Flowsheet for Continuous Bladder Irrigation

  1. Please help. I'm recently back working in nursing and am in search of a good flowsheet to use for CBI patients. I'm sure I've seen them in the past but there aren't any where I am working now. If anyone has one that they use at their hospital and don't mind sharing it, I'd really appreciate it. Thanks!
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    About JNT'smom

    Joined: Dec '04; Posts: 12

    11 Comments

  3. by   mommatrauma
    We have a page that has three columns 1st is total in, 2nd is total out then third column is true urine which is just the first two colums subtracted from each other. Simple but effective and pretty self explanatory...It is a separate sheet from our regular I/O and is strictly for CBI so as not to confuse everything else...it is also documented hourly so that there is less confusion in totals at the end of the shift...
    Last edit by mommatrauma on Apr 29, '05
  4. by   JNT'smom
    I think a lot of the confusion comes at the end of the shift when we are getting totals. Somehow it always seems to get messed up trying to figure out what the last shift did and how that effects our totals. Just didn't know if there was an easier way.
  5. by   meownsmile
    We have 2 blank columns on our I&O sheets we use for that purpose.
  6. by   barefootlady
    column 1. date and time
    column 2. irrigation solution name
    column 3. amount of irrigation solution hung
    column 4. amount of output/color
    column 5. total output for shift (subtract amount in from amount out)

    Remember output should be at least 300 cc for an 8 hour shift and color of output should be going from a bright red to clear or almost clear in about 24 or so hours. There may be clots or sediment in output at first but if irrigation is running at a proper rate, this should clear up in a few hours. Many patients c/o discomfort and bladder spasms in first 24 hours, so pain med is approiate and also antispasmotic if ordered. If not call doctor, he will probably give order for Ditropan or something like that.
    I do not mean to lecture you on proper patient care but I saw a patient really suffering because doctor was not clear with orders and nurse was not very experienced. Remember a negative output may indicate more severe problem and needs reported quickly.
    Hope this helps.
  7. by   duck_1978
    Hello, I am too looking for a good CBI worksheet with clear directions. I have a mad night last shift with pt. getting blood along with CBI and having 6 other patients to boot. Our sheet has 4 columns, one for volume up, volume in, foley contents and amt of urine output. It is very confusing when you hang a new bag in keeping up with what is actual urine ouput. Also, I did find out that if you have to irrigate, that using the straight lumen on the 3way will facilitate breaking a clot, I tried using the curved one and had no luck. Any input (no pun intended) would be greatly appreciated.
  8. by   JBizzleRN
    WE just make our own columns on our I&O sheets. Not the most professional looking thing you've ever seen, but it works and has that "we care for you" look to it since it looks handmade Of course I guess it could also look like "we are too cheap to have pre-made sheets."
  9. by   tthor5220
    Thanks for this. I had my first one of these just yesterday and I was very confused on the charting. The key is to note each hour I & O and subtract the difference. Not complicated (now!)
  10. by   emkayRN
    Are there links to any sample flowsheets, showing the CBI in, volume out, and true urine?
    Could you please post a link to a sample flowsheet?
    Thanks so much
  11. by   I<3H2O
    We just grab a sheet of paper and write down the Ins and Outs. How do you all handle a large difference in the two? Sometimes it is hard to figure out how much is left in a 3000ml bag of NS irrigation and figuring out how much one shift should claim versus the next shift. It should all even out in the 24hr fluid balance but sometimes it doesn't. WE recently had a pt who had -350 for a 24 hour period and then a couple days later had a fluid balance of +6000. His BMP looked HORRIBLE and if he truly had 8000 true urine output (yikes) then why does is labs look so bad?

    So, any tricks on recording the I&O on CBI?
  12. by   kancer7
    [QUOTE=JNT'smom;1145657]Please help. I'm recently back working in nursing and am in search of a good flows
  13. by   liveyourlife747
    We just make a sheet: date/time fluid was hung and total amt in bottle (2000 for us). Nurses empty cbi foleys on our unit and when we empty we write out the amt on the sheet in the second Column. We keep listing the output in the second column until the bag is empty, once that is done we add up output, subtract input, and you have total urine out! Then we cross off that chart and start a new one with the new bag. If we change shifts I just explain what I have been doing and the next shift will continue and enter the amounts once the bag is finished. Since its hard to try and determine how much is in the bag, I feel that this is the better option. It will all add up in 24 hr output. We also have computer charting and interventions for cbi where we enter everything at the end of each bottle. HTH

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