A modified balance chart -- ordering and charting intravenous fluids by "B numbers"

Area of Science:

• Medical Informatics
• Clinical Practice
• Patient Safety

Background:

• Intravenous fluid charting errors are common.
• Difficulty in matching fluid bags between order and balance sheets causes issues.
• Current methods lack clarity and contribute to calculation mistakes.

Purpose of the Study:

• To introduce a novel method for intravenous fluid charting.
• To reduce errors in fluid balance management.
• To simplify the process of tracking intravenous fluids.

Main Methods:

• Implementation of the "B Number" method.
• Assigning a sequential number to each intravenous fluid bottle/bag.
• Charting fluid administration using START and FINISH columns against a time scale.
• Utilizing a Running Total to minimize arithmetic errors.

Main Results:

• The "B Number" method effectively eliminates confusion between order and balance sheets.
• Sequential numbering and time-scale charting improve accuracy.
• The Running Total significantly reduces calculation errors in fluid balance.

Conclusions:

• The "B Number" method offers a clear and accurate approach to intravenous fluid charting.
• This method enhances patient safety by minimizing charting and calculation errors.
• A definitive balance form and order sheet facilitate efficient fluid management.