5/3/2019 Measuring Intake & Output Checklist | Calibration | Personal Protective Equipment


Search   Upload  EN  Sign

 Bestsellers
The world's largest digital library
Download 
Search document 
 Books
RELATED TITLES
469 views 0 0

 Audiobooks
Measuring Intake & Output Checklist
Uploaded by marsan12
 Magazines 
    
Save Info Embed Share Print
 Documents

ESCL-SOP-019, Testing Web

 Sheet Music Procedure for…

Download  Search document 

 

Republic of the Philippines

TARLAC STATE UNIVERSITY
COLLEGE OF NURSING
Lucinda Campus, Brgy. Ungot, Tarlac City Philippines 2300
Tel. No.: (045) 493- 1865 Fax: (045) 982-0110 website: www/tsu.edu.ph
Accredited Level 1 Status by the Accrediting Agency of Chartered Colleges and Universities in the Philippines (AACCUP) Inc

Performance Evaluation Checklist

Measuring Intake and output

 Name of Student: ________________________________________________________________

Year and Clinical Group: __________________________________________________________
School Year: __________________________ Term: ___First Sem ___Second Sem ___Summer 
Inclusive Dates of Clinical Rotation: ________________________________________________ 
Instructor: ______________________________________________________________________
Core Competency 2 1 0
I.  SAFE AND QUALITY NURSING CARE
Assessment
1.  Assess the client’s risk factors for fluid overload
2.  Determine if the client is receiving fluids or medications that
would predispose her to fluid overload.
3. Assess the client’s risk factors for fluid loss 
4. Determine if the client’s urine output is in excess of her fluid intake  
5. Assess the client’s ability to understand and cooperate with intake
& output measurement.
 Home
Planning /Expected Outcome
1. The client’s fluid intke & output will be accurately measured and
recorded.
 Saved2. The client will participate in the recording of fluid intake and
https://www.scribd.com/document/175302919/Measuring-Intake-Output-Checklist 1/8
5/3/2019 Measuring Intake & Output Checklist | Calibration | Personal Protective Equipment
 p p g
output to the best of her ability.
RelatedImplementation
titles Search   Upload  EN  Sign
Intake
 Bestsellers
1. Wash hands
2. Explain rules of intake & output record
 Books
3. Measure all oral fluids in accord with agency policy
Record all IVF as they are infused 
4. Record time & amount of all fluid intake in nthe designated space on
 Audiobooks
 bedside form
5. Transfer 8 hour intake total fluid intake from bedside I&O record to
graphic sheet or 24 hour I &O record on client’s chart. 
ESCL-SOP-019, Testing Web Guia Testo 735- reviewofreferences Statement of What is
 Magazines
6. Record all forms of intake except blood and blood products in the
Procedureappropriate
for… Copiado Purpose Calibration_ _
column

 Documents
7. Complete 24 hour intake record by adding all 8 hour total
Output
8. Apply non sterile gloves and personal protective equipment (PPE)
 Sheet Music
9. Empty urinal ,bedpan or foley drainage bag into graduated container 
or commode “hat”.Other output may also be recorded ,including
nasogastr4ic suction,suction bulb (eg. Jackson – Pratt or hemovac )
10. Remove gloves and wash hands.
11. record time and amount of output on bedside I &O record
12. Transfer 8 hour output totals to graphic sheet or 24 hour I &O record
on the client’s chart 
13. Complete 24 hour output record by totaling all 8 hour totals.
14. Wash hands.
II.  MANAGEMENT OF RESOURCES, ENVIRONMENT
AND EQUIPMENT
1.  Prepares instruments and equipments needed.
  Intake & Output Record Chart


You're reading a preview. Unlock full access with a free trial. Download With Free Trial
Pages 2 to 4 are not shown in this preview.

