How To Wear A Stethoscope Correctly Nurse Jenny

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QUESTION?

If you have any questions at all relating to this video or anything Nursing, I would love to hear from you!

ABOUT: Hey. What's up, guys? Nurse Jenny here.

In this video, I'll be showing you how to use a stethoscope the correct way.

When I first started nursing school, I can remember being given a stethoscope, and off I was, taking blood pressures.

But, no one actually told me how to put it into my ears correctly.

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[Kirstenmillerr]

Love this! Thank you Nurse Jenny. Very informative.

[FieryRedDonkeyOfHell]

If you're a nursing student who is having a hard time hearing Korotkoff sounds while taking BPs, imagine the pain that we new medics have to go through! It's damn near impossible to hear BPs in the back of an ambulance lol. If you can't hear it properly, here as some tips that are floating around on the internet. Some of these tips helped me, others have not, and I have yet to see the difference between my "good" and "bad" stethoscope.

1) Palpate the brachial pulse distal to the elbow where the brachial artery sort of "crosses" the elbow joint before splitting off into the radial and ulnar artery. Once you locate this pulse, place your stethoscope directly onto it.
2) If you have a hard time finding a pulse (such as the brachial pulse), experiment with finger placement on yourself and experiment with how hard you press down while finding a pulse. If you press too hard, you'll occlude the artery and the pulse will disappear on you. If you press too softly, you won't feel it at all. Each pulse point will differ in how much pressure you must apply in order to feel it!
3) If you flex your arm, your brachial pulse point distal to the elbow will be harder to palpate, since flexing the arm will cause the brachial artery to migrate deeper below the bicep tendon. When palpating this pulse point on the patient, have them fully extend their arm if possible, and have them supinate their palm.
4) Similarly, depending on your stethoscope, the pressure you apply onto the diaphragm will change the frequency of the sounds you hear. I think if you press harder, you hear higher frequency sounds or vice versa. I found that as a new medic, I was nervous in the back of the ambulance. So nervous in fact that I pressed way too hard while auscultating a BP. As a result, I couldn't hear anything other than the bumps in the road.
5) If you can't hear it for the life of you, palpate a systolic, then wait 3 mins. Then auscultate a BP again. Seldom will a pt's BP drop so fast within 3 minutes, so you SHOULD be able to predict when you'll start to hear the first Korotkoff sounds.
6) Similarly to 4), you can instead watch the bouncing of the needle. It will start to bounce strongest approximately at the same time that you should start hearing the first Korotkoff sounds.
7) Buy a "good" stethoscope. (Littman III is the most highly recommended stethoscope for EMTs, at least)
8) Worst case scenario, just palpate a systolic BP using the radial pulse.

Hope this helps! I know this video isn't about taking BPs, but after Jenny mentioned that some nursing students had a hard time hearing BPs I just had to throw these tips out there. You all have a much quieter environment to listen to BPs! I'm jealous!

[beautifulplaces]

I was also never taught this and I thought that I'm stupid. I learned it from youtube. I was also never taught that you have to turn chest piece to turn on the required diaphragm/bell (and turn off the one that you don't need).

[shiningjojo]

I just need to leave a comment because I've been literally doing it the wrong way ever since. No wonder I don't hear anything. Thank you so much for this. Very precise!

[nilanee]

Thanks for this! I'm a first year medical student and I've been struggling a lot with this! Thanks again!

[bahadarzeb]

Thank you for sharing such valuable information about stethoscope.

[tatianamarino]

Thank you so much. That was such a great lesson!! Bless you😊

[elizabethsturgeon]

Thanks, Nurse Jenny will show this clip to my first-year students.

[MrChurikSangma]

I’m none doctor but can I use stethoscope at home for own health check up like all medical things, because I’m interested about medical service and I know about all check up

[niyamnishantabharadwaj]

All i want to say " Thankyou mam " ❤

[urmalewegaso]

I want to know how to differentiate between a nurse and a doctor by the way they keep the stethoscope around their neck, if there is

[adarideepika]

Hi Jenny u explaining very well keep it up 🥰 R u a doctor or nurse

[abdulrhmanbenomran]

Thank you so much, wish me luck I will have my first osce exam😢

[mattgaldikas]

Nurse Jenny I have the littmann classic 3. I feel I can not hear as well if I fit the ear pieces in like an ear plug. However when I flip them I can hear much clearer. However snug does tend to feel better. The other way it hurts my ears but I feel I hear much better. Am I just getting old and losing my hearing, lol. A family member bought me the Littmann cardiology IV and I think it would help me greatly and can't wait to try it. Sending you love from a M.T. here in San Diego, CA:)

[akvthelion]

I loved the cat nose part of love from 1 st year medical student from INDIA 😍

[tb]

New medical assistant in training here. The practice I work at gave me what I assume to be one of their older stethoscopes. Do some of these older, cheap models not have earpieces that bend away? they don't even appear to be bending away from me or toward me at all.

[suruchi]

I have checked whole youtube but nonone told the way ..ty

[sahar]

Hey when i wear the steth it fits sometimes but slip and tilt it on the other way more often it takes lots of time to fix it in my ears idk whats wrong maybe my ears are too small for them to fit. But when another person wears the same steth it fits them so easily.Please help me through this.

[igraham]

What if one of them points outward and the other inward?

[gokong]

So the ear tips should be AWAY from you? Thanks for this!