10-item HBPM knowledge checklist
No | BHS | AHS | RACGP | |
1. | What should be avoided before taking measurements at least 30 min before measurement? Answer: Do not exercise, smoke or consume foods or drinks containing caffeine (such as tea or coffee) | ✓ | ✓ | ✓ |
2. | How long should you rest and relax without any distractions Answer: at least 5 min (time between 5 min and 30 min is acceptable) | ✓ | ✓ | ✓ |
3. | What is the dressing requirement during measurement? Answer: Wear loose-fitting and comfortable clothes, Roll up the sleeve to expose your upper arm and wrap the cuff around it. | ✓ | ||
4. | What are the appropriate characteristics of table and chair used for HBPM? Answer: Choose a stable table and chair of appropriate height (at heart level) with armrest. How should your back and feet be placed? Answer: Sit comfortably and relaxed with your back supported, keep your feet on the floor and do not cross the legs | ✓ | ✓ | ✓ |
5. | Show me your HBPM cuff (Check if the cuff size is appropriate) | ✓ | ✓ | |
6. | Could you show me how you put on your cuff? (Observe: Place cuff in an appropriate position: The lower border of the cuff should be 2 cm above the pit of elbow, which is approximately two finger-breadths. Make sure the tubing is placed at the centre of your arm facing the front and that the sensor is correctly placed.) | ✓ | ✓ | ✓ |
7. | Check cuff with appropriate tightness: Pull the end of the cuff so that it is wrapped evenly and firmly around your arm. Check that the tightness of the cuff is proper: you should be able to just slip two fingertips beneath the cuff, near its edge at the top end | ✓ | ✓ | ✓ |
8. | Please start to measure now (Observe: Press start button, relax during measurement (no talking/movement) | ✓ | ✓ | ✓ |
9. | How many times do you measure? When? Answer: Repeat measurement at least 1 min after complete release of the cuff | ✓ | ✓ | ✓ |
10 | Can you write down the readings on this booklet? Record all readings appropriately | ✓ | ✓ | ✓ |
Total score (full mark 10) |
AHS, American Heart Association20; BHS, British Hypertension Society21; BP, blood pressure; HBPM, home blood pressure monitoring; RACGP, Royal Australian College of General Practitioner22.