Measuring urine output

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    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.
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    Quote from 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.
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    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
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    We weigh the diapers if they are on IV fluids, on oxygen, under phototherapy, or on diuretics. Otherwise we just do diaper checks.
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    @ 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.
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    Not weighing is very strange to me. A drop of pee that gets a checkmark and a 50 gram diaper are a HUGE difference.
    Bortaz, RN and ittybabyRN like this.
  10. 1
    I'm a level III, every baby we have is on strict I&O.

    We weigh all the diapers...every time, every patient.
    Bortaz, RN likes this.
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    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.
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    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.
    BabyLady likes this.
  13. 0
    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.


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