Stage | Key quality indicator | Definitions of components |
---|---|---|
1. | VOIDING INTERVALa: | The voiding interval is the specified length of time between each void for the patient for that day. The voiding interval determines the frequency of voiding throughout the day. |
Is the voiding interval present and appropriately documented? | Appropriate documentation refers to the documentation of an individual number (such as “2-hourly”) and not a range (such as “2 – 3 hourly”). | |
2. | PROPOSED VOIDING TIMESa: | Proposed voiding times should be documented at the start of each day, based upon the voiding interval. The proposed voiding times form a schedule of times for toileting, which healthcare staff should then try to follow. |
Are proposed voiding times present and documented correctly? | Proposed voiding times ‘present’: There should be no missing entries between the first and last documented proposed voiding time. | |
Proposed voiding times ‘documented correctly’: Each interval between consecutive proposed voiding times should be identical to the voiding interval (e.g. 2 h between consecutive proposed voiding times for a voiding interval of “2-hourly”). | ||
3. | ACTUAL VOIDING TIMES – within schedule: | The actual voiding times are the times at which the patient was toileted, and are recorded by healthcare staff. |
For how many proposed voiding times is the ‘actual voiding time’ documented and within 30 min? | The ‘gold standard’ for the ICONS intervention is that an actual voiding time should be within 30 min of a proposed voiding time. | |
4. (a) | GOOD PRACTICE – Encouragement: For how many proposed voiding times is the answer “YES” documented in response to the question “Did you give encouragement?” | For each voiding occasion, healthcare staff are required to indicate on the clinical log whether they have undertaken a number of ‘best practice’ components of the regime. These include giving encouragement to the patient and asking them whether they are wet (if on prompted voiding regime). |
4. (b) | GOOD PRACTICE – Asking the patient if they are wetb: | |
For how many proposed voiding times is the answer “YES” documented in response to the question “Did you ask the patient if they were wet?” |