Problems with I+O's help!
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So i am very anal with my I+O's. One day when i actually had 15 minutes to spare... i went through the entire census of our floor @ about 9pm (during a 3-1130p shift) and found that over 50% of the people were not documented on I+O's from last shift to 15 hours before. Yes i did take into consideration the admissions so i did not count them. However out of these people that weren't documented on 1 of them was
SO in essence... me and another coworker are putting together ideas for our nurse educator so we can make our I+O's better documented:
*somehow enhance communication between RN's and PCA's to prevent double documentation or no documentation
* signs on walls for strict I+O's (which i already do but not most people do)
* If pt is strict I+O in addition to dietary doing the calorie count they can do this also before the tray is taken away.
* Deem 1 leader PCA each shift to help reiiterate this issue (but just in general everyone reiiterate with their given PCA's with each patient)
Any other ideas????? Please let me know i need ideas by saturday!