by THSN1975

1. I am wondering what other units do in regards to keeping track of urine output. The Level III unit I work in does not measure urine output at all.

Re: Measuring urine output

Originally Posted by THSN1975

1. I am wondering what other units do in regards to keeping track of urine output. The Level III unit I work in does not measure urine output at all.

You don't measure at all? Not even counting wet diapers?? I thought measuring output was a standard of care

While our kids are on IV fluids, we weigh diapers. We aim for at least 1-2 ml/kg/hr; 3-5 is considered good. Once they are off fluids, haven't had issues with output for a while and are close to moving to level2, then they will write to just count diapers.

Re: Measuring urine output

Yeah, I thought it was a standard as well. We do count the wet diapers. Even with the micropremies tho, it is just a check-mark......drives me crazy

Re: Measuring urine output

We weigh the diapers if they are on IV fluids, on oxygen, under phototherapy, or on diuretics. Otherwise we just do diaper checks.

Re: Measuring urine output

@ the level 3 where I once worked, we weighed diapers up till the day of discharge! In my current level 2, we weigh diapers if they have IV fld running; everybody else gets check marks.

Re: Measuring urine output

Not weighing is very strange to me. A drop of pee that gets a checkmark and a 50 gram diaper are a HUGE difference.

Re: Measuring urine output

I'm a level III, every baby we have is on strict I&O.

We weigh all the diapers...every time, every patient.

Re: Measuring urine output

My unit is the same as BabyLady's, we weigh all diapers all the time. Our micropreemies often will have orders for q 12 or q 6 hour urine output.

Re: Measuring urine output

I am surprised at any intensive care unit that does not measure I&Os. We weigh diapers but, if we need an hourly meaurement, we will place a Foley.

Re: Measuring urine output

Every baby here gets strict I & O with diaper weights, Level II or Level III. We are to watch overall fluid balance with each assessment and would generally like to see at least 2 ml/kg/hour.