   Calibrated Drinking Glass

   Urine specimen collection bottle with calibrationcalibration
   Drainage bag with calibration
 Home 2.  Maintain cleanliness during the procedure
3.  Observes proper measurement and time when reading and
recording I&O in the record chart
 Saved
4 U l dili tl
https://www.scribd.com/document/175302919/Measuring-Intake-Output-Checklist 2/8
5/3/2019 Measuring Intake & Output Checklist | Calibration | Personal Protective Equipment
 4.  Uses supply diligently
Related titles
5.  PerformsSearch  used.
after care of the materials and equipments Upload  EN  Sign
6.  Ensures proper waste management.
 Bestsellers
III.  HEALTH EDUCATION  
1.  Teaches the client on basic preparation during the
 procedure.
 Books2.  Explains the importance of checking & recording Intake &
output to the client/relative
3.  Informs the client the benefit of proper checking &
 Audiobooks
recording of I&O
4.  Respond to questions to clients and relatives regarding
ESCL-SOP-019, Testing Web Guia Testo 735- reviewofreferences Statement of What is
 Magazinesexpectations
ProcedureIV.
for… Copiado
  LEGAL RESPONSIBILITY Purpose Calibration_ _
1.  Secures informed consent (based on the hospital policy.)
 Documents
2.  Reports accurately and honestly the result of I & O to the
attending Physician for proper treatment & management
 Sheet3.  In the procedure note the amount, color, presence of blood  ,
Music
odor and consistency of the urine and pattern of urination
for proper reporting to the attending physician
ph ysician
4.  Ensures proper identification ofYou're Reading a Preview
the client

5.  Document all pertinent data correctly

Unlock full
andaccess with a free trial.
completely.
V.  ETHICO-MORAL RESPONSIBILITY
1.  Respect the religious, cultural and ethical practices of the
client and family. Download With Free Trial
2.  Promotes emotional security by supporting needs.
3.  Ensures privacy and confidentiality
VI.  PERSONAL AND PROFESSIONAL
DEVELOPMENT
1.  Updates oneself with the latest trends and development in
 proper Intake & output recording & documentation.

2.  Projects professional image of a nurse

3.  Accepts criticism and recommendation
VII.  QUALITY IMPROVEMENT
1.  Identifies deviation of practice from the standards and report
to proper person in charge.
2.  Participates in audit practices in Intake & Output recording
& documentation
3.  Recommends corrective and preventive measures for the
identified deviation.
VIII.  RESEARCH
1.  Identifies researchable problems related to In
2.  Initiates research study on an identified researchable
 problems regarding Intake & Output recording &
documentation
3.  Participates as a member of a research team in the
conduction of a research study.
4.  Utilize findings of research studies in Intake & Output
recording & documentation

 Home

 Saved
https://www.scribd.com/document/175302919/Measuring-Intake-Output-Checklist 3/8
5/3/2019 Measuring Intake & Output Checklist | Calibration | Personal Protective Equipment

 
Related titles Search   Upload  EN  Sign

 Bestsellers

 Books
IX.  RECORD MANAGEMENT
1.  Document accurately relevant data about the client.
 Audiobooks
2.  Maintain an organized system of filling and keeping records
of the client.
ESCL-SOP-019, Testing Web Guia Testo 735- reviewofreferences Statement of What is
 Magazines
X. 
Procedure for…
COMMUNICATION
1.  Utilizes appropriately all forms of communication verbal, Purpose
Copiado Calibration_ _
non-verbal, electronic
 Documents
2.  Informs client/significant others of the progress of the
 procedure.
3.  Listen attentively to clients and families queries and request.
 Sheet Music
XI.  COLLABORATION AND TREAM WORK 
1.  Functions effectively as a team member in anyan y area.
2.  Communicates any problems encountered during the
 procedure to other team members.
3.  Establishes collaborative relationship with the members of 
the health team and family members.
TOTAL SCORE:

Evaluated by:

 _______________________________________
 __________________________ _______________ 
__ 
You're Reading a Preview
Signature over Printed Name
Unlock full access with a free trial.
Clinical Instructor 

Download With Free Trial

Performed by:

 _______________________________________
 __________________________ _______________ 
__ 
Signature over Printed Name
Student

