Fluid Restriction

Fluid Restriction 

Effective Date: [Original NPP Date] 
Revised Date: [Current Date] 

Standard: 

Facility staff will assist the resident in restricting their fluid intake as ordered by the MD/APRN/PA. 

Procedure: 

Communication: 

• When a fluid restriction is ordered, the nurse obtaining the order will communicate this information to the dietary department. 

Resident Monitoring: 

• The resident will be placed on Intake & Output (I&O) monitoring unless otherwise care planned. 

• Water pitchers should be removed from the resident’s nightstand. 

Dietary and Meal Management: 

• Dietary staff will mark the fluid restriction on the resident’s meal card. 

• Nursing will divide the resident’s fluid allowance between three shifts based on the resident’s preferences. 

Documentation: 

• Fluid restriction and amounts for each shift will be noted in the following places: 

• I&O sheet 

• Medication Administration Record (MAR) 

• CNA care card 

• Meal card 

• Resident care plan 

• Daily intake will be documented in the medical record. 

References: 

• Centers for Medicare & Medicaid Services. State Operations Manual, Appendix PP - Guidance to Surveyors for Long Term Care Facilities. [Link to current CMS SOM] 

• CMS Requirements of Participation for Long-Term Care Facilities. [Link to current guidelines]