Standardized and accurate measurement of blood pressure is critical to helping patients achieve recommended blood pressure and maximally reducing their risk for blood pressure related stroke, heart attack, heart failure, and death. A standard automated blood pressure measurement device and a specific protocol for the measurement of blood pressure has proven to be accurate and reliable in recent research and far more accurate than non-automated blood pressure assessed by people.


Frequency and Timing  

Seated blood pressure (and pulse) are measured 2 times at each clinic visit. The average of these 2 measurements will constitute the visit blood pressure and pulse. Blood pressure measurement must be conducted at the beginning of the visit and not following potentially stressful exam components such as the blood drawing or self-administered questionnaires.  


Method

These guidelines are written for use with the OMRON HEM-907 XL Professional Digital Blood Pressure Monitor. The design and operation of the monitor are based upon the combined principles of compression of the brachial artery under an elastic, inflatable cuff and estimation of the systolic and diastolic blood pressure levels by oscillometric methods. The staff member will place the correct size cuff on the patient's arm, push the button on the device and wait for the output.  

The key element in this procedure is the 5-minute rest period. This begins once the cuff is on the patient and before the first measurement is taken. The monitor will be programmed ahead of time to count down the 5-minute rest period. The Medical Assistant (MA) will instruct the patient in the procedure and prepare the patient for the measurements to be taken. The MA may review visit notes and such with the patient during the rest period but should limit interaction—within the parameters of daily work flow.