9-2
9.2 Safety
WARNING
During NIBP measuring, the inflated cuff will apply pressure on the application
site. The clinician shall determine if NIBP measuring is suitable for the patient.
Be sure to select the correct patient category setting for your patient before
measurement. Do not apply the higher adult settings for pediatric or neonatal
patients. Otherwise it may present a safety hazard.
Do not measure NIBP on patients with sickle-cell disease or any condition
where skin damage has occurred or is expected.
Use clinical judgement to determine whether to perform frequent unattended
blood pressure measurements on patients with severe blood clotting disorders
because of the risk of hematoma in the limb fitted with the cuff.
Do not use the NIBP cuff on a limb with an intravenous infusion or arterial
catheter in place. This could cause tissue damage around the catheter when the
infusion is slowed or blocked during cuff inflation.
NIBP measurements can be affected by the measurement site, the position of
the patient, patient movement, or the patient's physiologic condition. If the
NIBP measurement seems out of range or inaccurate, determine the patient’s
vital signs by alternative means and then verify that the monitor is working
correctly.
Make sure the air hose connecting the NIBP cuff and the monitor is not blocked,
twisted, or tangled.
Do not apply the cuff on the arm on the side of a mastectomy.
Continuous cuff pressure due to connection tubing kinking may cause blood
flow interference and resulting harmful injury to the patient.
Devices that exert pressure on tissue have been associated with purpura,
ischemia, and neuropathy. Inspect the application site regularly to ensure skin
quality and inspect the extremity of the cuffed limb for normal color, warmth
and sensitivity. If the skin quality changes, or if the extremity circulation is
being affected, move the cuff to another site or stop the blood pressure
measurements immediately. Check more frequently when making automatic or
STAT measurements. Auto NIBP measurements with one and two minute
intervals are not recommended for extended periods of time.
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