Denise Spoon

218 Chapter 7 Supplemental file 1 Self-reported practice and knowledge questionnaire Part 1 – self-reported practice about intravenous fluid therapy. All questions are about the intravenous fluid therapy WITHOUT addition of medication. Therefore, this concerns intravenous fluids, namely Glucose 5%, Sodium Chloride 0.9%, Ringer’s solution, Glucose 2.5%/Sodium Chloride 0.45%, Gelofusine, Mannitol, Voluven. Nurses and prescribers Nurses 1. Did you visit an education class about intravenous fluid therapy?  Yes  No 2. Did you visit a congress/education day about intravenous fluid therapy?  Yes  No 3. What values do you look at before making a change?  Vital signs (such as blood pressure)  Clinical experience  Medical history  Laboratory values  Other: ……. (open answer) 4. What else did you want to learn in your primary education?  Fluid and electrolyte balance by healthy adults  The influence of surgery on fluid balance  Patient characteristics that are important to assess  Patient characteristics that may indicate fluid loss  Treatment of normal/too little/too much moisture  The electrolyte balance of the different available intravenous fluids  When you choose for which fluid  Other: ……. (open answer) 8. Do you ever change the rate of a prescribed intravenous fluid therapy on your own initiative?  Yes, namely…. (open answer)  No 9. Do you ever start a fluid therapy on your own initiative? (Inclusive keep-the-vein-open)  Yes, namely…. (open answer)  No 10. Do you ever stop a fluid therapy on your own initiative? (Inclusive keep-the-vein-open)  Yes, namely…. (open answer)  No 11. Do you ever change the infusion fluid on your own initiative?  Yes, namely…. (open answer)  No 12. What are reasons for you to change the infusion fluid on your own initiative?  Does not apply for me  (long-term) nil-by-mouth  Prevent dehydration  Prevent fluid overload (decompensation cordis)  Other: ……. (open answer) 5. Did you gain enough knowledge about intravenous fluid therapy during primary education?  Yes  No 6. What is the keep-vein-open infusion rate according to you?  2-10 ml/hour  10-21 ml/hour  >21 ml/hour  I am not in favor of keeping the vein open with continuous infusion Prescribers 13. Do you (as a medical physician, nurse practitioner or physician assistant) expect nurses to start, stop or change the intravenous fluid therapy on own initiative?  Yes  No 14. Can you describe shortly what you expect from nurses about starting, stopping or changing the intravenous fluid therapy? Open answer

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