Assessing and documenting fluid balance
Intended for healthcare professionals
Evidence & Practice Previous     Next

Assessing and documenting fluid balance

Sarah Pinnington Acute care clinical educator, Manchester Royal Infirmary, Central Manchester University Hospitals NHS Foundation Trust, Manchester, England
Sarah Ingleby Lead nurse, acute care and hospital at night, Central Manchester University Hospitals NHS Foundation Trust, Manchester, England
Prasanna Hanumapura Acute kidney injury specialist nurse, Central Manchester University Hospitals NHS Foundation Trust, Manchester, England
Deryn Waring Acute kidney injury specialist nurse, Central Manchester University Hospitals NHS Foundation Trust, Manchester, England

Concerns about inadequate patient hydration and suboptimal monitoring of fluid balance have been documented in recent reports. The Fluid-balance Improvement Project at Central Manchester University Hospitals NHS Foundation Trust was undertaken to identify risk factors influencing hydration and to implement a revised process to manage these risks, resulting in the development of a hydration pathway. This new approach to monitoring patient hydration, together with staff education and support, has resulted in improved compliance with fluid-balance monitoring standards, as well as significant improvements in identifying patients at risk of dehydration, and an increase in patients with acute kidney injury correctly beginning fluid-balance monitoring.

Nursing Standard. 31, 15, 46-54. doi: 10.7748/ns.2016.e10432

Correspondence

sarah.pinnington@cmft.nhs.uk

Peer review

This article has been subject to external double-blind peer review and checked for plagiarism using automated software

Conflict of interest

None declared

Received: 28 January 2016

Accepted: 19 April 2016

Sign up to continue reading for FREE
SIGN UP

OR

Unlock full access to RCNi Plus today

Save over 50% on your first 3 months

Your subscription package includes:
  • Unlimited online access to all 10 RCNi Journals and their archives
  • Customisable dashboard featuring 200+ topics
  • RCNi Learning featuring 180+ RCN accredited learning modules
  • RCNi Portfolio to build evidence for revalidation
  • Personalised newsletters tailored to your interests
Subscribe
RCN student member? Try Nursing Standard Student
Already subscribed? Log in