It seems that we are unable to consistently do accurate I/Os. Has anyone solved this problem and if so, how?
Sep 9, '00
I think the key is consistenancy - don't think I spelt that right - among all staff. If only one person does it per pt, it gets confusing because you weren't there for all shifts!
Sep 10, '00
THESE ARE A FEW OF THE TIPS I CAN OFFER FOR I&O'S.ASK THE CNA'S TO KEEP AN ACCURATE RECORD IF THEY BRING ANYTHING IN OR OUT.I ALWAYS ASK THE PERSON (IF THEY ARE ABLE TO SPEAK)MOST OF THE TIME THEY KNOW EXACTLY WHAT THEY HAVE TAKEN IN.JUST KEEP AN EYE ON THERE WATER PITCHER IF THEY HAVE ONE AND THE MEAL TRAYS.EVERYONE NEEDS TO BE ACCOUNTABLE FOR BRINGING IN OR TAKING OUT FLUIDS.DON'T WAIT TO THE END OF THE SHIFT,TELL THE PT. YOU NEED TO MEASURE EVERYTHING...SPITFIRE
Sep 13, '00
tape a worksheet to the bathroom door. Ask the patient EVERY time you go into room if there were any voids, etc. Ask your CNA to do the same. When you go into room and no one has jotted anything down ask the CNA again if they thought to ask the patient. A urinal or hat is helpful. The key is to stay on it and not wait till end of shift to find out he hasn't peed but 100cc in 12 hours!
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