测量并记录尿量怎么做
You measure urinary output by draining the collection bag or emptying a bedpan into a graduate, then reading it in milliliters on a flat surface at eye level. The idea that makes it click: an accurate number depends on a level graduate read straight-on — and clean, gloved handling.
分步操作
- 1
Knock, wash your hands, introduce yourself, identify the resident, explain the procedure, and provide for privacy.
- 2
Put on clean gloves.关键
- 3
Place a barrier under the drainage bag or bedpan and set the graduate on it.
- 4
Open the drain spout (or pour from the bedpan) and let the urine flow into the graduate.
- 5
Do not let the tip of the drain spout touch the sides of the graduate.关键
- 6
Close the drain spout, wipe it with an alcohol wipe, and secure it back in its holder without touching the tip.
- 7
Set the graduate on a clean barrier on a level, flat surface.关键
- 8
With the graduate at eye level, read the amount of output in milliliters.关键
- 9
Note the urine's color, clarity, sediment, and odor.
- 10
Empty the urine into the toilet, clean up, remove gloves, and wash your hands.
- 11
Record the output in mL/cc on the Intake and Output record and report any concerns to the nurse.关键
关键步骤(千万别漏)
- Wear gloves for all contact with urine and the drainage system.
- Read the graduate on a flat, level surface at eye level — reading from above or on a tilt is inaccurate.
- Record output in mL/cc within plus or minus 50 mL of the evaluator's reading.
- Keep the drain spout clean — never let the tip touch the graduate, and re-clamp it without contamination.
常见错误
- Reading the graduate while it is tilted, held in the air, or looked at from above.
- Letting the drain spout touch the graduate and contaminating the closed system.
- Recording in the wrong units or outside the plus/minus 50-mL tolerance.
- Removing gloves and touching surfaces before hand hygiene.
为什么这样做
Liquid forms a curved surface (meniscus) in a graduate, so it only reads true when the container sits level and your eye is at the fluid line — angle or height distorts the volume. Gloves and clean handling protect the resident from infection, and the plus/minus 50-mL tolerance confirms the reading was taken correctly.