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Measuring Intake & Output Checklist
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7. Complete 24 hour intake record by adding all 8 hour total
Output
8. Apply non sterile gloves and personal protective equipment (PPE)
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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
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IX. RECORD MANAGEMENT
1. Document accurately relevant data about the client.
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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
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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.
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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:
_______________________________________
__________________________ _______________
__
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Clinical Instructor
Performed by:
_______________________________________
__________________________ _______________
__
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Student
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ESCL-SOP-019, Testing Web Guia Testo 735- reviewofreferences Statement of What is
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