[JNT'smom]

Please help. I'm recently back working in nursing and am in search of a good flowsheet to use for CBI patients. I'm sure I've seen them in the past but there aren't any where I am working now. If anyone has one that they use at their hospital and don't mind sharing it, I'd really appreciate it. Thanks!

[mommatrauma]

We have a page that has three columns 1st is total in, 2nd is total out then third column is true urine which is just the first two colums subtracted from each other. Simple but effective and pretty self explanatory...It is a separate sheet from our regular I/O and is strictly for CBI so as not to confuse everything else...it is also documented hourly so that there is less confusion in totals at the end of the shift...

[JNT'smom]

I think a lot of the confusion comes at the end of the shift when we are getting totals. Somehow it always seems to get messed up trying to figure out what the last shift did and how that effects our totals. Just didn't know if there was an easier way.

[meownsmile]

We have 2 blank columns on our I&O sheets we use for that purpose.

[barefootlady]

column 1. date and time
column 2. irrigation solution name
column 3. amount of irrigation solution hung
column 4. amount of output/color
column 5. total output for shift (subtract amount in from amount out)

Remember output should be at least 300 cc for an 8 hour shift and color of output should be going from a bright red to clear or almost clear in about 24 or so hours. There may be clots or sediment in output at first but if irrigation is running at a proper rate, this should clear up in a few hours. Many patients c/o discomfort and bladder spasms in first 24 hours, so pain med is approiate and also antispasmotic if ordered. If not call doctor, he will probably give order for Ditropan or something like that.
I do not mean to lecture you on proper patient care but I saw a patient really suffering because doctor was not clear with orders and nurse was not very experienced. Remember a negative output may indicate more severe problem and needs reported quickly.
Hope this helps.

[duck1978]

Hello, I am too looking for a good CBI worksheet with clear directions. I have a mad night last shift with pt. getting blood along with CBI and having 6 other patients to boot. Our sheet has 4 columns, one for volume up, volume in, foley contents and amt of urine output. It is very confusing when you hang a new bag in keeping up with what is actual urine ouput. Also, I did find out that if you have to irrigate, that using the straight lumen on the 3way will facilitate breaking a clot, I tried using the curved one and had no luck. Any input (no pun intended) would be greatly appreciated.

[JBizzleRN]

WE just make our own columns on our I&O sheets. Not the most professional looking thing you've ever seen, but it works and has that "we care for you" look to it since it looks handmade Of course I guess it could also look like "we are too cheap to have pre-made sheets."