 Home

 Saved
https://www.scribd.com/document/175302919/Measuring-Intake-Output-Checklist 4/8
5/3/2019 Measuring Intake & Output Checklist | Calibration | Personal Protective Equipment

Related titles Search   Upload  EN  Sign

 Bestsellers

 Books

 Audiobooks

ESCL-SOP-019, Testing Web Guia Testo 735- reviewofreferences Statement of What is

 Magazines
Procedure for… Copiado Purpose Calibration_ _

 Documents

 Sheet Music

Prepared by:

Maria Susan Z. Maglaqui, RN, MAN

Clinical Instructor 

Recommending Approval :

Lorna C. Gamis ,RN,MAN

Chairwoman  –RLE Instructions

 Approved :

Prof. Lucila O. Sunga ,RN,MPA ,MAN

College Dean

You're Reading a Preview

Unlock full access with a free trial.

Download With Free Trial

 Home

 Saved
https://www.scribd.com/document/175302919/Measuring-Intake-Output-Checklist 5/8
5/3/2019 Measuring Intake & Output Checklist | Calibration | Personal Protective Equipment

Related titles Search   Upload  EN  Sign

 Bestsellers

 Books

 Audiobooks

ESCL-SOP-019, Testing Web Guia Testo 735- reviewofreferences Statement of What is

 Magazines
Procedure for… Copiado Purpose Calibration_ _

 Documents

 Sheet Music

Reward Your Curiosity

Everything you want to read.
Anytime. Anywhere. Any device.

Read Free For 30 Days

No Commitment. Cancel anytime.

Share this document

    

Related Interests

Calibration Personal Protective Equipment Nursing Health Care

Public
Home
Health

 Saved
https://www.scribd.com/document/175302919/Measuring-Intake-Output-Checklist 6/8
5/3/2019 Measuring Intake & Output Checklist | Calibration | Personal Protective Equipment

Documents Similar To Measuring Intake & Output Checklist
Related titles Search   Upload  EN  Sign

 Bestsellers

 Books

 Audiobooks

ESCL-SOP-019, Testing WebWeb Guia Testo 735- 735-reviewofreferences StatementStatement

of What is
 Magazines
ESCL-SOP-019,
Procedure for…
Testing Guia Testo
Copiado
reviewofreferencesn
Purpose
of
Procedure for… UPLOADED BY Copiado UPLOADED BY Purpose Calibration_ _
UPLOADED BY elmodesto UPLOADED BY api-231010151 UPLOADED BY
 Documents
adiqualitycon… Gilberto André… meeldev

 Sheet Music

More From marsan12

Fundamentals of Glasgow Coma Philippine Cancer Emergency Room Nutritional Final

Nursin Final… Score Facts and… Procedures Laboratory Quiz I
UPLOADED BY UPLOADED BY UPLOADED BY UPLOADED BY UPLOADED BY
marsan12 marsan12 Sigfredo B. Mata marsan12 marsan12

Popular in Research

Maternal death- intro lesson An Approach to UNESCO+Meta- Focus Group

Dissertation UPLOADED BY Define Clinical… Review+Bibliograph Discussion Writeup
UPLOADED BY api-241350182 UPLOADED BY UPLOADED BY UPLOADED BY
Alok Kumar Bi… Luiz Guilherm… Emilio Legonía Darad Harsh

https://www.scribd.com/document/175302919/Measuring-Intake-Output-Checklist 7/8
5/3/2019 Measuring Intake & Output Checklist | Calibration | Personal Protective Equipment

Related titles Search   Upload  EN  Sign

ABOUT SUPPORT

About Scribd Help / FAQ

Press Accessibility

Our blog Purchase help

Join our team! AdChoices

Contact Us Publishers

Join today
ESCL-SOP-019, Testing Web Guia Testo 735- reviewofreferences Statement of What is
Invite Friends
Procedure for… Copiado Purpose Calibration_ _
Gi s

LEGAL
   
Terms

Privacy

Copyright

Copyright © 2019 Scribd Inc. . Browse Books . Site Directory . Site Language: English

https://www.scribd.com/document/175302919/Measuring-Intake-Output-Checklist 8/8