Hydration Intake Survey.doc

[Kristen Tryba]

Title: December 4, 2003

PLease fill out this survey and send it to me privately at [EMAIL PROTECTED] Thanks so much! December 4, 2003                             Hello,   We are currently re-evaluating our facility policies on hydration and intake.  As part of our process we wanted to know how your facility is handling these issues for your residents.   We would appreciate it if you could take a minute to either answer the attached questionnaire and/or send us copies of your policies in relation to hydration, dehydration and intake measurement.   I really appreciate any information you would be willing to share. At any time if I could be of assistance to you please let me know.       Sincerely,           Sharon Peterschick RN Quality Assurance Coordinator   Hydration/Intake Survey       Do you measure intake on 100% of your residents?                         ____yes                                   ____no     If the answer is no please answer the following:   Resident intake is measured on residents who: (Check all that apply)             ____ have infections/illness             ____ have catheters             ____ are tube fed             ____ during the MDS time frame             ____ have a history of dehydration             ____ are noted by nurses to show symptoms of dehydration             ____ have a history of urinary tract infection             ____ have  a history of constipation             ____ other (please explain ) ___________________________________________   How do you determine if you should mark section  J1d on the MDS in regards to insufficient fluid intake? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________   How do you determine what the actual fluid amount offered to a resident during the MDS time frame is? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________