This log is also available as text (105cc.txt) and as a (binary) annotation file (105cc.log).
Generated: Thursday, 23-Apr-2009 00:34:46 EDT
(All dates below are surrogates.)
pi: 4523841 hi: 10408 t0: [02:00:00 10/03/2020] tf: [01:00:00 10/03/2020] mn: Amiodarone HCl pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 16, 22 dn: 3 dt: 1 di: Weeks xv: 36 xu: Hours pi: 4523842 hi: 10408 t0: [01:00:00 10/03/2020] tf: [01:00:00 10/03/2020] mn: Amiodarone HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: INFUSION dt: 1 di: Hours xu: Enter on Label pi: 4523900 hi: 10408 t0: [02:00:00 10/03/2020] tf: [03:00:00 10/03/2020] mn: Amiodarone HCl pt: IV Piggyback st: Expired rt: IV fr: INFUSION dt: 1 di: Hours xu: Enter on Label
id: Service Type t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 70.4 n1: 70.4 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [01:00:00 10/03/2020] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [01:00:00 10/03/2020] el: 1 ai: 255 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [01:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Amiodarone t0: [01:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [01:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Eye Opening t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: HOB t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CCU v1: Pre-Sep Catheter v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Bronchial st: NotStopd id: LUL Lung Sounds t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Orientation t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: RLL Lung Sounds t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Bronchial st: NotStopd id: RUL Lung Sounds t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: Temp. Site t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temp. Site t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 34.8889 n1: 34.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 94.8 n1: 94.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Verbal Response t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 Incomp sounds st: NotStopd id: Back Care t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Pain Present t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Present t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: PainLevel Acceptable t0: [21:00:00 09/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Riker-SAS Scale t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Pain Management t0: [01:00:00 10/03/2020] el: 1 cg: RN cu: CCU v1: IV Push v2: Backrub st: NotStopd id: Pain Management t0: [20:00:00 09/03/2020] el: 1 cg: RN cu: CCU v1: IV Push v2: Repositioned st: NotStopd
id: Service Type t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: FiO2 Set t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: Heart Rate t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: O2 Delivery Device t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Arterial BP t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 70.4 n1: 70.4 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [02:00:00 10/03/2020] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [02:00:00 10/03/2020] el: 1 ai: 255 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [02:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 90 vu: ml
id: Amiodarone t0: [02:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [02:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 70.4 n1: 70.4 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [02:00:00 10/03/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [03:00:00 10/03/2020] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: Urine Out Foley t0: [03:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Amiodarone t0: [03:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [03:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Type t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: Heart Rate t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Pre-Sep Catheter v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Bronchial st: NotStopd id: LUL Lung Sounds t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 145 n1: 145 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 70.4 n1: 70.4 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Bronchial st: NotStopd id: RUL Lung Sounds t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: Temp. Site t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 35.7778 n1: 35.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 96.4 n1: 96.4 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Pink v2: Cloudy st: NotStopd id: Urine Source t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [04:00:00 10/03/2020] el: 1 ai: 304 cg: RN cu: CCU vo: 12.5 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [04:00:00 10/03/2020] el: 1 ai: 255 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [04:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Amiodarone t0: [04:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [04:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [04:16:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Lactic Acid t0: [04:16:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:16:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: -5 n1: -5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:16:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:16:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 24 n1: 24 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:16:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 75 n1: 75 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:16:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [04:16:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [03:46:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 25.3 n1: 25.3 rs: Final st: NotStopd id: WBC t0: [03:46:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 25.3 n1: 25.3 rs: Final st: NotStopd id: FiO2 Set t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: O2 Delivery Device t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Hematocrit t0: [03:46:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 30.3 n1: 30.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:46:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 10.4 n1: 10.4 u1: gm/dl rs: Final st: NotStopd id: RBC t0: [03:46:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 3.44 n1: 3.44 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:46:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 25.3 n1: 25.3 rs: Final st: NotStopd
id: BUN t0: [03:46:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 52 n1: 52 rs: Final st: NotStopd id: Calcium t0: [03:46:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.7 n1: 7.7 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:46:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 118 n1: 118 rs: Final st: NotStopd id: Creatinine t0: [03:46:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose t0: [03:46:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 115 n1: 115 rs: Final st: NotStopd id: Magnesium t0: [03:46:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [03:46:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:46:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [03:46:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 147 n1: 147 rs: Final st: NotStopd id: BUN (6-20) t0: [03:46:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 52 n1: 52 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:46:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.7 n1: 7.7 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:46:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 17 n1: 17 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:46:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 118 n1: 118 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:46:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:46:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 115 n1: 115 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:46:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:46:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:46:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:46:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 147 n1: 147 rs: Final st: NotStopd
id: PTT t0: [03:46:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 41.4 n1: 41.4 rs: Final st: NotStopd id: PTT(22-35) t0: [03:46:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 41.4 n1: 41.4 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Oral Care t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 143 n1: 143 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Position t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 70.4 n1: 70.4 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [05:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [05:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Ectopy Frequency t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd
id: Platelets t0: [03:46:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 82 n1: 82 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 158 n1: 158 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 70.4 n1: 70.4 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [06:00:00 10/03/2020] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [06:00:00 10/03/2020] el: 1 ai: 255 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [06:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: Amiodarone t0: [06:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [06:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: PT t0: [03:46:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 17.8 n1: 17.8 rs: Final st: NotStopd id: INR t0: [03:46:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:46:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:46:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 17.8 n1: 17.8 rs: Final st: NotStopd
id: HOB t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Pain Present t0: [06:30:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: PainLevel Acceptable t0: [01:30:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Management t0: [06:30:00 10/03/2020] el: 1 cg: RN cu: CCU v1: IV Push v2: Repositioned st: NotStopd
id: PreSep Catheter SVO2 t0: [08:00:00 10/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd
id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k t0: [08:00:00 10/03/2020] el: 1 ai: 255 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Pain Present t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: HOB t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Pre-Sep Catheter v2: Right Subclavian st: NotStopd id: Abdominal Assessment t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Bronchial st: NotStopd id: LUL Lung Sounds t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: O2 Delivery Device t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Bronchial st: NotStopd id: RUL Lung Sounds t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: Temp. Site t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 35.8889 n1: 35.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 96.6 n1: 96.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [08:00:00 10/03/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [08:00:00 10/03/2020] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [08:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Amiodarone t0: [07:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [08:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [09:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [07:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Neosynephrine-k t0: [08:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: FiO2 Set t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: FiO2 Set t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Heart Rate t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: O2 Delivery Device t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Arterial BP t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 146 n1: 146 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 155 n1: 155 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Pain Cause t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Pain Management t0: [10:00:00 10/03/2020] el: 1 cg: RN cu: CCU v1: IV Push st: NotStopd id: Arterial BP Mean t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 35.8889 n1: 35.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 96.6 n1: 96.6 u1: Deg. F st: NotStopd id: calprevflg t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [10:00:00 10/03/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [11:00:00 10/03/2020] el: 1 ai: 304 cg: RN cu: CCU vo: 37.5 vu: ml id: Urine Out Foley t0: [11:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 160 vu: ml
id: Amiodarone t0: [10:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [11:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [12:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 10/03/2020] el: 2 cg: RN cu: CCU pv: 30 cv: 1026.25 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 10/03/2020] el: 2 cg: RN cu: CCU pv: 30 cv: 1026.25 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 10/03/2020] el: 2 cg: RN cu: CCU pv: 280 cv: 280 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 10/03/2020] el: 2 cg: RN cu: CCU pv: 280 cv: 2100 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 10/03/2020] el: 2 cg: RN cu: CCU pv: -250 cv: -1073.75 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 10/03/2020] el: 2 cg: RN cu: CCU pv: -250 cv: 7837.3 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 10/03/2020] el: 2 cg: RN cu: CCU pv: -250 cv: -250 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 10/03/2020] el: 2 cg: RN cu: CCU pv: 280 cv: 2100 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [12:00:00 10/03/2020] el: 0 cg: CoWker cu: CCU v1: 207 n1: 207 rs: Manual st: NotStopd
pi: 4525503 hi: 10408 t0: [14:00:00 10/03/2020] tf: [19:00:00 10/03/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 150 mEq Sodium Bicarbonate/ 1000 ml D5W Continuous at 100 ml/hr for 500 ml ir: 100 it: C ss: N dt: 5 di: Hours xu: Enter on Label pi: 4525504 hi: 10408 t0: [14:00:00 10/03/2020] tf: [13:00:00 11/03/2020] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4525505 hi: 10408 t0: [10:00:00 10/03/2020] tf: [18:00:00 10/03/2020] mn: Amiodarone HCl pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Art.pH t0: [13:14:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Lactic Acid t0: [13:14:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial Base Excess t0: [13:14:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: -7 n1: -7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [13:14:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 14 n1: 14 rs: Final st: NotStopd id: Arterial PaCO2 t0: [13:14:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 20 n1: 20 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [13:14:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 87 n1: 87 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [13:14:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [13:14:00 10/03/2020] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [14:00:00 10/03/2020] el: 1 ai: 304 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Service Type t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [13:30:00 10/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [13:30:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: CVP t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [13:30:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [13:30:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [13:30:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:30:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [13:30:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [13:30:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:30:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: Off st: NotStopd id: Arterial BP t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 158 n1: 158 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP t0: [13:30:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [13:30:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Position t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [13:30:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:30:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:30:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:30:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:30:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:30:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:30:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [13:30:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: calprevflg t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:30:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [13:30:00 10/03/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 0 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [13:30:00 10/03/2020] el: 1 ai: 304 cg: RN cu: CCU vo: 31.25 vu: ml id: Urine Out Foley t0: [14:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 150 vu: ml
id: Amiodarone t0: [13:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [13:30:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [14:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Sodium Bicarbonate io: D5W el: 100 cg: RN cu: CCU am: 150 du: mEq rt: Intravenous Push
io: D5W el: 1 cg: RN cu: CCU ra: 100 ru: ml/hr
id: Service Type t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 149 n1: 149 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:30:00 10/03/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1
id: .9% Normal Saline 1000.0ml t0: [15:00:00 10/03/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [15:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: D5W t0: [15:00:00 10/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 0 vu: ml nb: 1
id: Service Type t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Diet Type t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Eye Opening t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GCS Total t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: HOB t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: LLL Lung Sounds t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LLL Lung Sounds t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Level of Conscious t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Motor Response t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Oral Cavity t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Orientation t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 157 n1: 157 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RLL Lung Sounds t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: Urine Source t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 Incomp sounds st: NotStopd id: Verbal Response t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 10/03/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W t0: [17:00:00 10/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 200 vu: ml id: Urine Out Foley t0: [16:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 160 vu: ml id: Urine Out Foley t0: [17:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 240 vu: ml
id: Fingerstick Glucose t0: [17:00:00 10/03/2020] el: 0 cg: CoWker cu: CCU v1: 249 n1: 249 rs: Manual st: NotStopd
id: BSA t0: [18:24:00 10/03/2020] el: 1033 cg: -1 cu: CCU id: Admit Wt t0: [18:24:00 10/03/2020] el: 1032 cg: -1 cu: CCU v1: 70 n1: 70 u1: kg id: Allergy 1 t0: [18:24:00 10/03/2020] el: 1020 cg: -1 cu: CCU v1: No Known Drug Allergies id: Diagnosis/op t0: [18:24:00 10/03/2020] el: 1023 cg: -1 cu: CCU v1: SEPSIS id: Service t0: [18:24:00 10/03/2020] el: 1026 cg: -1 cu: CCU v1: MED id: Admit Ht t0: [18:24:00 10/03/2020] el: 1034 cg: -1 cu: CCU id: Readmission t0: [18:24:00 10/03/2020] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [18:24:00 10/03/2020] el: 1006 cg: -1 cu: CCU v1: S id: Religion t0: [18:24:00 10/03/2020] el: 1000 cg: -1 cu: CCU v1: RCA id: Allergy 2 t0: [18:24:00 10/03/2020] el: 1021 cg: -1 cu: CCU id: Ext t0: [18:24:00 10/03/2020] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [18:24:00 10/03/2020] el: 1022 cg: -1 cu: CCU
id: Pain Present t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Present t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [15:30:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: PainLevel Acceptable t0: [15:30:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: FiO2 Set t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: FiO2 Set t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Heart Rate t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Pre-Sep Catheter v2: Right Subclavian st: NotStopd id: IV #1 Insert Date t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: O2 Delivery Device t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Arterial BP t0: [15:30:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 153 n1: 153 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 158 n1: 158 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 172 n1: 172 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Pain Cause t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Situational st: NotStopd id: Pain Management t0: [15:00:00 10/03/2020] el: 1 cg: RN cu: CCU v1: IV Push st: NotStopd id: Arterial BP Mean t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:30:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: calprevflg t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 10/03/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W t0: [18:00:00 10/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [18:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 190 vu: ml
pi: 4526751 hi: 10408 t0: [20:00:00 10/03/2020] tf: [19:00:00 11/03/2020] mn: Amiodarone HCl pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 166 n1: 166 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 10/03/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W t0: [19:00:00 10/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [19:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Service Type t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Pre-Sep Catheter v2: Right Subclavian st: NotStopd id: IV #1 Insert Date t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: O2 Delivery Device t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 162 n1: 162 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Position t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Skin Care t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: Therapeutic Bed t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Source t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Back Care t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 10/03/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Service Type t0: [21:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [21:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 159 n1: 159 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [21:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [23:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [23:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: GI Prophylaxis t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [23:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [23:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [23:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: HOB t0: [21:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [23:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [23:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1 Zero/Cal t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#1SiteAppear t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Pre-Sep Catheter v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2 Zero/Cal t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2SiteAppear t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#1 WaveformAppear t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [21:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [23:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [21:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Activity Tolerance t0: [23:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [21:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [23:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [21:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [23:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [23:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 142 n1: 142 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Position t0: [21:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [23:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [21:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [23:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [23:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#2 Dsg Change t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [23:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [23:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: SpO2 t0: [23:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Stool Guaiac t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: INV#1 Tubing Change t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [22:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: Therapeutic Bed t0: [21:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [23:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Turn t0: [23:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Red v2: Sediment st: NotStopd id: Urine Source t0: [23:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [23:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 10/03/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: D5W t0: [20:00:00 10/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 100 vu: ml st: Stopped id: Urine Out Foley t0: [23:00:00 10/03/2020] el: 1 cg: RN cu: CCU vo: 280 vu: ml
