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.
The brachial artery is the major blood vessel of the arm. It is the continuation of the axillary artery beyond the lower margin of teres major muscle. It continues down the ventral surface of the arm until it reaches the cubital fossa at the elbow. It then divides into the radial and ulnar arteries which run down the forearm. In some individuals, the bifurcation occurs much earlier and the ulnar and radial arteries extend through the upper arm. The pulse of the brachial artery is palpable on the anterior aspect of the elbow, medial to the tendon of the biceps, and, with the use of a stethoscope and sphygmomanometer (blood pressure cuff) often used to measure the blood pressure.