FLUID PASS

[gratefulmom61]

When a resident is on a "fluid pass program", the goal is for intake of >1500cc/day. Initially when we get an admit

we do a four day assessment of intake. At that point people are identified for high risk,in need of fluid pass, or pushing fluids,etc. My question is: Does it seem like good practice to WAKE UP sleeping residents, just to offer them fluids? I can see offering someone fluids if they've gotten up to the commode, or when changing a brief etc. but to WAKE them up to offer fluids- and I hear our noc shift is doing this 3x/noc shift? Just questioning the sensiblity of this. Any feedback?? This is year round, anyone who is on fluid pass program regardless of daily intake on day/pm shift. Just across the board every noc to make sure the noc aides stay in practice of passing fluids.

[CoffeeRTC, BSN, RN]

OMGoodness...you wake me up just to make me drink and you will get that drink in your face! Offer me fluids when you are changing and turning me...maybe, but wake me up for that SRSLY.

we make it that we offer fluids at each med pass and push it at activities. How about offering a variety of fluids instead of just water? We found that they like cool aid type drinks, punch, lemon aid juices..decaf coffee, choc and butter milk. Trying to get that variety is tough with our dieatary department...after all, they are on on budget (note the sarcasm)

[evilolive, BSN, RN]

I would say it's fairly reasonable if the resident is incontinent, needs changes, has meds on night shift, or goes to bed late/wakes up early. Try offering fluids when they are awake. I would not go out of my way to wake someone up to offer fluids, however. I'd check them at the beginning and end of shift to see if they're awake, and during rounds if they're awake (we do rounds at 2am and 5am on my night shift). There should be some good opportunities to pass fluids. If the resident is continent and A+Ox3, I'd say wake them around 6:30 and have a water mug or a couple cups of cold water or juice for them.

Just some suggestions from a fellow night shifter :)

[StrwbryblndRN]

I think it is unreasonable to wake them for the single purpose of having them drink.

If other things need to be done then of course.

It is best to keep people on a proper sleeping schedule.

A/O x3 have a right to refuse but a confused pt still needs continuity of sleep.

[CapeCodMermaid, RN]

People need sleep more than they need a drink in the middle of the night. If their fluid balance is in that much of a precarious state you'd be better off with IV fluids.

I'm with Michelle....wake me up to give me a drink (or for any other reason) and you'll be wearing the water.

[Schmoo1022]

I would say it's fairly reasonable if the resident is incontinent, needs changes, has meds on night shift, or goes to bed late/wakes up early. Try offering fluids when they are awake. I would not go out of my way to wake someone up to offer fluids, however. I'd check them at the beginning and end of shift to see if they're awake, and during rounds if they're awake (we do rounds at 2am and 5am on my night shift). There should be some good opportunities to pass fluids. If the resident is continent and A+Ox3, I'd say wake them around 6:30 and have a water mug or a couple cups of cold water or juice for them.

Just some suggestions from a fellow night shifter :)

We do rounds at the same times as you and do pretty much the same thing. We offer fluids to anyone we change/turn or any time we give a noc med as well. There are several residents who are night owls, that don't eat or drink well during the day, so they can always have a pb & J sanwich, cookies, yougart, pudding or what ever they want as well. I really believe that getting a good night sleep is extremeley important, I try to wake them only when needed.