id: Pain Present t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [21:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [21:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: PainLevel Acceptable t0: [21:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [01:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [01:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 10/03/2020] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [01:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Parameters Checked t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: HOB t0: [01:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Pre-Sep Catheter v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [01:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [01:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [01:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg u2: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [01:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [01:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 146 n1: 146 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 154 n1: 154 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Pain Cause t0: [21:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Situational st: NotStopd id: Arterial BP Mean t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Position t0: [01:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [01:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [01:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [01:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Guaiac t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: Temp. Site t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temp. Site t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 36.2778 n1: 36.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Temperature F t0: [20:00:00 10/03/2020] el: 0 cg: RN cu: CCU v1: 97.3 n1: 97.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [01:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Red v2: Sediment st: NotStopd id: Urine Source t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 11/03/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [01:00:00 11/03/2020] el: 1 cg: RN cu: CCU vo: 220 vu: ml
pi: 4527689 hi: 10408 t0: [03:00:00 11/03/2020] tf: [12:00:00 22/03/2020] mn: CeftriaXONE pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 3 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: mmHg st: NotStopd id: CVP t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV Line#1SiteAppear t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Pre-Sep Catheter v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#2SiteAppear t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Level of Conscious t0: [01:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Level of Conscious t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: O2 Delivery Device t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 155 n1: 155 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 149 n1: 149 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Position t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#2 Dsg Change t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Side Rails t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: SpO2 t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: INV#1 Tubing Change t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: Therapeutic Bed t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Source t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [02:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [00:00:00 11/03/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 11/03/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 1 vu: ml id: Urine Out Foley t0: [03:00:00 11/03/2020] el: 1 cg: RN cu: CCU vo: 20 vu: ml
id: D5W 100.0ml t0: [03:00:00 11/03/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml
id: Service Type t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 153 n1: 153 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 143 n1: 143 rs: Manual st: NotStopd
id: Service Type t0: [05:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [05:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [05:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [05:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [05:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [05:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Level of Conscious t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [05:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Oral Care t0: [05:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [05:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [05:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 163 n1: 163 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Position t0: [05:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [05:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [05:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [05:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: calprevflg t0: [05:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 11/03/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [05:00:00 11/03/2020] el: 1 cg: RN cu: CCU vo: 125 vu: ml
id: WBC (4-11,000) t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 14.4 n1: 14.4 rs: Final st: NotStopd id: WBC t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 14.4 n1: 14.4 rs: Final st: NotStopd id: Hematocrit t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 30.4 n1: 30.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 10.8 n1: 10.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 75 n1: 75 rs: Final st: NotStopd id: RBC t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 3.52 n1: 3.52 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 14.4 n1: 14.4 rs: Final st: NotStopd
id: PT t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 18.3 n1: 18.3 rs: Final st: NotStopd id: INR t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: PTT t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 27.2 n1: 27.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 18.3 n1: 18.3 rs: Final st: NotStopd id: PTT(22-35) t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 27.2 n1: 27.2 rs: Final st: NotStopd
id: BUN t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 45 n1: 45 rs: Final st: NotStopd id: Albumin t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Calcium t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 120 n1: 120 rs: Final st: NotStopd id: Creatinine t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 110 n1: 110 rs: Final st: NotStopd id: Magnesium t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 1.7 n1: 1.7 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: ALT t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Albumin (>3.2) t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Amylase t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd id: BUN (6-20) t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 45 n1: 45 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 22 n1: 22 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 120 n1: 120 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 110 n1: 110 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 1.7 n1: 1.7 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd
id: Pain Present t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Present t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [00:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Pain Assess Method t0: [03:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [06:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [06:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: GI Prophylaxis t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [06:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [06:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: Heart Rate t0: [06:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Pre-Sep Catheter v2: Right Subclavian st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [06:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: O2 Delivery Device t0: [06:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [06:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [06:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 151 n1: 151 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [06:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Guaiac t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: Urine Color/Appear t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Red v2: Sediment st: NotStopd id: Urine Source t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [06:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: CPK/MB t0: [05:03:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Bowel Sounds t0: [04:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 11/03/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [06:00:00 11/03/2020] el: 1 cg: RN cu: CCU vo: 80 vu: ml
pi: 4528067 hi: 10408 t0: [08:00:00 11/03/2020] tf: [07:00:00 12/03/2020] mn: Potassium Phosphate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4528099 hi: 10408 t0: [08:00:00 11/03/2020] tf: [07:00:00 12/03/2020] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4528100 hi: 10408 t0: [08:00:00 11/03/2020] tf: [07:00:00 12/03/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 250 ml D5W Bolus 250 ml Over 120 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Oral Care t0: [06:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Care t0: [06:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [06:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Back Care t0: [06:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Potassium Phosphate io: .9% Normal Saline 1000.0ml el: 200 cg: RN cu: CCU am: 15 du: mEq rt: Intravenous Push
io: .9% Normal Saline 1000.0ml el: 2 cg: RN cu: CCU ra: 83 ru: ml/hr io: D5W el: 2 cg: RN cu: CCU ra: 10 ru: ml/hr
id: D5W t0: [08:00:00 11/03/2020] el: 1 ai: 338 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Service Type t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: mmHg st: NotStopd id: CVP t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 0.9 n1: 0.9 u1: torr st: NotStopd id: GCS Total t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: Heart Rate t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: LLL Lung Sounds t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: O2 Delivery Device t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Arterial BP t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 164 n1: 164 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 169 n1: 169 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: Temp. Site t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: Urine Source t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 11/03/2020] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 11/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: D5W t0: [08:00:00 11/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [08:00:00 11/03/2020] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Service Type t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 172 n1: 172 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: FiO2 Set t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Heart Rate t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: O2 Delivery Device t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Arterial BP t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 168 n1: 168 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [08:00:00 11/03/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 11/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 166 vu: ml id: D5W t0: [10:00:00 11/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [10:00:00 11/03/2020] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: D5W 100.0ml t0: [10:00:00 11/03/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml
pi: 4528465 hi: 10408 t0: [11:00:00 11/03/2020] tf: [21:00:00 24/03/2020] mn: Lactulose pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q8H:PRN di: Ongoing xv: 36 xu: Hours pi: 4528466 hi: 10408 t0: [11:00:00 11/03/2020] tf: [21:00:00 24/03/2020] mn: Ipratropium Bromide Neb pt: Unit Dose st: Discontinued via patient discharge rt: IH fr: Q6H ds: 11, 17, 23, 5 dn: 4 di: Ongoing xv: 36 xu: Hours
id: Arterial BP t0: [11:00:00 11/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: Arterial BP Mean t0: [11:00:00 11/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd
id: Service Type t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Precautions t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 11/03/2020] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: GCS Total t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: Heart Rate t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: LLL Lung Sounds t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Lethargic st: NotStopd id: Motor Response t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: O2 Delivery Device t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Precautions t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Urine Source t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 11/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 166 vu: ml id: D5W t0: [12:00:00 11/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [12:00:00 11/03/2020] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: IV Infusion In Total t0: [23:00:00 11/03/2020] el: 2 cg: RN cu: CCU pv: 83 cv: 2216 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 11/03/2020] el: 2 cg: RN cu: CCU pv: 83 cv: 2216 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 11/03/2020] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 11/03/2020] el: 2 cg: RN cu: CCU cv: 1405 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 11/03/2020] el: 2 cg: RN cu: CCU pv: 83 cv: 811 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 11/03/2020] el: 2 cg: RN cu: CCU pv: 83 cv: 8648.3 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 11/03/2020] el: 2 cg: RN cu: CCU pv: 83 cv: 83 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 11/03/2020] el: 2 cg: RN cu: CCU cv: 1405 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [12:00:00 11/03/2020] el: 0 cg: CoWker cu: CCU v1: 232 n1: 232 rs: Manual st: NotStopd
id: Service Type t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: NBP t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 160 n1: 160 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temperature C (calc) t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: calprevflg t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Ectopy Frequency t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rhythm t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd
id: Service Type t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 157 n1: 157 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: CVP t0: [16:00:00 11/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd
id: Service Type t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 167 n1: 167 u1: mmHg v2: 91 n2: 91 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 151 n1: 151 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: BUN t0: [14:18:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 40 n1: 40 rs: Final st: NotStopd id: Creatinine t0: [14:18:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [14:18:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 170 n1: 170 rs: Final st: NotStopd id: Potassium t0: [14:18:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: BUN (6-20) t0: [14:18:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 40 n1: 40 rs: Final st: NotStopd id: Carbon Dioxide t0: [14:18:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 23 n1: 23 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [14:18:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [14:18:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 170 n1: 170 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [14:18:00 11/03/2020] el: 0 cg: 1663 cu: CCU v1: 3.4 n1: 3.4 rs: Final st: NotStopd
id: IV #1 Reason DC'D t0: [17:00:00 11/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1 D/C Date t0: [17:00:00 11/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1 Type/Site t0: [17:00:00 11/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1 Zero/Cal t0: [17:00:00 11/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1InsertDate t0: [17:00:00 11/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1SiteAppear t0: [17:00:00 11/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#1 WaveformAppear t0: [17:00:00 11/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 D/C Date t0: [17:00:00 11/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 Insert Date t0: [17:00:00 11/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 Site/Size t0: [17:00:00 11/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #1 t0: [17:00:00 11/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#1 Dsg Change t0: [17:00:00 11/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#1 Tubing Change t0: [17:00:00 11/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4529974 hi: 10408 t0: [18:00:00 11/03/2020] tf: [23:00:00 11/03/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml D5W Continuous at 100 ml/hr for 500 ml ir: 100 it: C ss: N dt: 5 di: Hours xu: Enter on Label
id: Fingerstick Glucose t0: [17:00:00 11/03/2020] el: 0 cg: CoWker cu: CCU v1: 192 n1: 192 rs: Manual st: NotStopd
id: Pain Present t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: FiO2 Set t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: FiO2 Set t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: GCS Total t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: Heart Rate t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Lethargic st: NotStopd id: Motor Response t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 168 n1: 168 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 164 n1: 164 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Precautions t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: Temp. Site t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: Urine Source t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [16:00:00 11/03/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 11/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 166 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 11/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 166 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 11/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 166 vu: ml id: D5W t0: [14:00:00 11/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W t0: [16:00:00 11/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W t0: [18:00:00 11/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [14:00:00 11/03/2020] el: 1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [16:00:00 11/03/2020] el: 1 cg: RN cu: CCU vo: 130 vu: ml id: Urine Out Foley t0: [18:00:00 11/03/2020] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: INV Line#2 Type/Site t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2SiteAppear t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#2 Dsg Change t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: INV#2 Cap Change t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 11/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 83 vu: ml id: D5W t0: [19:00:00 11/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 100 vu: ml
id: BSA t0: [19:10:00 11/03/2020] el: 1033 cg: -1 cu: CCU id: Admit Wt t0: [19:10:00 11/03/2020] el: 1032 cg: -1 cu: CCU v1: 70 n1: 70 u1: kg id: Allergy 1 t0: [19:10:00 11/03/2020] el: 1020 cg: -1 cu: CCU v1: No Known Drug Allergies id: Diagnosis/op t0: [19:10:00 11/03/2020] el: 1023 cg: -1 cu: CCU v1: SEPSIS id: Service t0: [19:10:00 11/03/2020] el: 1026 cg: -1 cu: CCU v1: MED id: Admit Ht t0: [19:10:00 11/03/2020] el: 1034 cg: -1 cu: CCU id: Readmission t0: [19:10:00 11/03/2020] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [19:10:00 11/03/2020] el: 1006 cg: -1 cu: CCU v1: S id: Religion t0: [19:10:00 11/03/2020] el: 1000 cg: -1 cu: CCU v1: RCA id: Allergy 2 t0: [19:10:00 11/03/2020] el: 1021 cg: -1 cu: CCU id: Ext t0: [19:10:00 11/03/2020] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [19:10:00 11/03/2020] el: 1022 cg: -1 cu: CCU
id: Sputum Color/Consist t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Color/Consist t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Color/Consist t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Sputum Source/Amt t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd
id: Pain Present t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: HOB t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Lethargic st: NotStopd id: Motor Response t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 157 n1: 157 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: Skin Care t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Red v2: Sediment st: NotStopd id: Urine Source t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 Incomp sounds st: NotStopd id: Back Care t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 11/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 83 vu: ml id: D5W t0: [20:00:00 11/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 100 vu: ml
id: Service Type t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 153 n1: 153 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: Precautions t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 11/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 83 vu: ml id: D5W t0: [21:00:00 11/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [21:00:00 11/03/2020] el: 1 cg: RN cu: CCU vo: 220 vu: ml
id: Fingerstick Glucose t0: [22:00:00 11/03/2020] el: 0 cg: CoWker cu: CCU v1: 250 n1: 250 rs: Manual st: NotStopd
id: Pain Present t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: bath t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: done id: Pain Assess Method t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: FiO2 Set t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: HOB t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2SiteAppear t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: NBP t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 175 n1: 175 u1: mmHg v2: 101 n2: 101 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Side Rails t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Care t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Support Systems t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: INV#2 Cap Change t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Back Care t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 11/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 83 vu: ml id: D5W t0: [22:00:00 11/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [22:00:00 11/03/2020] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Service Type t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: GCS Total t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: HOB t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#2 Type/Site t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2SiteAppear t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: EKG st: NotStopd id: RLL Lung Sounds t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: INV#2 Cap Change t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Red v2: Sediment st: NotStopd id: Urine Source t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 100.0ml t0: [00:00:00 12/03/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 250 vu: ml id: D5W t0: [00:00:00 12/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 200 vu: ml
id: Service Type t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#2 Type/Site t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2SiteAppear t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Level of Conscious t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: NBP t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: INV#2 Cap Change t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: calprevflg t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4531165 hi: 10408 t0: [03:00:00 12/03/2020] tf: [02:00:00 13/03/2020] mn: Potassium Phosphate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 3 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: Chloride t0: [01:16:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 119 n1: 119 rs: Final st: NotStopd id: Chloride (100-112) t0: [01:16:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 119 n1: 119 rs: Final st: NotStopd
