requisite
A watch with a second hand or digital watch PROCEDURE Assessment 1 Assess the need to monitor the patient's pulse 2. Assess signs and symptoms of cardiovascular alteration, such as dyspnea, chest pain, orthopnea, syncope, palpitations, edema of extremities, cyanosis or fatigue. 3.Assess the patient for factors that may affect the characteristics of the pulse, such as age, medication, physical exercise, or a change in position or fever. 4. Assess the appropriatesite and circulatory status for measuring pulse. 5. Record the baseline pulse rate and rhythm on the patient's clinical chart.