Introduction

24HR AMBP is a method used to measure blood pressure continuously over a 24-hour period. It is frequently used on patients with:

• suspected white coat hypertension
• uncontrolled hypertension
• newly diagnosed hypertension (to allow initiation of medication)

The Appointments

If a patient is identified as having high blood pressure (140-179 / 90-119 mmHg) by any member of our clinical or non-clinical team, they should be added to the ‘AMBP Waiting List’ Surgery Log on Microsoft Teams (by sending a task to the reception team to add the patient).

Then, the reception team should book an appointment for an AMBP with an HCA / Nursing Associate. Two appointments are required for a 24HR AMBP: one to fit the device, and one >24 hours later to remove it.

The AMBP which we use at the practice is called a Mobil-O-Graph. For more information on this device, please visit the website.

1️⃣ Fitting the device

1. Prepare the AMBP device as per the user guide below:

J8652 Mobil-O-Graph ABPM Easy User Guide_DIGI.pdf (numed.co.uk)

2. Place the device in the pouch, and fit the correct sized cuff to the patient.
3. Take a manual measurement by pressing the Start / Stop button on the front of the device.
4. Once complete, the patient can leave with the AMBP fitted (see image).

2️⃣ Removing the device

1. Remove the cuff from the patients arm.
2. Collect the results as per the ‘Downloading the Results’ section of the user guide.
3. Save the report (PDF) to the patients EMIS profile and, if above the target 140/80 mmHg, task a doctor / pharmacist to book a follow-up with the patient.