Medical Assistant Blood Pressure Check Protocol
SBP
DBP
Low
109 or less
Controlled without
Diabetes or CKD
110-139
≤ 89
Controlled with
Diabetes or CKD
110 – 129
≤ 79
Stage 1 Hypertension
140-159
90-99
Stage 1 Hypertension
with Diabetes or CKD
130-159
80-99
MA Action
If Systolic BP 109 or less, MA to recheck BP with patient
standing.
BP is 100-109, MA to release pt with 3 month follow-up and
route chart to provider with a smart phrase “.vs” in “Routing
Instructions.”
BP is 99 or less, Refer to provider for evaluation. Do not
release the patient.
Direct the patient to arrange for a follow-up office visit in
about 6 months. Release the patient. Route to PCP using
“.vs” in “Routing Instructions”
Direct the patient to arrange for a follow-up office visit in
about 4 months. Release the patient. Route to PCP using
“.vs” in “Routing Instructions”
Direct the patient to arrange for an MA BP recheck (make
the appointment) in about 4 weeks and release the patient.
Release the patient. Route to PCP using “.HBP” in “Routing
Instructions”
Stage 2 Hypertension
160 - 179
100 - 109
Refer patient to RN or provider for evaluation prior to
releasing the patient. Release the patient as directed by the
RN or provider. Schedule the patient for a BP recheck in 2
weeks. Route to PCP using “.HBP” in “Routing Instructions”
Stage 2
Hypertension Urgent
>180
>110
Refer to provider for evaluation. Do not release the patient.