It’s not complicated when you know how 😬 it’s just adding it as you go. But the way the U.K. is going, it will be all on a computer at some point that adds it for you 😂 I’d love to visit Singapore 😍 looks amazing out there x
My advice is you cannot accurately complete hrly FB without using an hrly bag. i.e. a separate compartment for the last hours urine. Although I appreciate you are trying and the bags cost more, in the case of sepsis, hypovolaemia and AKI etc you could be saving their life so cost shouldn’t matter. Also ideally the trust form should have running total columns next to the individual columns. I see you are explaining it but if they were printed it would save ambiguity. Well done for highlighting the problems.
I’m not sure where you got that about bags not having measurements on? All urine bags that I have seen DO have measurements on and that’s how you would know what to write on the chart. The chart is just the document because as nurses we legally have to document everything for a patient. This isn’t to replace a a urine bag 😂 never!
A negative balance is basically when someone’s output is greater than their intake. A positive fluid balance is when intake is greater than output - which is concerning if they aren’t passing urine at all! It’s then a medical emergency to see what’s going on.
@SarahAllen-y7d Good question :) No not all patients only those high risk or have dehydration. Of they have a catheter inserted they will be, of they've just had surgery they will, and if high risk of dehydration etc :)
Thank you! I have a problem with completing the fluids in bit! I’m an HCA on a medical ward and sometimes have about 10 patients to keep track of. I find it hard to keep track of what they are drinking as I am often in different side rooms etc and can’t check hourly what they have drunk!
How would you document the parenteral fluids on the fluid balance chart? For instance the doctor prescribed NS 0.9% 1000ml start at 1400H finish at 2200H? Thanks!
I'm a student nurse from the Philippines. I'd like to ask what if there is a vomit output, will that be part of the total and so as it goes down to the very last total?
Try and fill it out, ask people around if they have seen the patient drink / urinate etc. Ask the patient themselves if they have capacity to do so. It won't be accurate sadly if no one has filled it out. Report it back to the nurse in charge / staff and make sure it's not missed again :(
@@caashojimcale4600 aw bless you! We had one skills session on IV’s at uni and that was it 🙈 We weren’t allowed to do IV’s back then as a student so there was no need for us to do it until qualified 🙈 x
colter brown You don’t put blood tests on a fluid chart as far as I’m aware 🤔 you don’t take enough blood to make a huge difference. Unless someone loses a lot of blood in surgery or an accident etc, that’s different. You might document the blood loss then. But I’ve never seen anyone document bloods onto a fluid chart before.
This was super helpful! Even as someone who hasn’t done a fluid balance chart, I feel like I’m understanding it 💗
thanks so much for this im a new starting support worker and was worried about doing this this made it all make sense within minutes
super explanation, you really break down to understanding. thank you
Thanks it does make sense ❤👏👏👏
That was helpful, well explained 🙏
love your briefing. That BE/BNE is something new to me. Thank you Claire
Nice and clear video.thank you
Thank u Claire
Quiet complicated- in Singapore its clearly recorded and system is set up not to confuse the staff.
It’s not complicated when you know how 😬 it’s just adding it as you go. But the way the U.K. is going, it will be all on a computer at some point that adds it for you 😂
I’d love to visit Singapore 😍 looks amazing out there x
It's fantastic
My advice is you cannot accurately complete hrly FB without using an hrly bag. i.e. a separate compartment for the last hours urine. Although I appreciate you are trying and the bags cost more, in the case of sepsis, hypovolaemia and AKI etc you could be saving their life so cost shouldn’t matter. Also ideally the trust form should have running total columns next to the individual columns. I see you are explaining it but if they were printed it would save ambiguity. Well done for highlighting the problems.
I’m not sure where you got that about bags not having measurements on? All urine bags that I have seen DO have measurements on and that’s how you would know what to write on the chart. The chart is just the document because as nurses we legally have to document everything for a patient. This isn’t to replace a a urine bag 😂 never!
Would you do PEW charting. How to fill and more.
Thanks
Thank you
thank you for the explanation...could you explain about negative balance and positive balance also
A negative balance is basically when someone’s output is greater than their intake.
A positive fluid balance is when intake is greater than output - which is concerning if they aren’t passing urine at all! It’s then a medical emergency to see what’s going on.
Hello, which patients are on fluid balance charts on a ward or are all patients on fluid balance charts?
@SarahAllen-y7d Good question :)
No not all patients only those high risk or have dehydration.
Of they have a catheter inserted they will be, of they've just had surgery they will, and if high risk of dehydration etc :)
@@ClaireCarmichael great thankyou very much, love your videos:)
Thank you! I have a problem with completing the fluids in bit! I’m an HCA on a medical ward and sometimes have about 10 patients to keep track of. I find it hard to keep track of what they are drinking as I am often in different side rooms etc and can’t check hourly what they have drunk!
Not blood tests blood transfusion, bags fluid ecy dorry for confusion
I understand about blood it goes in but hopefully not come back out sorry, thank you for your video very informative
How would you document the parenteral fluids on the fluid balance chart? For instance the doctor prescribed NS 0.9% 1000ml start at 1400H finish at 2200H? Thanks!
Hey Vita, from my understanding, you would document how much the patient is receiving per hour e.g. 83ml/hr NS 0.9%
I'm a student nurse from the Philippines. I'd like to ask what if there is a vomit output, will that be part of the total and so as it goes down to the very last total?
Yes it all counts towards output :) same if someone had acute diarrhoea. Because it’s fluid loss and they can get severely dehydrated as a result
Thank you so much!!
Because it’s a fluid and consists of water content that can attribute to fluid loss and dehydration
What would you do if you were checking the resident's chart at lunch time and one of the fluid balance charts was blank
Try and fill it out, ask people around if they have seen the patient drink / urinate etc. Ask the patient themselves if they have capacity to do so. It won't be accurate sadly if no one has filled it out. Report it back to the nurse in charge / staff and make sure it's not missed again :(
Could you explain about nursing care and the way to write our plan, please?
What sort of plan? :) x
Thank you . It is very useful. Can you explain if you don't mind how to calculate iv powers. I am so confused with reconstitution, displacement.
I don’t do IV’s so I’m probably the worst person to try and explain that 😂🙈 x
Luck you. 😂😂I am a student and they don't teach us ivs but when placement when they are explaining it my head spins🤣🤣🤣
@@caashojimcale4600 aw bless you! We had one skills session on IV’s at uni and that was it 🙈 We weren’t allowed to do IV’s back then as a student so there was no need for us to do it until qualified 🙈 x
What about when patient getting bloods ect how do you calculate this into fluid chart
colter brown You don’t put blood tests on a fluid chart as far as I’m aware 🤔 you don’t take enough blood to make a huge difference. Unless someone loses a lot of blood in surgery or an accident etc, that’s different. You might document the blood loss then. But I’ve never seen anyone document bloods onto a fluid chart before.