Ensure the patient is comfortable and relaxed, with the arm supported and palm facing upwards. Use the pads of your index and middle fingers to locate the pulse on the wrist, just below the thumb. Apply gentle pressure until you feel the pulse. Avoid using excessive force as it can obliterate the pulse. Count the beats for 30 seconds and multiply by two to determine the beats per minute, or count for a full minute for accuracy, especially if the rhythm is irregular. Assess the rhythm and strength of the pulse simultaneously. Document your findings promptly.
