Central repository for HSC resources relating to fluid management in children & young people

This site has been developed to act as a central resource for HSC Trusts and relevant staff in relation to fluid management in children and young people (Child from birth (term) up to 16th Birthday). The resources have a particular focus in reducing the risk of harm due to hyponatraemia. This includes links to key background documents and resources as listed below.


Other useful links (such as adult charts and resources; links to other useful guidance) are also included separately to the right of this page or by clicking here.


Updates under development 2019


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


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. 


GAIN Documents 

GAIN supported the development of an audit tool to support Trusts as part of an ongoing audit of their local units in relation to the safety of the prescribing, administering, recording and maintaining of intravenous (iv) fluids to children over 4 weeks and under 16 years. 


NICE Guidelines



DoH Correspondence


Charts & Resources Term Babies, Children & Young People 

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:

_______________________________________________________________Regional IV Fluids Policy

Final draft pending approval

Competency Framework (Currently under review)

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.

Note: Updated version under review, final draft pending approval _____________________________________________________________________________

Training Resources 



For other useful links relating to fluid management please see useful links section or click here.