Use of ‘blood donation board’ and ‘nurse relative interaction’ by nurses in improving communication with patient relatives and increasing blood donation in neurosurgery icu

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1. The study assessed the use of blood donation boards and improved nurse-relative interaction on blood donations and relative satisfaction in the neurosurgery ICU at AIIMS, New Delhi. 2. A blood donation board detailing donations was placed by each patient's bed in the test ICU but not the control ICU. Nurse-relative interaction involving explanations of the patient's condition was conducted in the test ICU but not the control ICU. 3. The results showed that the test ICU received significantly more blood donations per patient and had 100% relative satisfaction with communication compared to 10% in the control ICU. The study concluded these simple and costless interventions should be implemented in all intensive care units.

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ARTICLE Investigating the recording and accuracy of fluid balance monitoring in critically ill patients A Diacon, MCur; J Bell,' 3 MCur, BCur, PGDN 1 Division o f Nursing, Faculty o f Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa 3 TASK Applied Science, Karl Bremer Hospital, Bellville, Cape Town, South Africa 3 Department o f Nursing Science, School o f Clinical Care Sciences, Faculty o f Health Sciences, Nelson Mandela Metropolitan University, Port Elizabeth, South Africa Corresponding author: A Diacon ([email protected]) Background. The accurate assessment o f fluid balance data collected during physical assessment as well as during m onitoring and record-keeping forms an essential part of the baseline patient information that guides medical and nursing interventions aimed at achieving physiological stability in patients. An informal audit o f 24-hour fluid balance records in a local intensive care unit (ICU) showed that seven out of ten fluid balance calculations were incorrect. Objective. To identify and describe current clinical nursing practice in fluid balance m onitoring and measurement accuracy in ICUs, conducted as part of a broader study in partial fulfilm ent of a Master o f Nursing degree. Methods. A quantitative approach utilising a descriptive, exploratory study design was applied. An audit of 103 ICU records was conducted to establish the current practices and accuracy in recording o f flu id balance m onitoring. Data were collected using a purpose-designed tool based on relevant literature and practice experience. Results. Of the original recorded fluid balance calculations, 79% deviated by more than 50 mL from the audited calculations. Further more, a significant relationship was shown between inaccurate fluid balance calculation and administration of diuretics (p=0.01). Conclusion. The majority o f fluid balance records were incorrectly calculated. S AfrJCrit Care 2014;30(2):55-57. DOI:10.7196/SAJCC.193 M ainta in ing a balance between flu id intake and output plays an im portant role in the management o f a critica lly ill patient. The accurate assessment o f the flu id balance data collected during physical assessment as well as during m onitoring activities and record-keeping forms an essential part o f the baseline patient in fo rm ation tha t guides medical and nursing in terventions to achieve physiological stability in a patient. Changes in a critically ill patient's fluid balance can complicate the patient's clinical condition. It is, therefore, necessary that flu id balance parameters are accu rately monitored and recorded for all patients in intensive care units (ICUs).111 A daily observation sheet is used to record all vital signs, nursing interventions, medical procedures and the fluid balance for each 24-h period of a day. The fluid balance record comprises records of the intake and output of fluids by a patient over a 24-h period. The differ.

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ARTICLE Investigating the recording and accuracy o f flu id balance m o n ito r in g in critically ill patients A Diacon, MCur; J Bell,' 3 MCur, BCur, PGDN 1 Division o f Nursing, Faculty o f Medicine an d Health Sciences, Stellenbosch University, Cape Town, South Africa 3 TASK A pplied Science, Karl Bremer Hospital, Bellville, Cape Town, South Africa 3 D epartm ent o f Nursing Science, School o f Clinical Care Sciences, Faculty o f Health Sciences, Nelson Mandela M etropolitan University, Port Elizabeth, South Africa Corresponding author: A Diacon ([email protected]) Background. The accurate assessment o f flu id balance data collected durin g physical assessment as well as durin g m o n ito rin g and record-keeping form s an essential part o f the baseline patien t in fo rm atio n th a t guides medical and nursing in te rven tions aimed at achieving physiological s ta b ility in patients. An inform al a u dit o f 24-hour fluid balance records in a local intensive care u n it (ICU) showed th a t seven o u t o f ten flu id balance calculations were incorrect. Objective. To id e n tify and describe current clinical nursing practice in flu id balance m o n ito rin g and measurement accuracy in ICUs, conducted as part o f a broader study in partial fu lfilm e n t o f a Master o f Nursing degree. M ethods. A q u a n tita tiv e approach u tilis in g a descriptive, e xp lo ra to ry study design was applied. An a u d it o f 103 ICU records was c o n d u cte d to establish th e cu rre n t practices and accuracy in recording o f flu id balance m o n ito rin g . Data were collected using a purpose-designed too l based on relevant literature and practice experience. Results. O f the original recorded flu id balance calculations, 79% deviated by more than 50 mL from the audited calculations. Further more, a significant relationship was shown between inaccurate fluid balance calculation and adm inistration o f diuretics (p=0.01). Conclusion. The m ajority o f flu id balance records were incorrectly calculated. S AfrJCrit Care 2014;30(2):55-57. DOI:10.7196/SAJCC.193 M a in ta in in g a balance b e tw e e n flu id in ta ke and o u tp u t plays an im p o rta n t role in th e m anagem ent o f a c ritic a lly ill p a tie n t. The accurate assessment o f th e flu id balance data collected d u rin g physical assessment as w ell as du rin g m o n ito rin g activities and record-keeping form s an essential part o f the baseline patient in fo rm a tio n th a t gu id e s m edical and nu rsin g in te rv e n tio n s to achieve physiological stability in a patient. Changes in a critically ill patient's fluid balance can com plicate the patient's clinical condition. It is, therefore, necessary th a t flu id balance parameters are accu rately m onitored and recorded for all patients in intensive care units (ICUs).111 A daily observation sheet is used to record all vital signs, nursing interventions, medic.

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