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Advancing IV Therapy: The New NICE Quality Standard

Dr Mariles Ostermann discussed the development and implementation of the New NICE Quality Standard for IV Therapy at todays conference in London.

Following the updated NICE Guideline in December 2013, the 28 recommendations were developed into 4 Quality Standards which have now been released. The Quality Standards are:

1.Hospitals have an IV fluids lead who has overall responsibility for training, clinical governance, audit and review of IV fluid prescribing, and patient outcomes.

2.   Adults receiving IV fluid therapy in hospital are cared for by healthcare professionals competent in assessing patients' fluid and electrolyte needs, prescribing and administering IV fluids, and monitoring patient response.

3.   Adults receiving IV fluid therapy in hospital have an IV fluid management plan, determined by and reviewed by an expert, which includes the fluid and electrolyte prescription over the next 24 hours and arrangements for assessing patients and monitoring their plan.

4.   For adults who receive IV fluid therapy in hospital, clear incidents of  fluid mismanagement are reported as critical incidents.

Supporting Information Here: https://www.nice.org.uk/guidance/qs66

Mariles stated that "we often leave the prescription of IV therapy to the most junior members of the team. Due to inadequate knowledge suboptimal prescribing of fluid is common"

In terms of implementation Mariles believes the standards are challenging but possible, and the role of commissioners judging hospitals by the standards implementation will be a driving factor. Buy in is needed by the hospital management.

Presentation available below:

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Download: Mariles Ostermann Presentation

29 January 2015

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