• Place the height measuring board on a hard, flat surface (preferably against a wall).
• Provide for privacy since height can be a sensitive matter.
• Have the child remove any footwear or headgear that may alter the measurement (including braids, barrettes, etc.).
• Place a paper towel under child's feet if he/she is not wearing socks. Confirm that the child is standing erect with the feet together in the center of the base of the height measuring board.
• Instruct the child to look straight ahead so that his/her line of sight is parallel with the floor.
• Make sure the child's shoulders are level and his/her hands are at the sides.
• Place your open left hand on the child's chin.
• With your right hand, lower the sliding headpiece on top of the child's head.
• Read the measurement to the nearest quarter inch.
• Record on appropriate forms.
• Always ask for assitance if any questions arise regarding the procedure or the finding.

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• Make sure the scales are operating correctly and set to weigh in kilograms. Ask the site coordinator for assistance if needed.
• Provide for privacy since weight can be a sensitive matter.
• Ask the child to remove his or her shoes and any heavy outerwear.
• If the child is not wearing socks, have a clean paper towel ready to place on the scales. Discard after use.
• The window will probably be blank since the scales shut off after a few minutes.
• Tap the scales lightly with your foot. SECA should appear in the window followed by 8 and then by 0. The scales will not display the weight unless the 0's are registered when the student steps on it.
• When the 0 appears, ask the child to step squarely on the scales and stand still.
• When the numbers stabilize, record the weight in pounds and tenths of pounds as displayed.
• Record on appropriate forms.
• Always ask for assitance if any questions arise regarding the procedure or the findings

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• Make every effort to locate this station in a quiet area.
• Child must be sitting with arm resting on a table at the level of the heart.
• Avoid placing the cuff over clothing or a rolled up sleeve that might constrict the arm.
• Make sure the cuff is the appropriate size. Quick tip: Cuff width is 1/2 to 2/3 the upper arm length.
• Palpate for brachial artery pulse point which is found in the antecubital space on the little finger side of the palm-up extended arm. Gently hyperextending the arm might make this pulse easier to find.
• Center bladder over brachial artery with lower cuff edge 2.5 cm (1") above antecubital space.
• Obtain palpated systolic pressure and mentally add 30 mmHg.
• Deflate rapidly and wait 30 sec before reinflating.
• Apply bell head making a light but airtight seal over the palpable artery. The diaphragm end may be adequate, but the bell is preferable and may help block ambient noise.
• Inflate rapidly to level determined in step 6.
• Release pressure 2-3 mmHg/sec. (slowly).
• Listen for onset of 2 consecutive beats, Korotkoff Phase 1, = systolic pressure.
• Listen for the absence of sound, Korotkoff Phase 5, = diastolic pressure.
• Deflate cuff and remove. Record reading.
• Always ask for assistance if any questions arise regarding the procedure or the findings.

Korotkoff Phases

• Faint, clear tapping (Systolic)
• Murmurs or swishing
• Crisper, more intense
• Distant, abrupt muffle (Diastolic)
• Absence of sound (Diastolic)

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