I would like to know from any nurses who work in Long term care non-skilled facilities, when is it necessary to keep I&O's on your residents? Thanks.
Nov 24, '98
I have not worked in long term facilities, but we keep I&Os when someone has N/V and diarrhea. I lost my train of thought. More later.
Nov 25, '98
In our LTC we require intake and output on the following; all UTI residents while on ATB and for seventy two after-- IV therapy-- sodium depletion-- acute CHF. --change of condition, like stroke or urinary retention Lack of appetite, wt. loss with of without s/s of dehydration we consult with dietitian, put on NIP program and I&O. All these problems require us to assess until resolved or stabilized which can vary as does the length of time on I&O. Our assistants are excellant in letting us know changes in residents "norm"which makes the nurses job much easier.Charge R.N. determines final say who comes off I&O.Any nurse can start I&O.
Dec 1, '98
The last post (forgive me I forgot your name), was quite comprehensive of I&O's at our place too. The only other things
I can think of are: if someone has Wt gain/loss, suspicion of dehydration, and the observation period (7 days right now) for MDS's (I live in NY state). I am interested in knowing how you all collect the I&O data - we used to use sheets on the bathroom doors but staff wasn't compliant so we went to a clip board format. Am also very interested in any info anyone has on making more efficient our whole data collection bit, including for PRI (NY State), MDS, Resident Roster, Quality Assurance, and so forth....thanks.
Dec 4, '98
maryland facility LTC uses I&O for long standing tubers. I don't think this is necessary. Any input?
Jan 4, '99
At my facility we do I&O on new residents for at least three days or until they meet there needs, tube feeders, caths, IV, active chf and fluid restriction. We collect I&O's by the aides putting what they drank ate meals, snacks on an assignment sheet then at the end of the shift the nurses put it in an I&O book-adding in what was given with meds. Then once a week the 3-11 nurses go through the book and do a worksheet on everyone on I&O and assess for edema, lung sounds, skin turgor, and if they are meeting there needs- if not we put them on a hydration protocol.
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