There’s all sorts of things they make us do in school which just don’t happen once you make the transition to the real world. The instructors routinely make us do a 2 step blood pressure which starts by palpating the radial pulse and then inflating the cuff until said pulse is obliterated. The point of doing things this ways is to find a baseline, but… after doing this procedure more times than I can count, I’ve found the method to be less than accurate (the actual systolic is always 10mmHg or more higher).. it doubles the amount of time required to do vitals & is truly a waste of time (a precious commodity in most hospitals). Regardless, I do the 2 step process each time with a big ol smile on my face. I am king of jumping thru fiery hoops!