id: BUN t0: [01:16:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Calcium t0: [01:16:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 u1: mg/dl rs: Final st: NotStopd id: Creatinine t0: [01:16:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [01:16:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 223 n1: 223 rs: Final st: NotStopd id: Magnesium t0: [01:16:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: Phosphorous t0: [01:16:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 u1: mEq/L rs: Final st: NotStopd id: BUN (6-20) t0: [01:16:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [01:16:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [01:16:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 22 n1: 22 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [01:16:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [01:16:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 223 n1: 223 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [01:16:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [01:16:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 u1: mEq/L rs: Final st: NotStopd
id: Service Type t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Type t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: FiO2 Set t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: HOB t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: INV Line#2 Type/Site t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2SiteAppear t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: NBP t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Skin Care t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Care t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: INV#2 Cap Change t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Back Care t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [01:00:00 12/03/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 100.0ml t0: [03:00:00 12/03/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W t0: [02:00:00 12/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 200 vu: ml id: Urine Out Foley t0: [02:30:00 12/03/2020] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Service Type t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: GI Prophylaxis t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: FiO2 Set t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: GCS Total t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: HOB t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Abdominal Assessment t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Level of Conscious t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Motor Response t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 151 n1: 151 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Side Rails t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Care t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Support Systems t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: Therapeutic Bed t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Red v2: Sediment st: NotStopd id: Urine Source t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 Incomp sounds st: NotStopd id: Back Care t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 270 n1: 270 rs: Manual st: NotStopd id: Bowel Sounds t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Service Type t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: FiO2 Set t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Heart Rate t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: O2 Delivery Device t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Precautions t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W t0: [05:00:00 12/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 300 vu: ml id: Urine Out Foley t0: [05:00:00 12/03/2020] el: 1 cg: RN cu: CCU vo: 100 vu: ml
pi: 4531383 hi: 10408 t0: [06:00:00 12/03/2020] tf: [05:00:00 13/03/2020] mn: Amiodarone HCl pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4531389 hi: 10408 t0: [06:00:00 12/03/2020] tf: [06:00:00 13/03/2020] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: PRN ss: Y dt: 1 di: Doses xv: 36 xu: Hours pi: 4531390 hi: 10408 t0: [06:00:00 12/03/2020] tf: [06:00:00 13/03/2020] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: PRN ss: Y dt: 1 di: Doses xv: 36 xu: Hours pi: 4531391 hi: 10408 t0: [06:00:00 12/03/2020] tf: [06:00:00 13/03/2020] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: PRN ss: Y dt: 1 di: Doses xv: 36 xu: Hours
id: WBC (4-11,000) t0: [04:37:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 11.2 n1: 11.2 rs: Final st: NotStopd id: WBC t0: [04:37:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 11.2 n1: 11.2 rs: Final st: NotStopd id: Hematocrit t0: [04:37:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:37:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 10.3 n1: 10.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:37:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 94 n1: 94 rs: Final st: NotStopd id: RBC t0: [04:37:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 3.43 n1: 3.43 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:37:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 11.2 n1: 11.2 rs: Final st: NotStopd
id: PT t0: [04:37:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 22.1 n1: 22.1 rs: Final st: NotStopd id: INR t0: [04:37:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:37:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:37:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 22.1 n1: 22.1 rs: Final st: NotStopd
id: BUN t0: [04:37:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 rs: Final st: NotStopd id: Calcium t0: [04:37:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.4 n1: 7.4 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:37:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 115 n1: 115 rs: Final st: NotStopd id: Creatinine t0: [04:37:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [04:37:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 237 n1: 237 rs: Final st: NotStopd id: Magnesium t0: [04:37:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: PTT t0: [04:37:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 29.2 n1: 29.2 rs: Final st: NotStopd id: Phosphorous t0: [04:37:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:37:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Sodium t0: [04:37:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 146 n1: 146 rs: Final st: NotStopd id: BUN (6-20) t0: [04:37:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:37:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.4 n1: 7.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:37:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 22 n1: 22 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:37:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 115 n1: 115 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:37:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:37:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 237 n1: 237 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:37:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: PTT(22-35) t0: [04:37:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 29.2 n1: 29.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:37:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:37:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:37:00 12/03/2020] el: 0 cg: 1663 cu: CCU v1: 146 n1: 146 rs: Final st: NotStopd
pi: 4531521 hi: 10408 t0: [08:00:00 12/03/2020] tf: [06:00:00 13/03/2020] mn: Magnesium Sulfate pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Atrial Fib st: NotStopd id: NBP t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: NBP t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 151 n1: 151 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 135 n2: 135 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 12/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 83 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 12/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 83 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 12/03/2020] el: 2 ai: 107 cg: RN cu: CCU vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 12/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 166 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 12/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 83 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 12/03/2020] el: 2 ai: 107 cg: RN cu: CCU vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 12/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 166 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 11/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 83 vu: ml id: D5W t0: [06:00:00 12/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 100 vu: ml id: D5W t0: [07:00:00 12/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 200 vu: ml st: Stopped id: Urine Out Foley t0: [07:00:00 12/03/2020] el: 1 cg: RN cu: CCU vo: 125 vu: ml
id: ABP Alarm (Lo/Hi) t0: [09:00:00 12/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: CVP Alarm (Lo/Hi) t0: [09:00:00 12/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd
id: Service Type t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: NBP t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 147 n1: 147 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: INV#2 Cap Change t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: calprevflg t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [08:00:00 12/03/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 100.0ml t0: [09:00:00 12/03/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 12/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 166 vu: ml id: Urine Out Foley t0: [08:00:00 12/03/2020] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [09:30:00 12/03/2020] el: 1 cg: RN cu: CCU vo: 45 vu: ml
io: D5W el: 3 cg: RN cu: CCU ra: 10 ru: ml/hr
id: .9% Normal Saline 1000.0ml t0: [10:00:00 12/03/2020] el: 2 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Riker-SAS Scale t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Type t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Eye Opening t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: FiO2 Set t0: [08:40:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: FiO2 Set t0: [08:45:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: FiO2 Set t0: [08:50:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: FiO2 Set t0: [08:55:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: FiO2 Set t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: GCS Total t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: HOB t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: LUL Lung Sounds t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 155 n1: 155 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device t0: [08:40:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device t0: [08:45:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device t0: [08:50:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device t0: [08:55:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device#2 t0: [08:50:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device#2 t0: [08:55:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device#2 t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device#2 t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [08:40:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [08:45:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [08:50:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [08:55:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [08:50:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [08:55:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: Oral Care t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Assistance Device t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: RLL Lung Sounds t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: RUL Lung Sounds t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Care t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [08:40:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: % st: NotStopd id: SpO2 t0: [08:45:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: % st: NotStopd id: SpO2 t0: [08:50:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [08:55:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Source/Amt t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Nasotracheal Sxn v2: Small st: NotStopd id: Therapeutic Bed t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Turn t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Amber v2: Sediment st: NotStopd id: Urine Source t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 Incomp sounds st: NotStopd id: Back Care t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 12/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 83 vu: ml id: D5W t0: [10:00:00 12/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W t0: [10:00:00 12/03/2020] el: 3 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 12/03/2020] el: 1 cg: RN cu: CCU vo: 35 vu: ml
id: Ectopy Type t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 138 n1: 138 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Respiratory Rate t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Temp. Site t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: calprevflg t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Ectopy Type t0: [11:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [11:30:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: NBP t0: [11:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 157 n1: 157 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: O2 Delivery Device#2 t0: [11:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) #2 t0: [11:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: Oral Care t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [11:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [11:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W t0: [11:00:00 12/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W t0: [11:00:00 12/03/2020] el: 3 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [11:30:00 12/03/2020] el: 1 cg: RN cu: CCU vo: 160 vu: ml
id: IV Infusion In Total t0: [23:00:00 12/03/2020] el: 2 cg: RN cu: CCU pv: 20 cv: 3260 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 12/03/2020] el: 2 cg: RN cu: CCU pv: 20 cv: 3260 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 12/03/2020] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 12/03/2020] el: 2 cg: RN cu: CCU cv: 1325 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 12/03/2020] el: 2 cg: RN cu: CCU pv: 20 cv: 1935 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 12/03/2020] el: 2 cg: RN cu: CCU pv: 20 cv: 10583.3 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 12/03/2020] el: 2 cg: RN cu: CCU pv: 20 cv: 20 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 12/03/2020] el: 2 cg: RN cu: CCU cv: 1325 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [12:00:00 12/03/2020] el: 0 cg: CoWker cu: CCU v1: 129 n1: 129 rs: Manual st: NotStopd
id: Pain Present t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [13:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [13:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Type t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [13:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [13:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: LUL Lung Sounds t0: [13:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [13:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: NBP t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 149 n1: 149 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: O2 Delivery Device#2 t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) #2 t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: Oral Cavity t0: [13:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Precautions t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [13:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: RUL Lung Sounds t0: [13:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [13:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: INV#2 Cap Change t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: Urine Color/Appear t0: [13:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Amber v2: Sediment st: NotStopd id: Urine Source t0: [13:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [13:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W t0: [12:00:00 12/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W t0: [12:00:00 12/03/2020] el: 3 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: D5W t0: [13:00:00 12/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W t0: [13:00:00 12/03/2020] el: 3 ai: 168 cg: RN cu: CCU vo: 10 vu: ml
id: Ectopy Type t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 148 n1: 148 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Respiratory Rate t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W t0: [14:00:00 12/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W t0: [14:00:00 12/03/2020] el: 3 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [14:00:00 12/03/2020] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: HOB t0: [15:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Activity t0: [14:30:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Oral Care t0: [15:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Care t0: [15:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Turn t0: [15:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd
pi: 4532865 hi: 10408 t0: [16:00:00 12/03/2020] tf: [15:00:00 12/03/2020] mn: Amiodarone HCl pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4532866 hi: 10408 t0: [16:00:00 12/03/2020] tf: [06:00:00 13/03/2020] pt: IV Large Volume st: Discontinued rt: IV fr: ONCE ds: 16 iv: Amino Acid 4.25% with Electrolytes in 5% Dextrose 1000 ml dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4532870 hi: 10408 t0: [10:00:00 12/03/2020] tf: [14:00:00 13/03/2020] mn: Amiodarone HCl pt: Unit Dose st: Discontinued rt: IV fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: GI Prophylaxis t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Eye Opening t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: LUL Lung Sounds t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: RLL Lung Sounds t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: RUL Lung Sounds t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Side Rails t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: INV#2 Cap Change t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: Urine Color/Appear t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Amber v2: Sediment st: NotStopd id: Urine Source t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 Incomp sounds st: NotStopd id: Bowel Sounds t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 100.0ml t0: [16:00:00 12/03/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: D5W t0: [15:00:00 12/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W t0: [15:00:00 12/03/2020] el: 3 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: D5W t0: [16:00:00 12/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W t0: [16:00:00 12/03/2020] el: 3 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 12/03/2020] el: 1 cg: RN cu: CCU vo: 90 vu: ml
pi: 4533173 hi: 10408 t0: [17:00:00 12/03/2020] tf: [16:00:00 13/03/2020] pt: IV Large Volume st: Expired rt: IV fr: ONCE ds: 17 iv: Amino Acid 4.25% with Electrolytes in 5% Dextrose 1000 ml dn: 1 dt: 1 di: Doses xu: Enter on Label
id: BSA t0: [16:26:00 12/03/2020] el: 1033 cg: -1 cu: CCU id: Admit Wt t0: [16:26:00 12/03/2020] el: 1032 cg: -1 cu: CCU v1: 70 n1: 70 u1: kg id: Allergy 1 t0: [16:26:00 12/03/2020] el: 1020 cg: -1 cu: CCU v1: No Known Drug Allergies id: Diagnosis/op t0: [16:26:00 12/03/2020] el: 1023 cg: -1 cu: CCU v1: SEPSIS id: Service t0: [16:26:00 12/03/2020] el: 1026 cg: -1 cu: CCU v1: MED id: Admit Ht t0: [16:26:00 12/03/2020] el: 1034 cg: -1 cu: CCU id: Readmission t0: [16:26:00 12/03/2020] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [16:26:00 12/03/2020] el: 1006 cg: -1 cu: CCU v1: S id: Religion t0: [16:26:00 12/03/2020] el: 1000 cg: -1 cu: CCU v1: RCA id: Allergy 2 t0: [16:26:00 12/03/2020] el: 1021 cg: -1 cu: CCU id: Ext t0: [16:26:00 12/03/2020] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [16:26:00 12/03/2020] el: 1022 cg: -1 cu: CCU
id: Temp. Site t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd
id: Precautions t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd
pi: 4533612 hi: 10408 t0: [18:00:00 12/03/2020] tf: [06:00:00 13/03/2020] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4533625 hi: 10408 t0: [18:00:00 12/03/2020] tf: [06:00:00 13/03/2020] mn: Influenza Virus Vaccine pt: Unit Dose st: Discontinued rt: IM fr: ASDIR di: Ongoing xv: 36 xu: Hours
pi: 4533692 hi: 10408 t0: [19:00:00 12/03/2020] tf: [06:00:00 13/03/2020] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: Ectopy Type t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: HOB t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Respiratory Rate t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Turn t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: calprevflg t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [18:00:00 12/03/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5W t0: [17:00:00 12/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W t0: [17:00:00 12/03/2020] el: 3 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: D5W t0: [18:00:00 12/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W t0: [18:00:00 12/03/2020] el: 3 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: D5W t0: [19:00:00 12/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W t0: [19:00:00 12/03/2020] el: 3 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 12/03/2020] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: D5W 100.0ml t0: [19:00:00 12/03/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml
id: Pain Present t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 12/03/2020] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Learner t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Health Care Proxy t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Opening t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: Heart Rate t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2SiteAppear t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: LUL Lung Sounds t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 157 n1: 157 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: O2 Delivery Device#2 t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) #2 t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pain Location t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Precautions t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: RUL Lung Sounds t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: INV#2 Cap Change t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Amber v2: Sediment st: NotStopd id: Urine Source t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Bowel Sounds t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [20:00:00 12/03/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5W t0: [20:00:00 12/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W t0: [20:00:00 12/03/2020] el: 3 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [20:00:00 12/03/2020] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Service Type t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right Subclavian st: NotStopd id: INV Line#2SiteAppear t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: NBP t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 143 n1: 143 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Oral Care t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Skin Care t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: INV#2 Cap Change t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: INV#2 Tubing Change t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Back Care t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [21:00:00 12/03/2020] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5W t0: [21:00:00 12/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W t0: [21:00:00 12/03/2020] el: 3 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: D5W t0: [22:00:00 12/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W t0: [22:00:00 12/03/2020] el: 3 ai: 168 cg: RN cu: CCU vo: 10 vu: ml
io: TPN 1000.0ml el: 1 cg: RN cu: CCU ra: 42 ru: ml/hr
id: Service Type t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 137 n1: 137 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W t0: [23:00:00 12/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W t0: [23:00:00 12/03/2020] el: 3 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [23:00:00 12/03/2020] el: 1 ai: 210 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [22:00:00 12/03/2020] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: IV Nutrition Total t0: [23:00:00 12/03/2020] el: 2 cg: RN cu: CCU pv: 0 cv: 0 ac: 24 ap: none re: 0
