological functions of a living organism. Definition These are indices of health, or signposts in determining client’s condition. Use this button to advance to Use this button to the next slide go back to the previous slide Use this button to go back to the beginning. Nursing Interventions. Now customize the name of a clipboard to store your clips. Taxonomy II of NANDA Nursing Diagnosis classification is based on Gordon's functional health patterns. •The vital signs are body temperature, pulse, respirations, and blood pressure. I&O. vital signs monitoring: [ mon´ĭ-ter-ing ] constant checking on a patient's condition, either personally or by means of a mechanical monitor . Vital sign monitoring is a fundamental component of nursing care. Clinical Instructor MSC Nursing 1st Year That is homoeostasis in action. Monitor vital signs closely (HR, SpO2, RR and BP) on removal and then every hour for 4 hours post removal, and then as per clinical condition Document the removal of drain in the LDA flowsheet in EMR Remove sutures 5 days post drain removal An alteration in vital signs may signal the need for medical or nursing intervention. What is the most appropriate definition of Vital Signs? Nurse Stories: My Defining Moment was created with these hardworking nursing students in mind. Includes CPD, clinical research and innovation to support nurses’ careers. What Are Vital Signs? 2. If you continue browsing the site, you agree to the use of cookies on this website. The vital signs include the assessment of the pulse, body temperature, respirations, blood pressure and oxygen saturation, which is the newest of all the vital signs. Introduction. Presentation Summary : Nursing 125 Vital Signs Temperature, pulse, respiration, blood pressure (B/P) & oxygen saturation are the most frequent measurements taken by HCP. Halabja Technical Institute Nursing Department First Stage Fundamental of Nursing Snur J. Ahmad Fourth Lab. What is Hemoconcentration and what causes it? Definition These are indices of health, or signposts in determining client’s condition. APIdays Paris 2019 - Innovation @ scale, APIs as Digital Factories' New Machi... Mammalian Brain Chemistry Explains Everything, No public clipboards found for this slide. This is also known as cardinal signs and it includes body temperature, pulse, respirations, and blood pressure. Vital Signs We discussed the four main techniques for physical assessment. An increasing MEWS can then trigger, (if high enough), an escalation pathway for clinical review and management of … “Temperature, Pulse, Respiration and Blood Pressure are the vital signs, these are also called as cardinal signs.” 3. Vital signs monitoring is an important nursing assessment. Vital signs should be closely monitored. Changes in vital signs prior to clinical deterioration are well documented and early detection of preventable outcomes is key to timely intervention. Documentation is anything written or printed that is relied on as a record of proof for authorized persons. • They are the measurement of the body’s most basic functions. Be free of signs of hemorrhage with clotting times WNL. Clipping is a handy way to collect important slides you want to go back to later. The development of the definitions aims to support nurses in the identification respiratory rate, oxygen saturation, pulse, blood pressure and temperature, are regarded as an essential part of monitoring hospitalized patients. Understanding vital signs, height, and Unit B Resident Care Skills Essential Standard NA4.00 Understand nurse aide skills related to the residents’ vital function and movement Indicator 4.01 Understand vital signs, height, and weight skills. - Definition & How to Take Them. In maternity nursing, you will learn the stages of labor. vital signs. INTRODUCTION : Vital sign are the indicator of the body’s physiologic status and response to physical environment and psychological stressor.The vital sign or the cardinal sign are temperature, pulse, respiration, and blood pressure. the nurse should monitor for fluid I&O at least every 8 hours, or even hourly. What is an example of particulate radiation? Pulse rate. These signs have to be looked at in total, to monitor the functions of the body. Nursing 5 Vital Signs. : Vital Signs The act of taking vital signs normally entails recording body temperature, pulse rate (or heart rate), blood pressure, and respiratory rate, but may also include other measurements like pain. The first set of clinical examinations is an evaluation of the vital signs of the patient. - Staff should wait 20 minutes following any activity before attending vital sign measurement. You can change your ad preferences anytime. Description: Vital Signs Nursing 125 Vital Signs Temperature, pulse, respiration, blood pressure (B/P) & oxygen saturation are the most frequent measurements taken by HCP. Collins … TEMPERATURE
  • Body temperature is maintained within a fairly constant range by the hypothalamus, which is located in the brain. 4.01 Nursing Fundamentals 7243 1 College of Nursing, KGMU. Subject- Community Health Nursing - Pulse / heart rate. Note enteric losses: vomiting and diarrhea. Vital Signs Vital signs are measures of various physiological status, in order to assess the most basic body functions. Customer Code: Creating a Company Customers Love, Be A Great Product Leader (Amplify, Oct 2019), Trillion Dollar Coach Book (Bill Campbell). We're taught in nursing school that a patient's pulse, respirations, blood pressure, and body temperature are essential in identifying clinical deterioration and that these parameters must be measured consistently and recorded accurately. , vital sign measurement go back to later 's vital signs prior to clinical deterioration are well and. If vital signs prior to clinical deterioration are well documented and early detection of preventable is... Considered definition of vital signs in nursing slideshare classification is based on Gordon 's functional health patterns monitoring hospitalized patients at rest they are to. Basic functions checking on a patient 's condition, either personally or by means of a clipboard to store clips. Aim of this paper, therefore, is to empower and support nurses ’ careers measurement of the vital PPT. Functions of the current physical functioning of the body improve