Post by Admin on Jun 27, 2015 17:07:39 GMT
This is covered in the Fluid Management video in much detail. I was working on it yesterday and due to a glitch, I have to edit the entire lecture over again. I cover a lot of ground in this video.
To answer your question…. You will ask the patient if he is working on it.
Lets say it was water. It is easy to see graduation on the water cup or the “sport’s bottle” and look at the displacement what occurred during PCS.
But if the patient was drinking a lemon-lime soda with a straw from the can (just a side note - keep in mind non-caffeinated beverages only for patients undergoing certain procedures or those with cardiac conditions on telemetry units), you will not tell the patient that you have to keep such an accurate record during your PCS that you will have to pour the rest of his soda in a specimen cup (record the level and SUBTRACT from the volume it states on the soda can) and he can drink from there. Although I’m talking about a clean specimen cup but what comes to mind?
…. You are right Eeeewwwwwwwwwww!!!!
So usually you will ask the patient if he is still working on it to see if you will take credit for the full amount. Usually the CE can give you more direction. But I personally don’t even look from direction from the CE. Whatever I’m not sure about, I usually write on the Enteral intake
(FYI: Lemon-Lime Soda = 237mL)
I know you are not required to write the type of fluids ingested but I like to be very thorough and meticulous with my documentation. If you don’t feel comfortable in writing this in the Enteral Fluid section, write it in OTHER OBSERVATION at the end of the narrative notes. Students have been given credit for fluid that appear anywhere on their PCS Response Form. But I can’t make something out of thin air if did not write it but if I wrote something down, I can use my clinical judgement to explain it.
Other Observations: “Pt still drinking Lemon Lime Soda, state will be finishing it. Lemon Lime Soda with enteral intake of 237 mL”
I had questions on fluid management on the day I was testing even though 50 out of the 100 questions that I written down each week for Excelsior advisors were on fluid management. I don’t know why I wasted so much time on I/O. I/O turned out to be soooo much easier than I thought.
The reason I’m asking you to be thorough is that the number of CEs that are out there…. That is how many rules of interpretation that are out there. I know the same information is given out to each CE but the study guide itself is not very clear in many instances. I’m not going to take a chance and I will be detailed in my documentation. Not only that… sometimes there is no validation from the CEs. So you have to get used to becoming completely self-reliant and quick!!
To answer your question…. You will ask the patient if he is working on it.
Lets say it was water. It is easy to see graduation on the water cup or the “sport’s bottle” and look at the displacement what occurred during PCS.
But if the patient was drinking a lemon-lime soda with a straw from the can (just a side note - keep in mind non-caffeinated beverages only for patients undergoing certain procedures or those with cardiac conditions on telemetry units), you will not tell the patient that you have to keep such an accurate record during your PCS that you will have to pour the rest of his soda in a specimen cup (record the level and SUBTRACT from the volume it states on the soda can) and he can drink from there. Although I’m talking about a clean specimen cup but what comes to mind?
…. You are right Eeeewwwwwwwwwww!!!!So usually you will ask the patient if he is still working on it to see if you will take credit for the full amount. Usually the CE can give you more direction. But I personally don’t even look from direction from the CE. Whatever I’m not sure about, I usually write on the Enteral intake
(FYI: Lemon-Lime Soda = 237mL)
I know you are not required to write the type of fluids ingested but I like to be very thorough and meticulous with my documentation. If you don’t feel comfortable in writing this in the Enteral Fluid section, write it in OTHER OBSERVATION at the end of the narrative notes. Students have been given credit for fluid that appear anywhere on their PCS Response Form. But I can’t make something out of thin air if did not write it but if I wrote something down, I can use my clinical judgement to explain it.
Other Observations: “Pt still drinking Lemon Lime Soda, state will be finishing it. Lemon Lime Soda with enteral intake of 237 mL”
I had questions on fluid management on the day I was testing even though 50 out of the 100 questions that I written down each week for Excelsior advisors were on fluid management. I don’t know why I wasted so much time on I/O. I/O turned out to be soooo much easier than I thought.
The reason I’m asking you to be thorough is that the number of CEs that are out there…. That is how many rules of interpretation that are out there. I know the same information is given out to each CE but the study guide itself is not very clear in many instances. I’m not going to take a chance and I will be detailed in my documentation. Not only that… sometimes there is no validation from the CEs. So you have to get used to becoming completely self-reliant and quick!!