id: Pain Present t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Riker-SAS Scale t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [23:00:00 12/03/2020] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Diet Type t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Education Topic #1 t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: HOB t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: LUL Lung Sounds t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: O2 Delivery Device#2 t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) #2 t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: lpm st: NotStopd id: Oral Care t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pain Location t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: RLL Lung Sounds t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Side Rails t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Care t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Support Systems t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Friend st: NotStopd id: Therapeutic Bed t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Amber v2: Sediment st: NotStopd id: Urine Source t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: 2 Incomp sounds st: NotStopd id: Back Care t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Behavior t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd
id: D5W t0: [00:00:00 13/03/2020] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W t0: [00:00:00 13/03/2020] el: 3 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: TPN 1000.0ml t0: [00:00:00 13/03/2020] el: 1 ai: 210 cg: RN cu: CCU vo: 42 vu: ml id: Stool Out Stool t0: [00:00:00 13/03/2020] el: 1 cg: RN cu: CCU vu: ml es: Medium id: Urine Out Foley t0: [00:00:00 13/03/2020] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: IV Infusion In Total t0: [23:00:00 13/03/2020] el: 2 cg: RN cu: -1 cv: 20 ac: 24 ap: none re: 0 id: IV Nutrition Total t0: [23:00:00 13/03/2020] el: 2 cg: RN cu: -1 cv: 42 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 13/03/2020] el: 2 cg: RN cu: -1 cv: 62 ac: 24 ap: none re: 0 id: Stool Out Total t0: [23:00:00 13/03/2020] el: 2 cg: RN cu: -1 cv: 0 ac: 24 ap: carryForward re: 0 id: Total Hourly Output t0: [23:00:00 13/03/2020] el: 2 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 13/03/2020] el: 2 cg: RN cu: -1 cv: 60 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 13/03/2020] el: 2 cg: RN cu: -1 cv: 2 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 13/03/2020] el: 2 cg: RN cu: -1 cv: 10585.3 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 13/03/2020] el: 2 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 13/03/2020] el: 2 cg: RN cu: -1 cv: 60 ac: 24 ap: carryForward re: 0
ci: 38750 t0: [11:15:00 09/03/2020] cu: CCU de: Regular ward dt: 8025
pi: 4534685 hi: 10408 t0: [08:00:00 13/03/2020] tf: [21:00:00 24/03/2020] mn: Docusate Sodium (Liquid) pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4535029 hi: 10408 t0: [07:00:00 13/03/2020] tf: [21:00:00 24/03/2020] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
pi: 4535602 hi: 10408 t0: [10:00:00 13/03/2020] tf: [21:00:00 16/03/2020] mn: Aspirin pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4535603 hi: 10408 t0: [11:00:00 13/03/2020] tf: [12:00:00 14/03/2020] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q6H ds: 11, 17, 23, 5 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 4535604 hi: 10408 t0: [10:00:00 13/03/2020] tf: [21:00:00 24/03/2020] mn: Atorvastatin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4535605 hi: 10408 t0: [10:00:00 13/03/2020] tf: [21:00:00 24/03/2020] mn: Lisinopril pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4538131 hi: 10408 t0: [01:00:00 14/03/2020] tf: [00:00:00 15/03/2020] pt: IV Large Volume st: Expired rt: IV fr: ONCE ds: 1 iv: Amino Acid 4.25% with Electrolytes in 5% Dextrose 1000 ml dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4538173 hi: 10408 t0: [01:00:00 14/03/2020] tf: [21:00:00 24/03/2020] mn: Heparin Flush CVL (100 units/ml) pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
pi: 4539290 hi: 10408 t0: [12:00:00 14/03/2020] pt: TPN st: Expired
pi: 4539476 hi: 10408 t0: [17:00:00 14/03/2020] tf: [13:00:00 17/03/2020] mn: Metoprolol pt: Unit Dose st: Discontinued rt: IV fr: Q6H ds: 11, 17, 23, 5 dn: 4 di: Ongoing xv: 36 xu: Hours
pi: 4539652 hi: 10408 t0: [15:00:00 14/03/2020] tf: [14:00:00 15/03/2020] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4539653 hi: 10408 t0: [15:00:00 14/03/2020] tf: [14:00:00 15/03/2020] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4539888 hi: 10408 t0: [20:00:00 14/03/2020] tf: [16:00:00 19/03/2020] mn: MetRONIDAZOLE (FLagyl) pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
pi: 4540684 hi: 10408 t0: [00:00:00 15/03/2020] tf: [23:00:00 15/03/2020] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 0 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4540685 hi: 10408 t0: [00:00:00 15/03/2020] tf: [23:00:00 15/03/2020] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 0 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4541499 hi: 10408 t0: [10:00:00 15/03/2020] pt: TPN st: Expired pi: 4541540 hi: 10408 t0: [10:00:00 15/03/2020] tf: [15:00:00 15/03/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml D5W Continuous at 100 ml/hr for 500 ml ir: 100 it: C ss: N dt: 5 di: Hours xu: Enter on Label
pi: 4542275 hi: 10408 t0: [10:00:00 15/03/2020] tf: [21:00:00 24/03/2020] mn: Furosemide pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4543001 hi: 10408 t0: [20:00:00 15/03/2020] tf: [19:00:00 16/03/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml D5W Bolus 500 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 4543002 hi: 10408 t0: [20:00:00 15/03/2020] tf: [19:00:00 16/03/2020] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4543003 hi: 10408 t0: [20:00:00 15/03/2020] tf: [19:00:00 16/03/2020] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4544226 hi: 10408 t0: [11:00:00 16/03/2020] tf: [10:00:00 17/03/2020] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4544227 hi: 10408 t0: [11:00:00 16/03/2020] tf: [10:00:00 17/03/2020] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4544528 hi: 10408 t0: [13:00:00 16/03/2020] pt: TPN st: Expired
pi: 4545591 hi: 10408 t0: [10:00:00 16/03/2020] tf: [21:00:00 24/03/2020] mn: Aspirin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4546635 hi: 10408 t0: [10:00:00 17/03/2020] tf: [09:00:00 18/03/2020] mn: Calcium Gluconate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4547297 hi: 10408 t0: [12:00:00 17/03/2020] pt: TPN st: Expired
pi: 4547519 hi: 10408 t0: [14:00:00 17/03/2020] tf: [14:00:00 18/03/2020] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
pi: 4551197 hi: 10408 t0: [14:00:00 18/03/2020] pt: TPN st: Expired
pi: 4551361 hi: 10408 t0: [20:00:00 18/03/2020] tf: [21:00:00 24/03/2020] mn: Metoprolol pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4551362 hi: 10408 t0: [15:00:00 18/03/2020] tf: [21:00:00 23/03/2020] mn: Pantoprazole pt: Unit Dose st: Discontinued rt: PO fr: Q24H ds: 15 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4551363 hi: 10408 t0: [15:00:00 18/03/2020] tf: [08:00:00 23/03/2020] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours
pi: 4554969 hi: 10408 t0: [14:00:00 19/03/2020] tf: [13:00:00 20/03/2020] mn: Insulin pt: Unit Dose st: Expired rt: SC fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4555141 hi: 10408 t0: [12:00:00 19/03/2020] pt: TPN st: Expired
pi: 4556299 hi: 10408 t0: [19:00:00 19/03/2020] tf: [18:00:00 20/03/2020] mn: Insulin pt: Unit Dose st: Expired rt: SC fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4556869 hi: 10408 t0: [23:00:00 19/03/2020] tf: [22:00:00 20/03/2020] mn: Insulin pt: Unit Dose st: Expired rt: SC fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4558428 hi: 10408 t0: [13:00:00 20/03/2020] pt: TPN st: Expired
pi: 4559078 hi: 10408 t0: [17:00:00 20/03/2020] tf: [21:00:00 24/03/2020] mn: Heparin Flush PICC (100 units/ml) pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
pi: 4564747 hi: 10408 t0: [19:00:00 22/03/2020] tf: [18:00:00 23/03/2020] mn: Insulin pt: Unit Dose st: Expired rt: SC fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4565919 hi: 10408 t0: [09:00:00 23/03/2020] tf: [14:00:00 23/03/2020] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4565920 hi: 10408 t0: [09:00:00 23/03/2020] tf: [08:00:00 24/03/2020] mn: Magnesium Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4565922 hi: 10408 t0: [09:00:00 23/03/2020] tf: [21:00:00 24/03/2020] mn: Insulin pt: Unit Dose st: Discontinued via patient discharge rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours
pi: 4566359 hi: 10408 t0: [12:00:00 23/03/2020] tf: [11:00:00 24/03/2020] mn: Fluconazole pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4566510 hi: 10408 t0: [20:00:00 23/03/2020] tf: [21:00:00 24/03/2020] mn: GlyBURIDE pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4566511 hi: 10408 t0: [20:00:00 23/03/2020] tf: [21:00:00 24/03/2020] mn: MetFORMIN (Glucophage) pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4567261 hi: 10408 t0: [15:00:00 23/03/2020] tf: [14:00:00 24/03/2020] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xu: Enter on Label
pi: 4568619 hi: 10408 t0: [22:00:00 23/03/2020] tf: [11:00:00 24/03/2020] mn: Pantoprazole pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 22 dn: 1 di: Ongoing xu: Enter on Label
pi: 4569682 hi: 10408 t0: [09:00:00 24/03/2020] tf: [21:00:00 24/03/2020] mn: Magnesium Sulfate pt: IV Piggyback st: Discontinued via patient discharge rt: IV fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xu: Enter on Label
pi: 4764243 hi: 11194 t0: [16:00:00 22/05/2020] tf: [07:00:00 27/05/2020] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4764244 hi: 11194 t0: [16:00:00 22/05/2020] tf: [13:00:00 23/05/2020] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 20 mEq Potassium Chloride / 1000 mL D5 1/2 NS Continuous at 80 ml/hr ir: 80 it: C ss: N di: Ongoing xu: Enter on Label pi: 4764245 hi: 11194 t0: [16:00:00 22/05/2020] tf: [19:00:00 25/05/2020] mn: CeftazIDIME pt: IV Piggyback st: Discontinued rt: IV fr: Q12H ds: 16, 4 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4764246 hi: 11194 t0: [20:00:00 22/05/2020] tf: [21:00:00 22/05/2020] mn: Docusate Sodium pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4764247 hi: 11194 t0: [10:00:00 22/05/2020] tf: [19:00:00 25/05/2020] mn: Furosemide pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4764248 hi: 11194 t0: [20:00:00 22/05/2020] tf: [19:00:00 25/05/2020] mn: GlyBURIDE pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4764249 hi: 11194 t0: [10:00:00 22/05/2020] tf: [17:00:00 04/06/2020] mn: Atorvastatin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4764250 hi: 11194 t0: [10:00:00 22/05/2020] tf: [19:00:00 25/05/2020] mn: Metoprolol XL (Toprol XL) pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4764255 hi: 11194 t0: [10:00:00 22/05/2020] tf: [17:00:00 04/06/2020] mn: Calcitonin Salmon pt: Unit Dose st: Discontinued via patient discharge rt: IN fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4764256 hi: 11194 t0: [22:00:00 22/05/2020] tf: [17:00:00 04/06/2020] mn: Latanoprost 0.005% Ophth. Soln. pt: Unit Dose st: Discontinued via patient discharge rt: BOTH EYES fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4764257 hi: 11194 t0: [16:00:00 22/05/2020] tf: [17:00:00 04/06/2020] mn: Acetaminophen pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4764258 hi: 11194 t0: [16:00:00 22/05/2020] tf: [19:00:00 25/05/2020] mn: Milk of Magnesia pt: Unit Dose st: Discontinued rt: PO fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4764259 hi: 11194 t0: [16:00:00 22/05/2020] tf: [19:00:00 25/05/2020] mn: DiphenhydrAMINE pt: Unit Dose st: Discontinued rt: PO fr: HS:PRN di: Ongoing xv: 36 xu: Hours pi: 4764320 hi: 11194 t0: [20:00:00 22/05/2020] tf: [19:00:00 25/05/2020] mn: MetFORMIN (Glucophage) pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4765458 hi: 11194 t0: [20:00:00 22/05/2020] tf: [17:00:00 04/06/2020] mn: Docusate Sodium pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4766967 hi: 11194 t0: [14:00:00 23/05/2020] tf: [10:00:00 24/05/2020] pt: IV Large Volume st: Inactive (Due to a change order) rt: IV fr: ASDIR iv: 1000 ml 1/2NS Continuous at 60 ml/hr ir: 60 it: C ss: N di: Ongoing xu: Enter on Label pi: 4766978 hi: 11194 t0: [14:00:00 23/05/2020] tf: [10:00:00 24/05/2020] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours
pi: 4768828 hi: 11194 t0: [11:00:00 24/05/2020] tf: [19:00:00 25/05/2020] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 1000 ml 1/2NS Continuous at 60 ml/hr ir: 60 it: C ss: N di: Ongoing xu: Enter on Label pi: 4768855 hi: 11194 t0: [11:00:00 24/05/2020] tf: [17:00:00 04/06/2020] mn: Insulin pt: Unit Dose st: Discontinued via patient discharge rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours
id: SAPS-I t0: [00:00:00 25/05/2020] el: 0 cg: LCP cu: LCP at MIT n1: 24
pi: 4772044 hi: 11194 t0: [14:00:00 25/05/2020] tf: [08:00:00 29/05/2020] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
pi: 4772125 hi: 11194 t0: [15:00:00 25/05/2020] tf: [19:00:00 25/05/2020] mn: Fentanyl Citrate pt: Unit Dose st: Discontinued rt: IV fr: PRN di: Ongoing xv: 36 xu: Hours pi: 4772126 hi: 11194 t0: [15:00:00 25/05/2020] tf: [14:00:00 26/05/2020] mn: Metoprolol pt: Unit Dose st: Expired rt: IV fr: ONCE MR1 ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4772529 hi: 11194 t0: [17:00:00 25/05/2020] tf: [19:00:00 25/05/2020] mn: Esmolol pt: IV Piggyback st: Discontinued rt: IV DRIP fr: INFUSION dt: 24 di: Hours xv: 36 xu: Hours pi: 4772530 hi: 11194 t0: [08:00:00 25/05/2020] tf: [19:00:00 25/05/2020] mn: Vancomycin pt: IV Piggyback st: Discontinued rt: IV fr: Q 24H ds: 8 dn: 1 dt: 72 di: Hours xv: 36 xu: Hours pi: 4772531 hi: 11194 t0: [17:00:00 25/05/2020] tf: [16:00:00 26/05/2020] mn: Phytonadione pt: Unit Dose st: Expired rt: SC fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4772626 hi: 11194 t0: [17:00:00 25/05/2020] tf: [21:00:00 25/05/2020] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4772630 hi: 11194 t0: [17:00:00 25/05/2020] tf: [16:00:00 26/05/2020] mn: Magnesium Sulfate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4772631 hi: 11194 t0: [17:00:00 25/05/2020] tf: [12:00:00 28/05/2020] mn: CeftriaXONE pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Esmolol io: D5W 250.0ml + 2500mcgkgmin Esmolol el: 100 cg: RN cu: MICU am: 2500 du: mcgkgmin rt: IV Drip
io: D5W 250.0ml + 2500mcgkgmin Esmolol el: 1 cg: RN cu: MICU ra: 18 ru: ml/hr
id: BSA t0: [18:20:00 25/05/2020] el: 1033 cg: -1 cu: MICU id: Admit Wt t0: [18:20:00 25/05/2020] el: 1032 cg: -1 cu: MICU v1: 62.4 n1: 62.4 u1: kg id: Allergy 1 t0: [18:20:00 25/05/2020] el: 1020 cg: -1 cu: MICU v1: No Known Drug Allergies id: Diagnosis/op t0: [18:20:00 25/05/2020] el: 1023 cg: -1 cu: MICU v1: URETER STONES id: Service t0: [18:20:00 25/05/2020] el: 1026 cg: -1 cu: MICU v1: MED id: Admit Ht t0: [18:20:00 25/05/2020] el: 1034 cg: -1 cu: MICU id: Readmission t0: [18:20:00 25/05/2020] el: 1014 cg: -1 cu: MICU id: Marital Status t0: [18:20:00 25/05/2020] el: 1006 cg: -1 cu: MICU v1: S id: Religion t0: [18:20:00 25/05/2020] el: 1000 cg: -1 cu: MICU v1: RCA id: Allergy 2 t0: [18:20:00 25/05/2020] el: 1021 cg: -1 cu: MICU id: Ext t0: [18:20:00 25/05/2020] el: 1010 cg: -1 cu: MICU id: Allergy 3 t0: [18:20:00 25/05/2020] el: 1022 cg: -1 cu: MICU
id: Risk for Falls t0: [18:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Fibrinogen t0: [17:20:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 395 n1: 395 rs: Final st: NotStopd id: Diet Type t0: [18:15:00 25/05/2020] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Ectopy Frequency t0: [18:20:00 25/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [18:20:00 25/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Alarms t0: [18:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: HOB t0: [18:15:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:20:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:20:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Sinus Tachy st: NotStopd id: INV Line#1InsertDate t0: [18:15:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #1 Insert Date t0: [18:15:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #1 Site/Size t0: [18:15:00 25/05/2020] el: 0 cg: RN cu: MICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [18:15:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #2 Site/Size t0: [18:15:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Left Antecub v2: 20 gauge st: NotStopd id: Activity t0: [18:15:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [18:15:00 25/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [18:15:00 25/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Activity Tolerance t0: [18:15:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [18:15:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [18:15:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: Arterial BP t0: [18:20:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 152 n1: 152 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:20:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Assistance Device t0: [18:15:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [18:15:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: RLL Lung Sounds t0: [18:15:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [18:15:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: Respiratory Pattern t0: [18:15:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:20:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [18:20:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: INV#1 Cap Change t0: [18:15:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#1 Tubing Change t0: [18:15:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [18:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Oral st: NotStopd id: Temperature C (calc) t0: [18:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: Turn t0: [18:15:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Back st: NotStopd id: Urine Color/Appear t0: [18:15:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Red v2: Cloudy st: NotStopd id: Urine Source t0: [18:15:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [18:20:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Fibrinogen (150-400) t0: [17:20:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 395 n1: 395 rs: Final st: NotStopd
id: Pre-Admission Intake t0: [18:15:00 25/05/2020] el: 1 ai: 160 cg: RN cu: MICU vo: 2800 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [18:15:00 25/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 0 vu: ml nb: 1 id: Pre-Admission Output Pre-Admission Output t0: [18:15:00 25/05/2020] el: 1 cg: RN cu: MICU vo: 150 vu: ml
id: Esmolol t0: [18:00:00 25/05/2020] el: 1 cg: RN cu: MICU vo: 0 do: 48.0769 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: PT t0: [17:20:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 13.1 n1: 13.1 rs: Final st: NotStopd id: INR t0: [17:20:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PTT t0: [17:20:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 32 n1: 32 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [17:20:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [17:20:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 13.1 n1: 13.1 rs: Final st: NotStopd id: PTT(22-35) t0: [17:20:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 32 n1: 32 rs: Final st: NotStopd
io: .9% Normal Saline 1000.0ml el: 1 cg: RN cu: MICU ra: 10 ru: ml/hr
pi: 4773248 hi: 11194 t0: [20:00:00 25/05/2020] tf: [19:00:00 26/05/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Bolus 1000 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 4773249 hi: 11194 t0: [20:00:00 25/05/2020] tf: [19:00:00 26/05/2020] mn: Daptomycin pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4773366 hi: 11194 t0: [20:00:00 27/05/2020] tf: [10:00:00 28/05/2020] mn: Daptomycin pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q48H dn: 0 di: Ongoing xu: Enter on Label pi: 4773367 hi: 11194 t0: [20:00:00 25/05/2020] tf: [17:00:00 04/06/2020] mn: Heparin pt: Unit Dose st: Discontinued via patient discharge rt: SC fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Pain Assess Method t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Grimace Scale st: NotStopd id: Service Type t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Riker-SAS Scale t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 25/05/2020] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [19:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [19:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Readmit <48 hrs t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Diet Type t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [19:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Frequency t0: [19:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [19:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Alarms t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Commun Barrier st: NotStopd id: Education Handout t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Not Given st: NotStopd id: Education Learner t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Education Response t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Activity st: NotStopd id: Education Topic #2 t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: ICU Environment st: NotStopd id: Eye Opening t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 10 n1: 10 u1: points st: NotStopd id: HOB t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rate t0: [19:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [19:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Left Antecub v2: 22 gauge st: NotStopd id: Activity t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: Level of Conscious t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 5 Localizes Pain st: NotStopd id: O2 Delivery Device t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Non-Rebreather st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 6 n1: 6 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [19:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 120 n1: 120 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP t0: [19:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 111 n1: 111 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 122 n1: 122 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [19:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [19:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: Precautions t0: [19:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: Previous Weight t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: RLL Lung Sounds t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: Respiratory Pattern t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [19:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Side Rails t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: SpO2 t0: [19:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [19:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: INV#1 Cap Change t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Red v2: Clots st: NotStopd id: Urine Source t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 2 Incomp sounds st: NotStopd id: Weight Change t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 0 n1: 0 u1: kg st: NotStopd id: calprevflg t0: [19:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Daily Weight t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Present st: NotStopd
id: D5W 100.0ml t0: [20:00:00 25/05/2020] el: 1 ai: 105 cg: RN cu: MICU vo: 250 vu: ml nb: 1 id: .9% Normal Saline 1000.0ml t0: [20:00:00 25/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml nb: 1 id: Urine Out Foley t0: [20:00:00 25/05/2020] el: 1 cg: RN cu: MICU vo: 60 vu: ml
id: Esmolol t0: [19:00:00 25/05/2020] el: 1 cg: RN cu: MICU vo: 0 do: 48.0769 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [19:30:00 25/05/2020] el: 1 cg: RN cu: MICU vo: 0 do: 48.0769 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
pi: 4773390 hi: 11194 t0: [21:00:00 25/05/2020] tf: [17:00:00 04/06/2020] mn: Senna pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID:PRN di: Ongoing xv: 36 xu: Hours
id: Code Status t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Health Care Proxy t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Precautions t0: [20:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd
id: D5W 100.0ml t0: [20:00:00 25/05/2020] el: 2 ai: 228 cg: RN cu: MICU vo: 1000 vu: ml
