When do you note the systolic number when doing blood pressure?

The method we use is indirect measurement...we have to create sound. To do that, we must add resistance to the artery. You should record it from the very first sound you hear. It will be a lower sound because this is the first moment that the pressure in the cuff is not greater than the pressure in the artery. Only a very small amount of blood can flow. The stronger sound you hear just after that is just stronger blood flow in the artery. You stop measuring (diastolic reading) when you don't hear anything more. At this moment the blood pressure cuff no longer creates pressure on the artery and blood can flow freely.

I tried to find you a web site but could not find anything on the steps.

I agree with Jessica's answer. I was also able to find a website that did a great job explaining how to accurately take and interpret a manual blood pressure. It is: http://www.drugs.com/cg/how-to-take-a-blood-pressu...

There were also other good websites, I just googled "steps for taking a manual blood pressure." Good luck on your CNA certification skills test on Wednesday! I am sure you will do great!