Good afternoon to all-
The pt. for this scenario met Sepsis at 1600. I  have an order for IV fluids 
that reads: at 1630- 0.9%NS 1000/ml IV ; Rate 999ml/hr- The nurse has 
documented  at 1630- NS 1000 0.9% bolus infusing  over 1 hr in Rt. Subclavian. 
The next documentation is at 1739:  follow-up: Infusion continued upon 
admission.  There is no I&O documented how much the pt. received of that IV.    
I have read and re-read the guidelines for IV fluids and still not 100% clear 
if I can count  this IV fluid.  Do I need only the MD order for fluids or do I 
have to actually see the amount of fluids that was infused ?  Can anyone give 
me some guidance?
Thank you,
Diana Davis, Quality Outcomes Coordinator
CMH Regional Health System

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