id: Service Type t0: [20:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [20:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [20:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [20:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [20:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Sinus Tachy st: NotStopd id: O2 Delivery Device t0: [20:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 6 n1: 6 u1: lpm st: NotStopd id: Arterial BP t0: [20:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 125 n1: 125 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [20:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: Respiratory Rate t0: [20:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [20:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [20:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4773617 hi: 11194 t0: [22:00:00 25/05/2020] tf: [21:00:00 26/05/2020] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4773747 hi: 11194 t0: [22:00:00 25/05/2020] tf: [21:00:00 26/05/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Bolus 1000 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [21:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [21:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [21:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 113 n1: 113 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: Respiratory Rate t0: [21:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [21:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [21:00:00 25/05/2020] el: 1 ai: 105 cg: RN cu: MICU vo: 250 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 25/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [20:00:00 25/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 31.5 vu: ml st: Stopped id: Urine Out Foley t0: [21:00:00 25/05/2020] el: 1 cg: RN cu: MICU vo: 30 vu: ml
id: Service Type t0: [21:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [21:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [21:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [21:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [21:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Sinus Tachy st: NotStopd id: O2 Delivery Device t0: [21:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Non-Rebreather st: NotStopd id: O2 Flow (lpm) t0: [21:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 6 n1: 6 u1: lpm st: NotStopd id: Arterial BP t0: [21:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 105 n1: 105 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [21:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [21:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: Respiratory Rate t0: [21:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [21:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [21:30:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Art.pH t0: [22:09:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Arterial Base Excess t0: [22:09:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [22:09:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [22:09:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 39 n1: 39 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [22:09:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 114 n1: 114 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [22:09:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 7.4 n1: 7.4 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [21:37:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 6 n1: 6 rs: Final st: NotStopd id: WBC t0: [21:37:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 6 n1: 6 rs: Final st: NotStopd id: Hematocrit t0: [21:37:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 27 n1: 27 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [21:37:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 9.2 n1: 9.2 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [21:37:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 106 n1: 106 rs: Final st: NotStopd id: RBC t0: [21:37:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 3.17 n1: 3.17 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [21:37:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 6 n1: 6 rs: Final st: NotStopd
id: Service Type t0: [22:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [22:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Occasional st: NotStopd id: Ectopy Type t0: [22:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: PVC's st: NotStopd id: Health Care Proxy t0: [22:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [22:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: Respiratory Rate t0: [22:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 22 n1: 22 u1: BPM st: NotStopd id: Significant Events t0: [22:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [22:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: % st: NotStopd id: Urine Color/Appear t0: [22:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Pink v2: Clear st: NotStopd id: Urine Source t0: [22:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [22:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [22:00:00 25/05/2020] el: 2 ai: 228 cg: RN cu: MICU vo: 1000 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 25/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [22:00:00 25/05/2020] el: 1 cg: RN cu: MICU vo: 0 vu: ml
id: IV #2 Reason DC'D t0: [22:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Infiltrated st: NotStopd id: IV #2 D/C Date t0: [22:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #2 Insert Date t0: [22:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 60 n2: 60 st: NotStopd id: IV #2 Site/Size t0: [22:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: LU Ant Forearm v2: 22 gauge st: NotStopd id: IV #4 Insert Date t0: [22:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #4 Site/Size t0: [22:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #2 t0: [22:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Infiltrated st: NotStopd id: IV Site Appear #4 t0: [22:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd
id: Service Type t0: [23:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [23:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Sinus Tachy st: NotStopd id: O2 Delivery Device t0: [23:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [23:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 6 n1: 6 u1: lpm st: NotStopd id: Arterial BP t0: [23:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 115 n1: 115 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: Respiratory Rate t0: [23:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [23:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [22:00:00 25/05/2020] el: 1 ai: 105 cg: RN cu: MICU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 25/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [23:00:00 25/05/2020] el: 1 cg: RN cu: MICU vo: 15 vu: ml
id: IV Infusion In Total t0: [23:00:00 25/05/2020] el: 1 cg: RN cu: MICU pv: 10 cv: 2621.5 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 25/05/2020] el: 1 cg: RN cu: MICU pv: 10 cv: 5421.5 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 25/05/2020] el: 1 cg: RN cu: MICU pv: 15 cv: 15 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 25/05/2020] el: 1 cg: RN cu: MICU pv: 15 cv: 105 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 25/05/2020] el: 1 cg: RN cu: MICU pv: -5 cv: 5166.5 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 25/05/2020] el: 1 cg: RN cu: MICU pv: -5 cv: 5166.5 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 25/05/2020] el: 1 cg: RN cu: MICU pv: -5 cv: -5 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 25/05/2020] el: 1 cg: RN cu: MICU pv: 15 cv: 255 ac: 24 ap: none re: 0
id: IV #2 Reason DC'D t0: [23:00:00 25/05/2020] el: 0 cg: -1 cu: MICU st: D/C'd id: IV #2 D/C Date t0: [23:00:00 25/05/2020] el: 0 cg: -1 cu: MICU st: D/C'd id: IV #2 Insert Date t0: [23:00:00 25/05/2020] el: 0 cg: -1 cu: MICU st: D/C'd id: IV #2 Site/Size t0: [23:00:00 25/05/2020] el: 0 cg: -1 cu: MICU st: D/C'd id: IV Site Appear #2 t0: [23:00:00 25/05/2020] el: 0 cg: -1 cu: MICU st: D/C'd
id: PT t0: [21:37:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 13.1 n1: 13.1 rs: Final st: NotStopd id: INR t0: [21:37:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PTT t0: [21:37:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 30.1 n1: 30.1 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [21:37:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [21:37:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 13.1 n1: 13.1 rs: Final st: NotStopd id: PTT(22-35) t0: [21:37:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 30.1 n1: 30.1 rs: Final st: NotStopd
id: HOB t0: [23:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Activity t0: [23:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [23:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [23:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [23:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Right Side st: NotStopd id: Assistance Device t0: [23:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [23:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:00:00 25/05/2020] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd
id: Pain Present t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Grimace Scale st: NotStopd id: Service Type t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 26/05/2020] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: House st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Alarms t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Barrier t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Altered LOC st: NotStopd id: Education Handout t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Not Given st: NotStopd id: Education Learner t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Patient st: NotStopd id: Education Method t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Explanation st: NotStopd id: Education Readiness t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Health Care Proxy t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Response t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Activity st: NotStopd id: Education Topic #2 t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Medications st: NotStopd id: Eye Opening t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 3 To speech st: NotStopd id: GCS Total t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 10 n1: 10 u1: points st: NotStopd id: Heart Rate t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #4 Insert Date t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #4 Site/Size t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: Level of Conscious t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 57 n1: 57 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: RLL Lung Sounds t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: Respiratory Pattern t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Side Rails t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: INV#1 Cap Change t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 26/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml
id: D5W 100.0ml t0: [00:00:00 26/05/2020] el: 2 ai: 228 cg: RN cu: MICU vo: 1000 vu: ml
id: Urine Out Foley t0: [00:00:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 27 vu: ml
id: KCL io: .9% Normal Saline 250.0ml el: 100 cg: RN cu: MICU am: 20 du: mEq rt: Intravenous Push
io: .9% Normal Saline 250.0ml el: 1 cg: RN cu: MICU ra: 125 ru: ml/hr
id: BUN t0: [23:16:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 24 n1: 24 rs: Final st: NotStopd id: Calcium t0: [23:16:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 7.5 n1: 7.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [23:16:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine t0: [23:16:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose t0: [23:16:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 99 n1: 99 rs: Final st: NotStopd id: Magnesium t0: [23:16:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [23:16:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 2.4 n1: 2.4 u1: mEq/L rs: Final st: NotStopd id: Sodium t0: [23:16:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 142 n1: 142 rs: Final st: NotStopd id: BUN (6-20) t0: [23:16:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 24 n1: 24 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [23:16:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 7.5 n1: 7.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [23:16:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 20 n1: 20 rs: Final st: NotStopd id: Chloride (100-112) t0: [23:16:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [23:16:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [23:16:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 99 n1: 99 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [23:16:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [23:16:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 2.4 n1: 2.4 u1: mEq/L rs: Final st: NotStopd id: Sodium (135-148) t0: [23:16:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 142 n1: 142 rs: Final st: NotStopd
id: Fibrinogen t0: [21:37:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 398 n1: 398 rs: Final st: NotStopd id: Fibrinogen (150-400) t0: [21:37:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 398 n1: 398 rs: Final st: NotStopd
id: Differential-Bands t0: [21:37:00 25/05/2020] el: 0 cg: 140 cu: MICU v1: 20 n1: 20 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [00:00:00 26/05/2020] el: 0 cg: CoWker cu: MICU v1: 99 n1: 99 rs: Manual st: NotStopd
id: Service Type t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 131 n1: 131 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: Respiratory Rate t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 26/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: .9% Normal Saline 250.0ml t0: [00:30:00 26/05/2020] el: 1 ai: 416 cg: RN cu: MICU vu: ml nb: 1 id: .9% Normal Saline 250.0ml t0: [01:00:00 26/05/2020] el: 1 ai: 416 cg: RN cu: MICU vo: 63 vu: ml id: Urine Out Foley t0: [01:00:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 26 vu: ml
id: IV Infusion In Total t0: [23:00:00 26/05/2020] el: 1 cg: RN cu: MICU pv: 15.85 cv: 4868.05 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 26/05/2020] el: 1 cg: RN cu: MICU pv: 390.85 cv: 5703.05 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 26/05/2020] el: 1 cg: RN cu: MICU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 26/05/2020] el: 1 cg: RN cu: MICU cv: 1148 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 26/05/2020] el: 1 cg: RN cu: MICU pv: 390.85 cv: 4555.05 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 26/05/2020] el: 1 cg: RN cu: MICU pv: 390.85 cv: 9721.55 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 26/05/2020] el: 1 cg: RN cu: MICU pv: 390.85 cv: 390.85 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 26/05/2020] el: 1 cg: RN cu: MICU cv: 1148 ac: 24 ap: none re: 0
id: FiO2 Set t0: [01:00:00 26/05/2020] el: 0 cg: RRT cu: MICU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: O2 Delivery Device t0: [01:00:00 26/05/2020] el: 0 cg: RRT cu: MICU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [01:00:00 26/05/2020] el: 0 cg: RRT cu: MICU v1: 10 n1: 10 u1: lpm st: NotStopd
pi: 4774223 hi: 11194 t0: [02:00:00 26/05/2020] tf: [03:00:00 26/05/2020] mn: Potassium Chloride pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: ASDIR ds: 2 dt: 3 di: Doses xu: Enter on Label pi: 4774307 hi: 11194 t0: [02:00:00 26/05/2020] tf: [01:00:00 27/05/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Bolus 1000 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
id: GI#1 Intub Site t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Salem Sump v2: Left Nare st: NotStopd id: GI Intub #1/Site t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Clamped v2: Bilious st: NotStopd
pi: 4774354 hi: 11194 t0: [03:00:00 26/05/2020] tf: [02:00:00 27/05/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Bolus 1000 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [02:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [02:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: HOB t0: [02:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [02:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Sinus Tachy st: NotStopd id: Activity t0: [02:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [02:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 104 n1: 104 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Position t0: [02:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Left Side st: NotStopd id: Assistance Device t0: [02:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: Respiratory Rate t0: [02:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [02:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: calprevflg t0: [02:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 26/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: .9% Normal Saline 250.0ml t0: [02:00:00 26/05/2020] el: 1 ai: 416 cg: RN cu: MICU vo: 125 vu: ml id: Urine Out Foley t0: [02:00:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 35 vu: ml
id: Significant Events t0: [02:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Fluid Bolus st: NotStopd
id: D5W 100.0ml t0: [02:00:00 26/05/2020] el: 1 ai: 105 cg: RN cu: MICU vo: 1000 vu: ml id: .9% Normal Saline 250.0ml t0: [02:45:00 26/05/2020] el: 1 ai: 416 cg: RN cu: MICU vu: ml nb: 1
pi: 4774514 hi: 11194 t0: [04:00:00 26/05/2020] tf: [03:00:00 27/05/2020] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 4 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4774515 hi: 11194 t0: [04:00:00 26/05/2020] tf: [03:00:00 27/05/2020] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 4 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4774516 hi: 11194 t0: [04:00:00 26/05/2020] tf: [04:00:00 26/05/2020] mn: Potassium Chloride pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: 2X dn: 0 dt: 2 di: Doses xu: Enter on Label
id: Service Type t0: [03:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [03:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 121 n1: 121 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: Respiratory Rate t0: [03:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [03:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 26/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: .9% Normal Saline 250.0ml t0: [03:00:00 26/05/2020] el: 1 ai: 416 cg: RN cu: MICU vo: 125 vu: ml id: Urine Out Foley t0: [03:00:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 70 vu: ml
id: Less Restrict Meas. t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Circulation/SkinInt t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Position Change t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Reason For Restraint t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Restraint Location t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [01:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd
pi: 4774537 hi: 11194 t0: [05:00:00 26/05/2020] tf: [06:00:00 26/05/2020] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: 1X ds: 5 dt: 1 di: Doses xu: Enter on Label
id: Less Restrict Meas. t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Incr Visibility st: NotStopd id: Pain Present t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 26/05/2020] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: House st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Alarms t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Barrier t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Altered LOC st: NotStopd id: Education Handout t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Not Given st: NotStopd id: Education Learner t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Patient st: NotStopd id: Education Method t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Readiness t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Health Care Proxy t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Response t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Activity st: NotStopd id: Education Topic #2 t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 3 To speech st: NotStopd id: GCS Total t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #4 Insert Date t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #4 Site/Size t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: Level of Conscious t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 10 n1: 10 u1: lpm st: NotStopd id: Oral Cavity t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 109 n1: 109 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Position t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Supine st: NotStopd id: Position Change t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: RLL Lung Sounds t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: Reason For Restraint t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: SpO2 t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: INV#1 Cap Change t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 35.7778 n1: 35.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 96.4 n1: 96.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 Confused st: NotStopd id: calprevflg t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Bowel Sounds t0: [04:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 26/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: .9% Normal Saline 250.0ml t0: [04:00:00 26/05/2020] el: 1 ai: 416 cg: RN cu: MICU vo: 125 vu: ml id: Urine Out Foley t0: [04:00:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 60 vu: ml
id: Service Type t0: [05:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [05:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 117 n1: 117 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: Respiratory Rate t0: [05:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [05:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 26/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Gastric Meds t0: [04:30:00 26/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 240 vu: ml id: .9% Normal Saline 250.0ml t0: [04:30:00 26/05/2020] el: 1 ai: 416 cg: RN cu: MICU vo: 62.5 vu: ml st: Stopped id: GT Flush t0: [04:30:00 26/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 30 vu: ml id: Urine Out Foley t0: [05:00:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 50 vu: ml
pi: 4774719 hi: 11194 t0: [06:00:00 26/05/2020] tf: [05:00:00 27/05/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Bolus 1000 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
id: WBC (4-11,000) t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 17.7 n1: 17.7 rs: Final st: NotStopd id: WBC t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 17.7 n1: 17.7 rs: Final st: NotStopd id: Hematocrit t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 28.1 n1: 28.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 9.3 n1: 9.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 106 n1: 106 rs: Final st: NotStopd id: RBC t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 3.22 n1: 3.22 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 17.7 n1: 17.7 rs: Final st: NotStopd
id: BUN t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 25 n1: 25 rs: Final st: NotStopd id: Calcium t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 7.3 n1: 7.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 114 n1: 114 rs: Final st: NotStopd id: Cholesterol t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 66 n1: 66 u1: mg/dl rs: Final st: NotStopd id: Creatinine t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 89 n1: 89 rs: Final st: NotStopd id: Magnesium t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 2.4 n1: 2.4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 144 n1: 144 rs: Final st: NotStopd id: Triglyceride t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 75 n1: 75 rs: Final st: NotStopd id: BUN (6-20) t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 25 n1: 25 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 7.3 n1: 7.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 18 n1: 18 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 114 n1: 114 rs: Final st: NotStopd id: Cholesterol (<200) t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 66 n1: 66 u1: mg/dl rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 89 n1: 89 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 2.4 n1: 2.4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 144 n1: 144 rs: Final st: NotStopd id: Triglyceride (0-200) t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 75 n1: 75 rs: Final st: NotStopd
pi: 4774767 hi: 11194 t0: [07:00:00 26/05/2020] tf: [06:00:00 27/05/2020] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4774768 hi: 11194 t0: [07:00:00 26/05/2020] tf: [06:00:00 27/05/2020] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [06:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [06:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 117 n1: 117 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: Respiratory Rate t0: [06:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [06:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 26/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [06:00:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 35 vu: ml
