Sink or Swim: Making sense of the NICE Intravenous Fluid Guidelines as a Foundation Year Doctor.

Authors

Talia Patel, Calum R A Heslop, Milap Rajpara, Shivaali Karelia, Rakesh Patel

Published in

Clinical medicine (London, England). Pages 100639. Aug 30, 2026. Epub Aug 30, 2026.

Abstract

Foundation Year (FY) doctors consistently report feeling underprepared when applying intravenous fluid (IVF) guidelines due to inadequate training, resources and an underemphasis of evidence-based bedside assessment techniques. Given IVFs are the most commonly prescribed substance in the NHS, especially by FY1 doctors, inappropriate patient assessments and written prescriptions are a patient safety threat. Whilst the NICE IVF guideline exists, it is not without nuance and there remain challenges in delivering effective IVF education and sustainable learning interventions over time. From a FY doctor perspective discussed, senior clinicians demonstrating use of guidelines more explicitly may help address the gap between guidelines and clinical practice. Ultimately, given the widespread use of IVF, there is a need for improved education to develop FY doctors' clinical reasoning and ensure patient safety.

PMID:
42669363
Bibliographic data and abstract were imported from PubMed on 31 Aug 2026.

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