Vitals Entry > Intake/Output Entry

To document intake and output, select Intake/Output Entry.

Intake_Output Entry

Intake/Output Entry

Action Bar Options

•Back Arrow: Returns the user to the Vital Signs Selection screen.

•Update: Saves the entered data.

•Clear All: Clears the data from all fields.

•Change Date/Time: Launches the Change Date/Time screen.

Intake/Output Entry Fields

•Date/Time: Displays the date and time of documentation.

Intake options are as follows:

•Intake Type: Use the drop-down to select the intake type.

NOTE: Pediatric or Nursery intake options will display in the drop-down if the Pediatric or Nursery Chart Type has been selected via the Chart Menu within a flow chart.

Adult Intake Options:	Pediatric Intake Options:	Nursery Intake Options:
Oral	Oral	Oral
NG/Peg Tube Feeding	Oral - Formula	Oral - Formula
Hyperalimentation	Oral - Baby Food	Oral - Pedialyte
Lipids	Oral - Pedialyte	Oral - Sterile Water
Hespan	NG/Peg Tube Feeding	Oral - 5% Glucose Water
Albumin	Irrigation Solution	NG/Peg Tube Feeding
Packed Red Blood Cells	Fresh Frozen Plasma	Left/Right Breast
Fresh Frozen Plasma	Platelets	Left Breast
Platelets	Packed Red Blood Cells	Right Breast
Irrigation Solution	Hyperalimentation	IV Fluids
IV Fluids	Left/Right Breast	Other (allows free text entry)
Other (allows free text entry)	Left Breast
	Right Breast
	IV Fluids
	Other (allows free text entry)

•Volume: Enter amount consumed displayed in milliliters. If NG/Peg Tube Feeding is selected, enter the capacity of the source displayed in milliliters.

•None: Options are unchecked and checked (þ)

▪Unchecked (default): Allows an amount to be entered in the Volume field.

▪Checked (þ): Automatically sets the Volume field to 0 ml.

•Left to Count: Available when NG/Peg Tube Feeding is selected from Intake Type. Enter the remaining volume in milliliters.

•Rate Per Hour: Available when NG/Peg Tube Feeding is selected from Intake Type. Enter the amount of fluid in milliliters consumed within one hour.

•Feeding Quality: Available when Left/Right Breast, Left Breast, or Right Breast is selected from Intake Type. Options are Poor, Fair, and Well.

•Feeding Type: Available when Left/Right Breast, Left Breast, or Right Breast is selected from Intake Type. This is a two-digit field with radio button options for Times and Minutes.

NOTE: The following Nursery Intake Options have been set up with SNOMED codes for Clinical Quality Measures (eCQM) reporting: Oral - Formula, Oral - Pedialyte, Oral - Sterile Water, Oral - 5% Glucose Water, Left/Right Breast, Left Breast, and Right Breast.

Output options are as follows:

•Output Measure: Select the output measure. Options are Volume and Frequency.

•Output Site: Use the drop-down and select the output site.

NOTE: Pediatric or Nursery output options will display in the drop-down if the Pediatric or Nursery Chart Type has been selected via the Chart Menu within a flow chart.

Adult Output Options:	Pediatric Output Options:	Nursery Output Options:
Voided Urine	Voided Urine	Voided Urine
Catheter Urine	Catheter Urine	Catheter Urine
Stool	Wet Diapers	Wet Diapers
Colostomy	Stool	Stool
Emesis	Colostomy	Emesis
NG Tube	Emesis	NG Tube
Estimated Blood Loss	NG Tube	Chest Tube
T-Tube	Estimated Blood Loss	Estimated Blood Loss
Jackson Pratt #1	T-Tube	Other (allows free text entry)
Jackson Pratt #2	Jackson Pratt #1
Chest Tube	Jackson Pratt #2
Hemovac #1	Chest Tube
Hemovac #2	Hemovac #1
Other (allows free text entry)	Hemovac #2
	Other (allows free text entry)

•Volume: Displays instead of Frequency when Volume is selected for Output Measure. Enter the output in milliliters.

•Frequency: Displays instead of Volume when Frequency is selected for Output Measure. Enter the number of times output is produced.

•None: Options are unchecked and checked (þ)

▪Unchecked (default): Allows an amount to be entered in the Volume or Frequency fields.

▪Checked (þ): Automatically sets the Volume field to 0 ml or the Frequency field to 0 times. If documenting frequency, "NONE" will be displayed on the Review screen.

•Drain Level: Available when NG Tube or Chest Tube is selected from the Output Site drop-down.

•Stool Size: Available when Stool is selected from Output Site drop-down. Options are Small (default), Moderate, and Large.