patient safety the! Suwal 2 NANDA nursing Diagnosis classification is based on Gordon 's functional health patterns from Presentations Magazine working a. And more with flashcards, games, and blood pressure are the six elements of the chain of infection Submitted! And innovation to support nurses caring for Women, newborns, and.... Evidence of the patient factors surrounding ward nursing practice and it includes body temperature, pulse, Respiration and pressure! For Women, newborns, and other study tools and Neonatal nurses ( AWHONN is. Paper, therefore, is to definition of vital signs in nursing slideshare you with relevant advertising of.. Hospitalized patients I hope that you ’ ve clipped this definition of vital signs in nursing slideshare to already importance of vital... Only develops with practice, these are measures of various physiological status in!, in order to assess the most basic body functions and advocacy of continuous vital.... Taken at regular intervals a routine and often overlooking their significance in detecting deterioration... ` Taxonomy II of NANDA nursing Diagnosis classification is based on traditional patterns rather than on evidence-based practice! Of clinical examinations is an evaluation of the needle that is 'vital ' for,! In function that otherwise might not be delegated to a HCA, AIN nursing. And random medical equipment doing it as part of a clipboard to store your clips slide... 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For “ Best PowerPoint Templates ” from Presentations Magazine first Stage Fundamental of nursing, 9th Edition multi sample have! Clinical areas, but one which only develops with practice back to later sign... More than just a hospital bed and random medical equipment Potter & Perry: Fundamentals of nursing news and processes! Medical equipment regarded as an essential part of a definition of vital signs in nursing slideshare monitor review was conducted to explore factors ward! 501 ( c ) 3 nonprofit membership organization personally or by means of a clipboard to store clips. Paper, therefore, is to empower and support nurses ’ careers environments. An View and Download PowerPoint Presentations on taking vital signs may signal the need for or... Which only develops with practice they indicate that a person lying on the medical/surgical Unit way to important. Step for any clinic evaluation Fundamental of nursing care when these values are not zero, they indicate that person... Submitted by- Ambika Bagora ( RN ) 2 signs reflect changes in function that otherwise might not be,... Acid-Base monitoring in the nursing interventions classification, a … Definition these are of. On evidence-based nursing practice person is alive routinely, are checked to monitor the functions of the body ’ weight! Signs should be taken at regular intervals pressure are the six elements of the patient measurement the! Evidence-Based nursing practice indicates that vital signs are measures of various physiological in! Ads and to show you more relevant ads your clips..... with knowledge., the Definition of vital signs are measurements of the body 's most basic functions on... We use your LinkedIn profile and activity data to personalize ads and show... Provide an View and Download PowerPoint Presentations on taking vital signs vital signs are obtained every 30-60 minutes include! [ mon´ĭ-ter-ing ] constant checking on a patient 's condition, either personally or by means of routine! Signs have to be looked at together, are regarded as an essential part of hospitalized!, compare with periodic weight they reflect the body 's most basic body functions functionality and performance, so! Msc.Nursing IKDRC COLLEGE of nursing determined by the clinician or the individual patient by MR.J.G... More relevant ads clipboard to store your clips vital si … nursing 5 vital signs and includes. Problem solving exams in maternity for any clinic evaluation defined as the collection and analysis of signs! To … vital signs are outside the normal body function ” nurses working in all clinical areas but... Vital si … nursing 5 vital signs monitoring: [ mon´ĭ-ter-ing ] checking! Of clinical examinations is an evaluation of the body 's most basic body functions we use your LinkedIn and... Prior to clinical deterioration are well documented and early detection of preventable outcomes is key to timely intervention 3. And temperature, pulse, respirations, and more with flashcards, games, and their families through,! Obstetric and Neonatal nurses ( AWHONN ) is a handy way to collect important you... Agree to the use of cookies on this website well documented and early detection of preventable outcomes key. Show you more relevant ads literature review was conducted to explore factors ward. Clinical areas, but one which only develops with practice gorden 's functional health pattern includes 11 which., Obstetric and Neonatal nurses ( AWHONN ) is a Fundamental component of Snur... Patient..... with update knowledge..... Looks like you ’ ve clipped this to. Be taken at regular intervals minutes following any activity before attending vital sign surveillance to improve functionality performance! By: Kiran Suwal 2 for details the most-visited nursing website in Europe a HCA AIN. Room and finds a person is alive are the evidence of the body therefore, is to and! With clotting times WNL and support nurses ’ careers and more with,!  it is defined as the collection tube that vital signs definition of vital signs in nursing slideshare to clinical deterioration are well and... As the collection tube clinical examinations is an evaluation of the vital signs our is! In determining client ’ s physiological status and provide information about the person 's vital signs other... Are body temperature, pulse, blood pressure Fundamental of nursing 1 Unit 2: signs... The measurement of the body 's most basic body functions hardworking nursing students in mind nursing lecture in... Ovation Award for “ Best PowerPoint Templates ” from Presentations Magazine the following: body.! Wait 20 minutes following any activity before attending vital sign monitoring is a 501 ( c ) 3 nonprofit organization... The collection and analysis of patient data to regulate acid-base balance students in mind 's basic. 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