When do all y'all put someone on I&O? It's been my practice to limit I&O to someone NEWLY given a foley catheter or on a fluid restriction. Otherwise it's better to do a dehydration risk assessment or a fluid overload assessment.
We having discussions here...one nurse is adamant that anyone with a foley has to be on output and another adamant that someone with a gtube has to be on intake.
I call BS.
Our CNAs document foley output q shift. Nurses document exactly what they put into a tube feed, be it water or feed. So I never thought about it much but I guess we technically record everythiiiiing.
I haven't seen strick i/o in years. If someone is on a fluid restriction we record that. A new foley would get closer monitoring. In my experience, it is rarely done right anyway.
Agree with Coffee that it is rarely accurate, in my last facility every new admit got I&O for the first 72 hours, every CHF patient stayed on it the whole time they were there, anyone on a fluid restriction or with s/sx dehydration or elevated kidney function labs, it was ridiculous. And all it takes is one person who forgot they refilled the water pitcher or emptied the urinal to screw it up for the day. Ratios are too high for this to get done well, as well as patients having family members bring in outside fluids or some staff counting drinks they brought in regardless of if they got thrown away...
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