Central repository for HSC resources relating to hyponatraemia

Updates under development January/February 2018

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NPSA Patient Safety Alert 22

National Patient Safety Agency (2007) Patient Safety Alert 22: Reducing the risk of hyponatraemia when administering intravenous infusions to children. Documents are available by clicking here

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RQIA Documents 

In April 2008 and May 2010 the RQIA reported on the implementation of recommended actions outlined within NPSA Alert 22 throughout HSC Trusts and independent hospitals in Northern Ireland. 

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GAIN Documents 

2014 Gain audit to ascertain the safety of the prescribing, administering, recording and maintaining of intravenous (iv) fluids to children over 4 weeks and under 16 years. 

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NICE Guidelines

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DoH

DoH Correspondence

Fluid Management Resources & Charts

The following resources were developed by DoH to reduce risk of harm due to hyponatraemia. 

Daily Fluid Balance and Prescription Chart and training package issued by DoH September 2017 [HSS(MD) 16/2017]:

The Gain 2014 report recommended that an audit tool be developed to facilitate Trusts in the ongoing monitoring of pediatric IV fluid management:

Guidance Documents

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Competency Framework (Currently under review January/February 2018)

This framework was jointly developed by HSC Trusts and the PHA, in consultation with stakeholders, to support consistency of approach in the implementation of RQIA recommendations.

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Training Resources to support competency framework (Currently under review January/February 2018)

  • Case Studies

Four clinical management case studies (2 medical and 2 surgical) are provided which integrate the regional paediatric fluid balance chart: