I have been asked the following questions.....anyone who can help , it would be greatly appreciated..... Gale Could you do an inquiring on the Meditech L to see what other ICUs are doing for documentation of I/Os and the times that they calculate. Questions are how are you handling the following .. are you documenting in MEDITECH...or manually on paper , if you are documenting on line how are you doing it ? 1. Titrations , drip titrations ? 2. Fluid changes, etc. We keep track hourly on the flow sheet each drip and the actual volumes, 3. NG, PO, Blood products, IV medications, etc. 4. We record vitals and the above items trackable by hour, individual category, and 24 hour total based of a 6am start time. According to Meditech, the entire fluid plan of care will need to be looked at since Meditech bases everything off 12 midnight as a start time. How are other institutions doing this , are they using 12 midnight and all physicians agree with that ? I would like to see if any other ICU's have been able to utilize the on line I&O and the simplicity of it. Last I knew there were very few engaged. I do not agree with doing it on flow sheets and making the nursing staff double document every 4 hours either. -----Original Message----- From: Kim Sent: Wednesday, April 11, 2007 10:46 AM To: Barb; Mark; Dierdra Cc: Diana Subject: I&O in ICU/PCU
Barb, Mark, and DIerdra, I had a conversation with a provider yesterday regarding the inablity to track intake and output easily due to the confusion of two different systems between ICU/PCU and the med surg units. I told him I would investigate moving the ICU/PCU toward online documentations of intake and output. Can this happen rather quickly. Frankly I have to agree that this is less than optimal and jus another barrier to assuring the I&O is completed and timely by all staff.
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