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HANDOVER. Nursing staff must indicate which patients are on a fluid balance chart. When a patient is transferred verbal and written documentation must include fluid balance and any concerns. Medical staff documentation must include a clear fluid balance management plan.
Fluid balance is an essential tool in determining hydration status. Recording intake and output tends to be one of the key activities undertaken at the bedside and is used in conjunction with the recording of vital signs and certain laboratory reports to set required fluid intake levels.
Fluid balance is a term described as the balance of the input and output of fluids in the body to allow metabolic processes to function correctly. It is an essential tool to determine the hydration status.
What is a fluid balance chart? The amount of fluid going into your body and out of your body can be monitored using a fluid balance chart. The chart has two sides. The input side (what goes into your body) and the output side (what goes out of your body).
Guidelines for fluid balance and supporting optimal hydration in adults during hospital stay. Studies have shown that dehydration is associated with poor clinical outcomes, including: • constipation and subsequent medication. • confusion (with risks of falls and fractures) • headaches.
fluid balance chart. • The chart must be reviewed by a RN, NA, or doctor once the chart is complete at the end of the 24-hour period. This must be documented in the patient’s notes. • If the fluid balance starts or finishes at a specific time, then staff must draw a line through the timelines not used.
Our aim was to reduce the rate of AKI in patients with traumatic injuries in the regional trauma centre. We developed new fluid balance charts and documented how well these were completed. The number of AKI alerts per month was calculated on our pathology system.
