paediatric iv fluid audit improvement tool pivfait · 2017-07-21 · paediatric iv fluid audit...
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07 March 2016 PIVFAIT
Paediatric IV Fluid Audit Improvement Tool
PIVFAIT
INQ 401-001ao-001
07 March 2016 PIVFAIT
Medical Leaders Forum Adult and Paediatric chart designed CMO - April 2012
INQ 401-001ao-002
07 March 2016 PIVFAIT INQ 401-001ao-003
07 March 2016 PIVFAIT
Medical Leaders Forum Adult and Paediatric chart designed CMO - April 2012 Regional charts launched by CMO & CNO - August 2013 CMO MLF Fluid Prescription Chart - September 2013
INQ 401-001ao-004
07 March 2016 PIVFAIT
Launched August 2013
INQ 401-001ao-005
07 March 2016 PIVFAIT
Medical Leaders Forum
INQ 401-001ao-006
07 March 2016 PIVFAIT
GAIN – Paediatric IV Fluid audit 2014
8th August 2014
INQ 401-001ao-007
07 March 2016 PIVFAIT
Medical Leaders Forum Adult and Paediatric chart designed CMO - April 2012 Regional charts launched by CMO & CNO - August 2013 CMO MLF Fluid Prescription Chart - September 2013 CMO MLF GAIN fluid chart audit - September 2014
INQ 401-001ao-008
07 March 2016 PIVFAIT
170 children - 5 weeks period March/April 2014
355 Daily FP&B charts
INQ 401-001ao-009
07 March 2016 PIVFAIT
Topic Compliance % Patient identification 97 Appropriate Prescription 100 Fluid totaling Input 76
Output 65 Balance 43
Monitoring E&U Commencement 92 Throughout 94 Hyponatraemia 95
Monitoring Blood Glucose Recording 62 Recording Rx poor
Reassessment 92
GAIN – Paediatric IV Fluid audit 2014
INQ 401-001ao-010
07 March 2016 PIVFAIT
GAIN – Paediatric IV Fluid audit 2014
INQ 401-001ao-011
07 March 2016 PIVFAIT
GAIN – Paediatric IV Fluid audit 2014
INQ 401-001ao-012
07 March 2016 PIVFAIT
PIVFAIT - Original
INQ 401-001ao-013
07 March 2016 PIVFAIT
PIVFAIT Ward based Weekly audit by Ward staff.
Patient identification. Patient weight. Daily fluid calculation guidance Electrolyte monitoring. Glucose monitoring. Cumulative input and output totalling and Fluid balance. 12 hour reassessment.
Paediatric IV Fluid Audit Improvement Tool
INQ 401-001ao-014
07 March 2016 PIVFAIT
Patient identification. Is the patient clearly identified on ALL fluid prescription charts? Patient weight. Is the patient’s weight recorded? Electrolyte monitoring. Is the U&E recorded? Cumulative input and output totalling and Fluid balance. Is the input and output documented accurately? 12 hour reassessment. Has the IV fluid prescription been reviewed 12hrly whilst on IV fluids? (record 1 if NA) Daily fluid balance chart calculation guidance completed. Was the guidance for intravenous therapy completed? Glucose monitoring. Was the blood glucose recorded?
PIVFAIT questions - original
INQ 401-001ao-015
07 March 2016 PIVFAIT
PIVFAIT questions – modified
INQ 401-001ao-016
07 March 2016 PIVFAIT
PIVFAIT – first version
INQ 401-001ao-017
07 March 2016 PIVFAIT
Paediatric IV Fluid Audit Improvement Tool
Fluid Balance Results for June 2014
FLUID BALANCE PRESCRIPTION CHART
Obs Com Total Obs Com Total Obs Com Total Obs Com Total Obs Com TotalAllen Ward 9 9 100 3 2 67 3 2 67 3 2 67 4 3 75Barbour Ward 8 5 63 8 8 100 7 4 57 5 4 80 6 6 100Paul Ward 10 8 80 10 7 70 10 7 70 10 10 100 10 10 100CHU 4 0 0 6 5 83 10 8 80 5 4 80 7 7 100Belvior Ward 4 4 100 3 2 67 5 5 100 2 2 100 2 1 50Clarke Clinic 3 3 100 4 4 100 4 2 50 1 1 100 1 1 100
Weekly Total 38 29 34 28 39 28 26 23 30 28
Monthly Total 167 136
02.06.14 09.06.14 16.06.14 23.06.14 30.06.14
INQ 401-001ao-018
07 March 2016 PIVFAIT
Paediatric IV Fluid Audit Improvement Tool
Fluid Balance Results for July 2014
FLUID BALANCE PRESCRIPTION CHART
Obs Com Total Obs Com Total Obs Com Total Obs Com TotalAllen Ward 6 6 100 NS NS NS 3 3 100 7 3 43Barbour Ward 6 3 50 6 5 83 5 5 100 10 7 70Paul Ward 10 10 100 10 10 100 10 10 100 10 10 100CHU 10 9 90 5 5 100 5 3 60 3 0 0Belvior Ward 2 2 100 1 0 0 3 3 100 3 0 0Clarke Clinic 2 2 100 1 1 100 NO NO NO NO NO NO
Weekly Total 36 32 23 21 26 24 33 20
Monthly Total 118 97
07.07.14 14.07.14 21.07.14 28.07.14
INQ 401-001ao-019
07 March 2016 PIVFAIT
PIVFAIT questions – after NI consultation
INQ 401-001ao-020
07 March 2016 PIVFAIT
PIVFAIT questions – after more trialling
INQ 401-001ao-021
07 March 2016 PIVFAIT
PIVFAIT version v0.10
INQ 401-001ao-022
07 March 2016 PIVFAIT
PIVFAIT version v0.10
INQ 401-001ao-023
07 March 2016 PIVFAIT
PIVFAIT version v0.10
INQ 401-001ao-024
07 March 2016 PIVFAIT
consists of, Method and instructions. Data collection page. Data presentation page – weekly/monthly. Overall monthly compliance result page
for forwarding. Paediatric Wallchart.
PIVFAIT
INQ 401-001ao-025
07 March 2016 PIVFAIT
PIVFAIT - Method and Instructions
INQ 401-001ao-026
07 March 2016 PIVFAIT
PIVFAIT - instructions
INQ 401-001ao-027
07 March 2016 PIVFAIT
Adult PIVFAIT
INQ 401-001ao-028
07 March 2016 PIVFAIT
PIVFAIT
INQ 401-001ao-029