As a reminder, all of DCFS child care facility licensing functions transferred to the Louisiana Department of Education (LDE) on October 1, 2014.This is in conjunction with Act 868 of the 2014 Legislative session. Questions regarding actions after October 1, 2014, should be directed to LDE.s a reminder, all of DCFS child care facility licensing functions transferred to the Louisiana Department of Education (LDE) on October 1, 2014.
Measuring Brachial Pressure. 1  1. Ask the patient to lie down in a face-up position. 2  2. Locate the brachial artery. 3  3. Wrap the blood pressure cuff around the patientâs left arm.  4. Inflate the cuff to find the systolic blood pressure of the 1  arm. 5. Deflate the cuff.
Inflate the cuff to about 20 mmHg above the expected systolic blood pressure of the patient. The Doppler signal should disappear. Then slowly deflate the cuff, approximately 1 mmHg/sec. When the Doppler signal re-appears, the pressure of the cuff is equal to the brachial systolic pressure. Record the brachial systolic pressure. Measuring the ankle pressures: Place the cuff immediately proximal to the malleoli.