The way I have been taught (student nurse)
- Attach cuff, Pt relaxes arm
- Palpate radial pulse, inflate cuff until pulse not felt. Note number
- Deflate cuff
- Palpate brachial pulse, place stethoscope on
- Inflate cuff to 30mmhg above reading when radial pulse was occluded
- Deflate 2-3mmhg per second
- Auscultate first sound, note systolic
- Auscultate last soud, note diastolic