id: PT t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 13.6 n1: 13.6 rs: Final st: NotStopd id: Fibrinogen t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 334 n1: 334 rs: Final st: NotStopd id: INR t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PTT t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 48.9 n1: 48.9 rs: Final st: NotStopd id: Fibrinogen (150-400) t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 334 n1: 334 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 13.6 n1: 13.6 rs: Final st: NotStopd id: PTT(22-35) t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 48.9 n1: 48.9 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Incr Visibility st: NotStopd id: Pain Present t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: Service Type t0: [07:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 26/05/2020] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [07:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: House st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [07:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Alarms t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Readiness t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Health Care Proxy t0: [07:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Activity st: NotStopd id: Education Topic #2 t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 3 To speech st: NotStopd id: GCS Total t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #4 Insert Date t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #4 Site/Size t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: Level of Conscious t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 53 n1: 53 u1: mmHg v2: 125 n2: 125 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 79 n1: 79 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 10 n1: 10 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [07:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 103 n1: 103 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 124 n1: 124 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Arterial BP Mean t0: [07:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Right Side st: NotStopd id: Position Change t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: Previous WeightF t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: RLL Lung Sounds t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: Reason For Restraint t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: SpO2 t0: [07:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: INV#1 Cap Change t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: Temperature C (calc) t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: Urine Source t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 5 Oriented st: NotStopd id: calprevflg t0: [07:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Bowel Sounds t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Present st: NotStopd
id: D5W 100.0ml t0: [08:00:00 26/05/2020] el: 2 ai: 228 cg: RN cu: MICU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 26/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 26/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [07:00:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 50 vu: ml id: Urine Out Foley t0: [08:00:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 100 vu: ml
id: Service Type t0: [09:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [09:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Sinus Tachy st: NotStopd id: NBP t0: [09:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62 n1: 62 u1: mmHg v2: 109 n2: 109 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 120 n1: 120 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: Respiratory Rate t0: [09:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [09:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 26/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 50 vu: ml
pi: 4775185 hi: 11194 t0: [10:00:00 26/05/2020] tf: [10:00:00 26/05/2020] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 1000 ml D5LR Continuous at 1000 ml/hr for 1000 ml ir: 1000 it: C ss: N dt: 1 di: Hours xu: Enter on Label
id: Gastric Meds t0: [09:00:00 26/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 60 vu: ml
id: Service Type t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: BPM st: NotStopd id: Arterial BP t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: Respiratory Rate t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 26/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 80 vu: ml
id: Ectopy Frequency t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Heart Rhythm t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 47 n1: 47 u1: mmHg v2: 104 n2: 104 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 64 n1: 64 u1: mmHg st: NotStopd
id: D5W 100.0ml t0: [10:00:00 26/05/2020] el: 2 ai: 228 cg: RN cu: MICU vo: 1000 vu: ml
id: Less Restrict Meas. t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Education Learner t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Patient st: NotStopd id: Education Topic #1 t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Activity st: NotStopd id: Position Change t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Reason For Restraint t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Restraint Location t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Support Systems t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Pt./Family Informed t0: [10:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd
pi: 4775293 hi: 11194 t0: [11:00:00 26/05/2020] tf: [10:00:00 27/05/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml LR Bolus 1000 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 4775353 hi: 11194 t0: [11:00:00 26/05/2020] tf: [01:00:00 29/05/2020] mn: Dextrose 50% pt: Unit Dose st: Discontinued rt: IV fr: PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [11:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [11:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [11:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 83 n1: 83 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 51 n1: 51 u1: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 111 n1: 111 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: Respiratory Rate t0: [11:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [11:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 26/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [11:00:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 30 vu: ml
id: CPK/MB t0: [04:30:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: 3 n1: 3 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Incr Visibility st: NotStopd id: Pain Present t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: Service Type t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 26/05/2020] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: House st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Alarms t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Learner t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Patient st: NotStopd id: GI#1 Intub Site t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 3 To speech st: NotStopd id: GCS Total t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #4 Insert Date t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #4 Site/Size t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: Level of Conscious t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 10 n1: 10 u1: lpm st: NotStopd id: Oral Cavity t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 124 n1: 124 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Supine st: NotStopd id: Position Change t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: RLL Lung Sounds t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: Reason For Restraint t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: INV#1 Cap Change t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 35.7222 n1: 35.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 96.3 n1: 96.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Brown v2: Sediment st: NotStopd id: Urine Color/Appear t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Brown v2: Sediment st: NotStopd id: Urine Source t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Fingerstick Glucose t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 99 n1: 99 rs: Manual st: NotStopd id: Bowel Sounds t0: [12:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 26/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [12:00:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 45 vu: ml
id: Service Type t0: [13:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [13:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: HOB t0: [13:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Sinus Tachy st: NotStopd id: Activity t0: [13:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [13:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [13:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 119 n1: 119 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position t0: [13:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Right Side st: NotStopd id: Assistance Device t0: [13:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: Respiratory Rate t0: [13:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: Therapeutic Bed t0: [13:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: calprevflg t0: [13:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 26/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 100 vu: ml
id: Service Type t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 109 n1: 109 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: Respiratory Rate t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 26/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [14:00:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 30 vu: ml
pi: 4776128 hi: 11194 t0: [15:00:00 26/05/2020] tf: [21:00:00 28/05/2020] mn: Pantoprazole pt: Unit Dose st: Discontinued rt: PO fr: Q24H ds: 15 dn: 1 di: Ongoing xv: 36 xu: Hours
id: O2 Delivery Device t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 5 n1: 5 u1: lpm st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Service Type t0: [15:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Topic #1 t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Activity st: NotStopd id: Heart Rate t0: [15:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 115 n1: 115 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Precautions t0: [15:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: Reason For Restraint t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Respiratory Rate t0: [15:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: SpO2 t0: [15:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: calprevflg t0: [15:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 26/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [15:00:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 40 vu: ml
id: Previous Weight t0: [15:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: Fingerstick Glucose t0: [15:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 103 n1: 103 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Incr Visibility st: NotStopd id: Pain Present t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: Service Type t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Circulation/SkinInt t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 26/05/2020] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: House st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Alarms t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 3 To speech st: NotStopd id: GCS Total t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #4 Insert Date t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #4 Site/Size t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: Level of Conscious t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Cavity t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 126 n1: 126 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Supine st: NotStopd id: Position Change t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: RLL Lung Sounds t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: Reason For Restraint t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: INV#1 Cap Change t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Brown v2: Sediment st: NotStopd id: Urine Source t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 5 Oriented st: NotStopd id: calprevflg t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Bowel Sounds t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 26/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Gastric Meds t0: [16:00:00 26/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 40 vu: ml id: Urine Out Foley t0: [16:00:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 50 vu: ml
id: Code Status t0: [16:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd
id: Service Type t0: [17:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [17:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [17:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: Respiratory Rate t0: [17:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [17:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [17:00:00 26/05/2020] el: 2 ai: 228 cg: RN cu: MICU vo: 1000 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 26/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [17:00:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 20 vu: ml
pi: 4776951 hi: 11194 t0: [18:00:00 26/05/2020] tf: [19:00:00 26/05/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml LR Continuous at 1000 ml/hr for 1000 ml ir: 1000 it: C ss: N dt: 1 di: Hours xu: Enter on Label
id: Service Type t0: [18:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [18:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [18:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 106 n1: 106 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: Respiratory Rate t0: [18:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [18:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 26/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 30 vu: ml
pi: 4777287 hi: 11194 t0: [19:00:00 26/05/2020] tf: [18:00:00 27/05/2020] mn: Dextrose 50% pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [19:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [19:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [19:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 117 n1: 117 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: Respiratory Rate t0: [19:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [19:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 26/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [19:00:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 25 vu: ml
id: Less Restrict Meas. t0: [18:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [18:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Circulation/SkinInt t0: [18:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [18:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Activity st: NotStopd id: Position Change t0: [18:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Reason For Restraint t0: [18:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Restraint Location t0: [18:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [18:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Support Systems t0: [18:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Pt./Family Informed t0: [18:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd
pi: 4777669 hi: 11194 t0: [20:00:00 26/05/2020] tf: [19:00:00 27/05/2020] mn: Albumin 25% (12.5 g) pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: Pain Present t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Grimace Scale st: NotStopd id: Service Type t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [19:30:00 26/05/2020] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Alarms t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: NBP t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 111 n1: 111 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: NBP Mean t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 59 n1: 59 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 5 n1: 5 u1: lpm st: NotStopd id: Arterial BP t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 104 n1: 104 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Pain Location t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Pain Type t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Arterial BP Mean t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: calprevflg t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Service Type t0: [19:45:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:45:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: GI Prophylaxis t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:45:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [19:45:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [19:45:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Education Barrier t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Altered LOC st: NotStopd id: Education Handout t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Not Given st: NotStopd id: Education Learner t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Readiness t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Health Care Proxy t0: [19:45:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Activity st: NotStopd id: Education Topic #2 t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Medications st: NotStopd id: Eye Opening t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 3 To speech st: NotStopd id: GCS Total t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: HOB t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Flat in Bed st: NotStopd id: Heart Rate t0: [19:45:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:45:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Abdominal Assessment t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #1 Site/Size t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #4 Insert Date t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #4 Site/Size t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Activity Tolerance t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: Level of Conscious t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Lethargic st: NotStopd id: Motor Response t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [19:45:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 80 n1: 80 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 75 n1: 75 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:45:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 46 n1: 46 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 43 n1: 43 u1: mmHg st: NotStopd id: Position t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 Person Assist st: NotStopd id: Precautions t0: [19:45:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:45:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:45:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:45:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:45:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [19:45:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: Previous WeightF t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:45:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: Reason For Restraint t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Respiratory Pattern t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:45:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Intact st: NotStopd id: SpO2 t0: [19:45:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: INV#1 Cap Change t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#1 Tubing Change t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: Therapeutic Bed t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Back st: NotStopd id: Urine Color/Appear t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Red v2: Clear st: NotStopd id: Urine Source t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [19:45:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Fingerstick Glucose t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 105 n1: 105 rs: Manual st: NotStopd id: Bowel Sounds t0: [19:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 26/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [20:00:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 35 vu: ml
id: Dopamine io: D5W 250.0ml + 400mcgkgmin Dopamine el: 100 cg: RN cu: MICU am: 400 du: mcgkgmin rt: IV Drip
io: D5W 250.0ml + 400mcgkgmin Dopamine el: 1 cg: RN cu: MICU ra: 11.7 ru: ml/hr
id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [20:00:00 26/05/2020] el: 1 ai: 107 cg: -1 cu: MICU vo: 0 st: D/C'd
pi: 4777731 hi: 11194 t0: [21:00:00 26/05/2020] tf: [16:00:00 28/05/2020] mn: DOPamine pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours
id: Dopamine t0: [20:00:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [20:00:00 26/05/2020] el: 1 ai: 113 cg: RN cu: MICU vu: ml nb: 1
id: Service Type t0: [20:05:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [20:05:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [20:05:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:05:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [20:05:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [20:05:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [20:05:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:05:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: NBP t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 81 n1: 81 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 49 n1: 49 u1: mmHg st: NotStopd id: Arterial BP t0: [20:05:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 124 n1: 124 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:05:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [20:05:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:05:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:05:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:05:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:05:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:05:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:05:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:05:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [20:05:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 86 n1: 86 u1: % st: NotStopd id: calprevflg t0: [20:05:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Dopamine t0: [20:05:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [20:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [21:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [20:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [21:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [20:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [20:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [20:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [20:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [21:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 125 n1: 125 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP t0: [20:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 140 n1: 140 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 114 n1: 114 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [20:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [21:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: Previous WeightF t0: [21:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [20:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [21:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [20:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [20:00:00 26/05/2020] el: 2 ai: 228 cg: RN cu: MICU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 26/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [21:00:00 26/05/2020] el: 1 ai: 113 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [21:00:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 60 vu: ml
id: Dopamine t0: [20:30:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Dopamine t0: [21:00:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [21:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [21:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [21:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [21:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [21:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: FiO2 Set t0: [21:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Heart Rate t0: [21:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Sinus Tachy st: NotStopd id: O2 Delivery Device t0: [21:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Face Tent st: NotStopd id: O2 Delivery Device#2 t0: [21:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [21:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 10 n1: 10 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [21:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Arterial BP t0: [21:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 137 n1: 137 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [21:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [21:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [21:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [21:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Dopamine t0: [21:30:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 0 do: 5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Service Type t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Circulation/SkinInt t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Eye Opening t0: [21:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 3 To speech st: NotStopd id: GCS Total t0: [21:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 12 n1: 12 u1: points st: NotStopd id: HOB t0: [20:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: HOB t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Sinus Tachy st: NotStopd id: Activity t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: Level of Conscious t0: [21:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [21:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 5 Localizes Pain st: NotStopd id: Orientation t0: [21:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 128 n1: 128 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position Change t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Assistance Device t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: SpO2 t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: Verbal Response t0: [21:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 4 Confused st: NotStopd id: calprevflg t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Blood Products t0: [21:56:00 26/05/2020] el: 0 cg: 140 cu: MICU v1: Y rs: Final st: NotStopd id: Pt./Family Informed t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 26/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [22:00:00 26/05/2020] el: 1 ai: 113 cg: RN cu: MICU vo: 11.7 vu: ml id: Urine Out Foley t0: [22:00:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 100 vu: ml
