iemr quick reference guide iview fluid balance charting

ieMR Quick Reference Guide

iView – Fluid Balance Charting

IVW - Fluid Balance Charting, v1.1, IVW##, 22/07/2021

Townsville Hospital and Health Service

Contents

Viewing Daily Fluid Balance Summary ............................................................................ 1

Entering Fluid Balance Information ................................................................................. 2

Paediatric Special Considerations ................................................................................... 3

Documenting Circulating Blood Volume (Paediatrics) ................................................... 3

Customising Fluid Balance Chart..................................................................................... 4

Continuous Bladder Irrigation .......................................................................................... 5

Fluid Balance Chart documentation can be completed via Interactive View or via

the MAR (for medications). For IV infusions, Interactive View is the preferred

workflow for Fluid Balance documentation.

Viewing Daily Fluid Balance Summary

1. Open the patient’s chart.

2. Navigate to Interactive View.

3. In Interactive View click on the Fluid Balance band.

Daily Total Volumes can be reviewed in the top banner.

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Entering Fluid Balance Information

1. Open the patient’s chart.



The fluid balance will display the time as a one-hour period e.g. 13:00 – 13:59

4. Double click on the appropriate cell to enter documentation.

5. Click green tick to Sign.

For IV fluid volumes, interactive view will ‘pull through’ the expected hourly infused

volume based on the MAR order. Ensure the volume is accurate and confirm

with the infusion pump before signing.

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Paediatric Special Considerations

For Paediatric Patients ensure all relevant information is documented such as:

• Outputs e.g. weighted nappies, nappy count

• Output Descriptions e.g. stool description, emesis desription, etc.

• Breastfeeding intake should documented using Duration of feed

• For IV Infusions – to record the Machine total and Burette level right click on the

documented infused volume and Add comment

• Circulating blood volume (see below)

Documenting Circulating Blood Volume (Paediatrics)

It is recommended that Circulating Blood Volume is documented once every 12

hours (midday, midnight) to ensure the information is visible within the Fluid

Balance chart.



3. Navigate to the Reference Information section.

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4. Click on the Circulating blood volume blue hyperlink to review information regarding

the calculation.

5. Manually calculate the patient’s Circulating blood volume and document in the

Circulating blood volume cell.

6. Click green tick to Sign.

Customising Fluid Balance Chart

1. Within the Fluid Balance band, select the Customise button.

2. Tick any relevant fields that are required to be On View.

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3. Click OK.

The required sections will now be visible and available in the Fluid Balance chart.

Continuous Bladder Irrigation

Continuous Bladder Irrigation (CBI) is documented within the Fluid Balance navigator band

in Interactive View (iView).

If you are the first staff member to document CBI for the patient, you will need to

Customise the Fluid Balance to display the relevant CBI input and output fields.

Adding Continuous Bladder Irrigation to Fluid Balance

1. Open patient chart and navigate to Interactive View.

2. Click on the Fluid Balance navigator band.

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3. Click on the Customise icon.

4. Select Collapse All to condense the items available.

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5. Click on the triangle beside each Continuous Bladder Irrigation line to expose the

Intake and Output options.

6. Ensure Continuous Bladder Irrigation Input and Output sections are ticked to

Default Open and that CBI intake and CBI output are ticked to be open On View.

7. Click OK once all required checkboxes have been ticked.

8. The selected Continuous Bladder Irrigation fields are now available for documenting

in the Fluid Balance chart.

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Documenting Continuous Bladder Irrigation Volumes

When documenting CBI, it is important that both Intake and Output parameters

are recorded, and urine output is manually calculated.

E.g. Patient has received 1000ml bag of irrigation and 1500ml of output is

measured via Urinary Catheter. 1000ml needs to be documented in both CBI

Intake and Output fields.

The 1500ml output therefore consists of 1000ml irrigation out + 500ml urine.

To access CBI reference text, click on the blue link and review the

reference text in the pop-up window.

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iemr quick reference guide iview fluid balance charting

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