id: Dopamine t0: [22:00:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Eye Care t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Oral Care t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Position t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Right Side st: NotStopd id: Skin Care t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Back Care t0: [22:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd
id: Service Type t0: [22:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [22:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [22:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [22:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [22:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [22:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [22:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 109 n1: 109 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [22:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [22:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [22:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [22:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Dopamine t0: [22:30:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 0 do: 2.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [23:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [23:10:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [23:15:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [23:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [23:10:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [23:15:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [23:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [23:10:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [23:15:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:10:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:15:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rate t0: [23:10:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rate t0: [23:15:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 91 n1: 91 u1: BPM st: NotStopd id: Arterial BP t0: [23:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 85 n1: 85 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP t0: [23:10:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 95 n1: 95 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP t0: [23:15:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 88 n1: 88 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 51 n1: 51 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:10:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:15:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [23:10:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [23:15:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Previous Weight t0: [23:05:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: Previous Weight t0: [23:10:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:10:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:15:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:10:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:15:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:10:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:15:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:10:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:15:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: Previous WeightF t0: [23:10:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: Previous WeightF t0: [23:15:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:10:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:15:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:10:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:15:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [23:10:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [23:15:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [23:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:10:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:15:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Dopamine t0: [23:00:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 0 do: 3.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [23:10:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 0 do: 4.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dopamine t0: [23:15:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 0 do: 4.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Ectopy Frequency t0: [23:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Frequency t0: [23:10:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Frequency t0: [23:15:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [23:10:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [23:15:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Heart Rhythm t0: [23:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:10:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:15:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd
id: Service Type t0: [23:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [23:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [23:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [23:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [23:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [23:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [23:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [23:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [23:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [23:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [23:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 35.7222 n1: 35.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [23:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 96.3 n1: 96.3 u1: Deg. F st: NotStopd id: calprevflg t0: [23:30:00 26/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 26/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [23:00:00 26/05/2020] el: 1 ai: 113 cg: RN cu: MICU vo: 5.85 vu: ml id: Gastric Meds t0: [21:00:00 26/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 60 vu: ml id: GT Flush t0: [21:00:00 26/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 30 vu: ml id: Urine Out Foley t0: [23:30:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 80 vu: ml
id: Dopamine t0: [23:30:00 26/05/2020] el: 1 cg: RN cu: MICU vo: 0 do: 4.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 26/05/2020] el: 1 cg: RN cu: MICU cv: 460 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Incr Visibility st: NotStopd id: Pain Present t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Grimace Scale st: NotStopd id: Service Type t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 27/05/2020] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Alarms t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: FiO2 Set t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: GI Intub #1/Site t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [21:00:00 26/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Clamped v2: Clear st: NotStopd id: HOB t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Soft st: NotStopd id: Activity t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: Level of Conscious t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Sleeping st: NotStopd id: O2 Delivery Device t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Face Tent st: NotStopd id: O2 Delivery Device#2 t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 10 n1: 10 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 115 n1: 115 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 1 Person Assist st: NotStopd id: Precautions t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: Reason For Restraint t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: SpO2 t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Back st: NotStopd id: Urine Color/Appear t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Pink v2: Cloudy st: NotStopd id: Urine Source t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Bowel Sounds t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [00:00:00 27/05/2020] el: 1 ai: 113 cg: RN cu: MICU vo: 10.14 vu: ml id: Packed RBC's t0: [23:00:00 26/05/2020] el: 1 ai: 113 cg: RN cu: MICU vo: 375 vu: ml uu: Units nb: 1 id: Urine Out Foley t0: [00:00:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 50 vu: ml
id: Dopamine t0: [00:00:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 0 do: 4.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Blood Products Total t0: [23:00:00 26/05/2020] el: 1 cg: RN cu: MICU pv: 375 cv: 375 ac: 24 ap: none re: 0
id: Temp. Site t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 35.8333 n1: 35.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 96.5 n1: 96.5 u1: Deg. F st: NotStopd
id: Service Type t0: [00:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [00:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [00:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [00:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [00:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [00:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [00:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 123 n1: 123 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [00:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [00:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [00:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Dopamine t0: [00:30:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [00:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [00:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [00:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [00:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [00:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [00:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [00:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 91 n1: 91 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [00:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [00:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [00:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Dopamine t0: [00:45:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [01:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [01:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 110 n1: 110 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [01:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Dopamine t0: [01:00:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 0 do: 4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [01:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [01:00:00 27/05/2020] el: 1 ai: 113 cg: RN cu: MICU vo: 9.36 vu: ml id: Urine Out Foley t0: [01:00:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 130 vu: ml
id: IV Infusion In Total t0: [23:00:00 27/05/2020] el: 1 cg: RN cu: MICU pv: 60 cv: 627.635 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 27/05/2020] el: 1 cg: RN cu: MICU pv: 60 cv: 937.635 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 27/05/2020] el: 1 cg: RN cu: MICU pv: 100 cv: 100 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 27/05/2020] el: 1 cg: RN cu: MICU pv: 100 cv: 1295 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 27/05/2020] el: 1 cg: RN cu: MICU pv: -40 cv: -357.365 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 27/05/2020] el: 1 cg: RN cu: MICU pv: -40 cv: 9364.18 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 27/05/2020] el: 1 cg: RN cu: MICU pv: -40 cv: -40 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 27/05/2020] el: 1 cg: RN cu: MICU pv: 100 cv: 1295 ac: 24 ap: none re: 0
id: Service Type t0: [01:15:00 27/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [01:15:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [01:15:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:15:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [01:15:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [01:15:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [01:15:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:15:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:15:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 143 n1: 143 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:15:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [01:15:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:15:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:15:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:15:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:15:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [01:15:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:15:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:15:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [01:15:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [01:15:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Dopamine t0: [01:15:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [02:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Service Type t0: [01:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Code Status t0: [01:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [01:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [01:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [01:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [01:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 109 n1: 109 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Precautions t0: [01:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [01:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Respiratory Rate t0: [01:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: SpO2 t0: [01:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [01:45:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd
id: Dopamine t0: [01:45:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [02:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [02:00:00 27/05/2020] el: 1 ai: 113 cg: RN cu: MICU vo: 7.605 vu: ml id: Urine Out Foley t0: [02:00:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 90 vu: ml
id: Service Type t0: [02:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [02:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [02:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 101 n1: 101 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [02:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Dopamine t0: [02:00:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 0 do: 3 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [03:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [03:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 110 n1: 110 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Dopamine t0: [03:00:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [03:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [03:00:00 27/05/2020] el: 1 ai: 113 cg: RN cu: MICU vo: 7.02 vu: ml id: Urine Out Foley t0: [03:00:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 70 vu: ml
id: Less Restrict Meas. t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Grimace Scale st: NotStopd id: Service Type t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 27/05/2020] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Alarms t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Barrier t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Altered LOC st: NotStopd id: Education Handout t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Not Given st: NotStopd id: Education Learner t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Patient st: NotStopd id: Education Method t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Readiness t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Health Care Proxy t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Response t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Activity st: NotStopd id: Education Topic #2 t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: ICU Environment st: NotStopd id: Eye Opening t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: GCS Total t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Clamped st: NotStopd id: HOB t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #4 Insert Date t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #4 Site/Size t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: Level of Conscious t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 5 Localizes Pain st: NotStopd id: O2 Delivery Device t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Face Tent st: NotStopd id: O2 Delivery Device#2 t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 10 n1: 10 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 129 n1: 129 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Left Side st: NotStopd id: Position Change t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: Reason For Restraint t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Intact st: NotStopd id: SpO2 t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: INV#1 Cap Change t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 35.8333 n1: 35.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 96.5 n1: 96.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Pink v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 2 Incomp sounds st: NotStopd id: Back Care t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Calm st: NotStopd id: Pt./Family Informed t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Bowel Sounds t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 40 vu: ml
id: Dopamine t0: [04:00:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Service Type t0: [05:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [05:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [05:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 129 n1: 129 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [05:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [04:00:00 27/05/2020] el: 1 ai: 113 cg: RN cu: MICU vo: 3.51 vu: ml st: Stopped id: Urine Out Foley t0: [05:00:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 30 vu: ml
id: WBC (4-11,000) t0: [04:31:00 27/05/2020] el: 0 cg: 140 cu: MICU v1: 16 n1: 16 rs: Final st: NotStopd id: WBC t0: [04:31:00 27/05/2020] el: 0 cg: 140 cu: MICU v1: 16 n1: 16 rs: Final st: NotStopd id: Hematocrit t0: [04:31:00 27/05/2020] el: 0 cg: 140 cu: MICU v1: 29.3 n1: 29.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:31:00 27/05/2020] el: 0 cg: 140 cu: MICU v1: 9.9 n1: 9.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:31:00 27/05/2020] el: 0 cg: 140 cu: MICU v1: 109 n1: 109 rs: Final st: NotStopd id: RBC t0: [04:31:00 27/05/2020] el: 0 cg: 140 cu: MICU v1: 3.42 n1: 3.42 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:31:00 27/05/2020] el: 0 cg: 140 cu: MICU v1: 16 n1: 16 rs: Final st: NotStopd
id: BUN t0: [04:31:00 27/05/2020] el: 0 cg: 140 cu: MICU v1: 28 n1: 28 rs: Final st: NotStopd id: Calcium t0: [04:31:00 27/05/2020] el: 0 cg: 140 cu: MICU v1: 7.6 n1: 7.6 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:31:00 27/05/2020] el: 0 cg: 140 cu: MICU v1: 114 n1: 114 rs: Final st: NotStopd id: Creatinine t0: [04:31:00 27/05/2020] el: 0 cg: 140 cu: MICU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [04:31:00 27/05/2020] el: 0 cg: 140 cu: MICU v1: 62 n1: 62 rs: Final st: NotStopd id: Magnesium t0: [04:31:00 27/05/2020] el: 0 cg: 140 cu: MICU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous t0: [04:31:00 27/05/2020] el: 0 cg: 140 cu: MICU v1: 2.4 n1: 2.4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:31:00 27/05/2020] el: 0 cg: 140 cu: MICU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [04:31:00 27/05/2020] el: 0 cg: 140 cu: MICU v1: 142 n1: 142 rs: Final st: NotStopd id: BUN (6-20) t0: [04:31:00 27/05/2020] el: 0 cg: 140 cu: MICU v1: 28 n1: 28 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:31:00 27/05/2020] el: 0 cg: 140 cu: MICU v1: 7.6 n1: 7.6 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:31:00 27/05/2020] el: 0 cg: 140 cu: MICU v1: 19 n1: 19 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:31:00 27/05/2020] el: 0 cg: 140 cu: MICU v1: 114 n1: 114 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:31:00 27/05/2020] el: 0 cg: 140 cu: MICU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:31:00 27/05/2020] el: 0 cg: 140 cu: MICU v1: 62 n1: 62 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:31:00 27/05/2020] el: 0 cg: 140 cu: MICU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:31:00 27/05/2020] el: 0 cg: 140 cu: MICU v1: 2.4 n1: 2.4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:31:00 27/05/2020] el: 0 cg: 140 cu: MICU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:31:00 27/05/2020] el: 0 cg: 140 cu: MICU v1: 142 n1: 142 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [06:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [06:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Oral Care t0: [06:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Arterial BP t0: [06:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 144 n1: 144 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [06:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Differential-Bands t0: [04:31:00 27/05/2020] el: 0 cg: 140 cu: MICU v1: 0 n1: 0 rs: Final st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [06:00:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 35 vu: ml
id: Less Restrict Meas. t0: [06:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [06:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Circulation/SkinInt t0: [06:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Position Change t0: [06:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Reason For Restraint t0: [06:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Restraint Location t0: [06:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [06:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd
id: Service Type t0: [07:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [07:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [07:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 132 n1: 132 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [07:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [07:00:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 30 vu: ml
pi: 4778953 hi: 11194 t0: [08:00:00 27/05/2020] tf: [07:00:00 28/05/2020] mn: Dextrose 50% pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4779007 hi: 11194 t0: [08:00:00 27/05/2020] tf: [07:00:00 28/05/2020] mn: Caspofungin pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: Less Restrict Meas. t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Incr Visibility st: NotStopd id: Pain Present t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Range of Motion t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: Service Type t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 27/05/2020] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Alarms t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Topic #1 t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Activity st: NotStopd id: Eye Care t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Feeding st: NotStopd id: HOB t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #4 Insert Date t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #4 Site/Size t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: Level of Conscious t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 5 Localizes Pain st: NotStopd id: O2 Delivery Device t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 10 n1: 10 u1: lpm st: NotStopd id: Oral Care t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 151 n1: 151 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Aching st: NotStopd id: Arterial BP Mean t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Position t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RUL Lung Sounds t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Crackles st: NotStopd id: Reason For Restraint t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Intact st: NotStopd id: SpO2 t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: INV#1 Cap Change t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Pink v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 2 Incomp sounds st: NotStopd id: Back Care t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Bowel Sounds t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [08:00:00 27/05/2020] el: 2 ai: 228 cg: RN cu: MICU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Gastric Meds t0: [08:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 30 vu: ml id: Urine Out Foley t0: [08:00:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 30 vu: ml
id: Impact w/fiber io: Tube Feeding 255.0ml el: 100 cg: RN cu: MICU am: 10 du: str rt: Gastric/Feeding Tube
io: Tube Feeding 255.0ml el: 1 cg: RN cu: MICU lo: PO / NG ra: 10 ru: ml/hr
id: bath t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: done
id: TF Residual t0: [08:00:00 27/05/2020] el: 1 ai: 115 cg: RN cu: MICU vo: 0 vu: ml id: Tube Feeding 255.0ml t0: [08:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml
id: Service Type t0: [09:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [09:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [09:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 141 n1: 141 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [09:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 25 vu: ml id: Tube Feeding 255.0ml t0: [09:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml
id: Previous Weight t0: [09:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd
id: D5W 100.0ml t0: [09:00:00 27/05/2020] el: 2 ai: 228 cg: RN cu: MICU vo: 250 vu: ml
id: Service Type t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 145 n1: 145 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 30 vu: ml id: Tube Feeding 255.0ml t0: [10:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml
pi: 4779426 hi: 11194 t0: [08:00:00 28/05/2020] tf: [17:00:00 04/06/2020] mn: Caspofungin pt: IV Piggyback st: Discontinued via patient discharge rt: IV fr: Q24H ds: 18 dn: 1 di: Ongoing xu: Enter on Label
id: Service Type t0: [11:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [11:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [11:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Eye Care t0: [11:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: HOB t0: [11:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [11:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Activity t0: [11:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: Oral Care t0: [11:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [11:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [11:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 154 n1: 154 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Position t0: [11:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Left Side st: NotStopd id: Assistance Device t0: [11:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 18 n1: 18 u1: BPM st: NotStopd id: Skin Care t0: [11:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: SpO2 t0: [11:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [11:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: Back Care t0: [11:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: calprevflg t0: [11:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [11:00:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 50 vu: ml id: Tube Feeding 255.0ml t0: [11:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml
pi: 4779672 hi: 11194 t0: [12:00:00 27/05/2020] tf: [11:00:00 28/05/2020] mn: Dextrose 50% pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Activity st: NotStopd id: Position Change t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Reason For Restraint t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Restraint Location t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Support Systems t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Pt./Family Informed t0: [10:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Service Type t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: GI Prophylaxis t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Alarms t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Feeding st: NotStopd id: Heart Rate t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #4 Insert Date t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #4 Site/Size t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Crackles st: NotStopd id: Level of Conscious t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 5 Localizes Pain st: NotStopd id: O2 Delivery Device t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: lpm st: NotStopd id: Oral Cavity t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 159 n1: 159 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Position Change t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: RLL Lung Sounds t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Crackles st: NotStopd id: Reason For Restraint t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: INV#1 Cap Change t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: Urine Color/Appear t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Pink v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 Confused st: NotStopd id: calprevflg t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Bowel Sounds t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [12:00:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 40 vu: ml id: Tube Feeding 255.0ml t0: [12:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml
id: Pain Present t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 27/05/2020] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: Pain Location t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Temp. Site t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 35.7222 n1: 35.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 96.3 n1: 96.3 u1: Deg. F st: NotStopd
id: Service Type t0: [13:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [13:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [13:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 152 n1: 152 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 40 vu: ml id: Tube Feeding 255.0ml t0: [13:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml
id: Service Type t0: [14:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [14:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [14:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 160 n1: 160 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [14:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [14:00:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 50 vu: ml id: Tube Feeding 255.0ml t0: [14:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 20 vu: ml nb: 1
id: Service Type t0: [15:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [15:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [15:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 150 n1: 150 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [15:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [12:00:00 27/05/2020] el: 1 ai: 115 cg: RN cu: MICU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [15:00:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 30 vu: ml id: Tube Feeding 255.0ml t0: [15:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 20 vu: ml
id: Less Restrict Meas. t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Incr Visibility st: NotStopd id: Pain Present t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Pt Verbalized st: NotStopd id: Service Type t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Circulation/SkinInt t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 27/05/2020] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Type t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Alarms t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Activity st: NotStopd id: Eye Care t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Feeding st: NotStopd id: HOB t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #4 Insert Date t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #4 Site/Size t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Crackles st: NotStopd id: Level of Conscious t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 142 n1: 142 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 92 n1: 92 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: lpm st: NotStopd id: Oral Care t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Position t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Supine st: NotStopd id: Position Change t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Crackles st: NotStopd id: Reason For Restraint t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 25 n1: 25 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Intact st: NotStopd id: SpO2 t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: INV#1 Cap Change t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Pink v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 Confused st: NotStopd id: calprevflg t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Bowel Sounds t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 40 vu: ml
id: Procedures t0: [15:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Cardiac Echo st: NotStopd
id: Fingerstick Glucose t0: [16:00:00 27/05/2020] el: 0 cg: CoWker cu: MICU v1: 91 n1: 91 rs: Manual st: NotStopd
id: Tube Feeding 255.0ml t0: [16:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 20 vu: ml st: Stopped
id: Tube Feeds In Total t0: [23:00:00 27/05/2020] el: 1 cg: RN cu: MICU cv: 120 ac: 24 ap: none re: 0
id: Service Type t0: [17:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [17:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [17:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Precautions t0: [17:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [17:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [17:00:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 45 vu: ml
id: Service Type t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 159 n1: 159 u1: mmHg v2: 119 n2: 119 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 127 n1: 127 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 40 vu: ml
id: Fingerstick Glucose t0: [18:00:00 27/05/2020] el: 0 cg: CoWker cu: MICU v1: 124 n1: 124 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Circulation/SkinInt t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Activity st: NotStopd id: Position Change t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Reason For Restraint t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Restraint Location t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Support Systems t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Pt./Family Informed t0: [18:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd
id: Po Intake t0: [17:00:00 27/05/2020] el: 1 ai: 103 cg: RN cu: MICU vo: 40 vu: ml
id: Service Type t0: [19:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [19:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [19:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Precautions t0: [19:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 62.5 n1: 62.5 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [19:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [19:00:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 35 vu: ml
id: INV Line#1 Type/Site t0: [20:00:00 27/05/2020] el: 0 cg: -1 cu: MICU st: D/C'd id: INV Line#1 Zero/Cal t0: [20:00:00 27/05/2020] el: 0 cg: -1 cu: MICU st: D/C'd id: INV Line#1InsertDate t0: [20:00:00 27/05/2020] el: 0 cg: -1 cu: MICU st: D/C'd id: INV Line#1SiteAppear t0: [20:00:00 27/05/2020] el: 0 cg: -1 cu: MICU st: D/C'd id: INV#1 WaveformAppear t0: [20:00:00 27/05/2020] el: 0 cg: -1 cu: MICU st: D/C'd id: INV#1 Dsg Change t0: [20:00:00 27/05/2020] el: 0 cg: -1 cu: MICU st: D/C'd id: INV#1 Cap Change t0: [20:00:00 27/05/2020] el: 0 cg: -1 cu: MICU st: D/C'd id: INV#1 Tubing Change t0: [20:00:00 27/05/2020] el: 0 cg: -1 cu: MICU st: D/C'd
id: Less Restrict Meas. t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Incr Visibility st: NotStopd id: Pain Present t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Non-verbal cues st: NotStopd id: Service Type t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 27/05/2020] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Alarms t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Commun Barrier st: NotStopd id: Education Handout t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Not Given st: NotStopd id: Education Learner t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Readiness t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Health Care Proxy t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Activity st: NotStopd id: Education Topic #2 t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Medications st: NotStopd id: Eye Opening t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Clamped st: NotStopd id: Heart Rate t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #4 Insert Date t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #4 Site/Size t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Crackles st: NotStopd id: Level of Conscious t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 5 Localizes Pain st: NotStopd id: O2 Delivery Device t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Unable to Assess st: NotStopd id: Pain Location t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Position Change t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Crackles st: NotStopd id: Reason For Restraint t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: SpO2 t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Temp. Site t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Pink v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 4 Confused st: NotStopd id: calprevflg t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Calm st: NotStopd id: Pt./Family Informed t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Bowel Sounds t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [20:00:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 80 vu: ml
id: Service Type t0: [21:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [21:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [21:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [21:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [21:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [21:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Frequency t0: [21:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [21:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: HOB t0: [21:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rate t0: [21:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [21:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Sinus Tachy st: NotStopd id: Activity t0: [21:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: NBP t0: [21:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 174 n1: 174 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP t0: [21:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 173 n1: 173 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 103 n1: 103 u1: mmHg st: NotStopd id: NBP Mean t0: [21:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 104 n1: 104 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [21:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [21:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 6 n1: 6 u1: lpm st: NotStopd id: AntiEmbDevice/Status t0: [21:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [21:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Right Side st: NotStopd id: Assistance Device t0: [21:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: Precautions t0: [21:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 28 n1: 28 u1: BPM st: NotStopd id: Skin Care t0: [21:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: SpO2 t0: [21:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [21:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [21:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: Back Care t0: [21:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: calprevflg t0: [21:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [21:00:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 70 vu: ml id: Urine Out Foley t0: [21:30:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 35 vu: ml
id: GI#1 Tube PlaceCheck t0: [22:00:00 27/05/2020] el: 0 cg: -1 cu: MICU st: D/C'd
pi: 4781636 hi: 11194 t0: [20:00:00 27/05/2020] tf: [04:00:00 28/05/2020] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [22:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [22:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [22:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Sinus Tachy st: NotStopd id: NBP t0: [22:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 168 n1: 168 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [22:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [22:00:00 27/05/2020] el: 1 ai: 103 cg: RN cu: MICU vo: 120 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml st: Stopped
id: PO/Gastric In Total t0: [23:00:00 27/05/2020] el: 1 cg: RN cu: MICU cv: 190 ac: 24 ap: none re: 0
id: Pain Present t0: [22:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Pain Assess Method t0: [22:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Grimace Scale st: NotStopd id: Service Type t0: [22:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [22:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [22:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [22:00:00 27/05/2020] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [22:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [22:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [22:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: GI#1 Tube Stat/Drain t0: [22:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Clamped st: NotStopd id: Heart Rate t0: [22:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Sinus Tachy st: NotStopd id: NBP t0: [22:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 169 n1: 169 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [22:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 101 n1: 101 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [22:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Face Tent st: NotStopd id: O2 Delivery Device#2 t0: [22:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [22:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [22:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 2 n1: 2 u1: lpm st: NotStopd id: Pain Location t0: [22:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Pain Management t0: [22:00:00 27/05/2020] el: 1 cg: RN cu: MICU v1: PO Med st: NotStopd id: Precautions t0: [22:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Side Rails t0: [22:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: SpO2 t0: [22:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [22:30:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [22:30:00 27/05/2020] el: 2 ai: 228 cg: RN cu: MICU vo: 50 vu: ml id: Urine Out Foley t0: [23:00:00 27/05/2020] el: 1 cg: RN cu: MICU vo: 100 vu: ml
id: Service Type t0: [23:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [23:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [23:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Sinus Tachy st: NotStopd id: NBP t0: [23:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 151 n1: 151 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 27/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml st: Restart
id: Pain Present t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Change in Vitals st: NotStopd id: Service Type t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 28/05/2020] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: House st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Alarms t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Eye Opening t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Soft Distended st: NotStopd id: Activity t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Crackles st: NotStopd id: Level of Conscious t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 148 n1: 148 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 80 n1: 80 u1: mmHg st: NotStopd id: O2 Delivery Device#2 t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) #2 t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 6 n1: 6 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Position t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 1 Person Assist st: NotStopd id: Precautions t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Crackles st: NotStopd id: Respiratory Pattern t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 30 n1: 30 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Side Rails t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Back st: NotStopd id: Urine Color/Appear t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 4 Confused st: NotStopd id: calprevflg t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Calm st: NotStopd id: Bowel Sounds t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 28/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [00:00:00 28/05/2020] el: 1 cg: RN cu: MICU vo: 40 vu: ml
id: IV #1 Insert Date t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #4 Insert Date t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #4 Site/Size t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Temp. Site t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: Fingerstick Glucose t0: [00:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 162 n1: 162 rs: Manual st: NotStopd
id: IV #4 Insert Date t0: [01:00:00 28/05/2020] el: 0 cg: -1 cu: MICU st: D/C'd id: IV #4 Site/Size t0: [01:00:00 28/05/2020] el: 0 cg: -1 cu: MICU st: D/C'd id: IV Site Appear #4 t0: [01:00:00 28/05/2020] el: 0 cg: -1 cu: MICU st: D/C'd
id: Less Restrict Meas. t0: [01:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [01:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Service Type t0: [01:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Circulation/SkinInt t0: [01:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Code Status t0: [01:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [01:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 138 n1: 138 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Position Change t0: [01:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Precautions t0: [01:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Removed x 5 Mins t0: [01:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Respiratory Rate t0: [01:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 25 n1: 25 u1: BPM st: NotStopd id: Restraint Location t0: [01:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [01:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [01:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [01:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: SpO2 t0: [01:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [01:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [01:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 28/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [01:00:00 28/05/2020] el: 1 cg: RN cu: MICU vo: 30 vu: ml
id: IV Infusion In Total t0: [23:00:00 28/05/2020] el: 1 cg: RN cu: MICU cv: 595 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 28/05/2020] el: 1 cg: RN cu: MICU cv: 775 ac: 24 ap: carryForward re: 0 id: Total Hourly Output t0: [23:00:00 28/05/2020] el: 1 cg: RN cu: MICU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 28/05/2020] el: 1 cg: RN cu: MICU cv: 585 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 28/05/2020] el: 1 cg: RN cu: MICU cv: 190 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 28/05/2020] el: 1 cg: RN cu: MICU cv: 9554.18 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 28/05/2020] el: 1 cg: RN cu: MICU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 28/05/2020] el: 1 cg: RN cu: MICU cv: 585 ac: 24 ap: none re: 0
id: NBP t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 162 n1: 162 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 27/05/2020] el: 0 cg: RN cu: MICU v1: 101 n1: 101 u1: mmHg st: NotStopd
id: Service Type t0: [02:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [02:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [02:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 144 n1: 144 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [02:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 28/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 28/05/2020] el: 1 cg: RN cu: MICU vo: 50 vu: ml
id: Service Type t0: [03:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [03:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [03:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 161 n1: 161 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [03:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4782437 hi: 11194 t0: [08:00:00 28/05/2020] tf: [10:00:00 28/05/2020] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Alarms t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: NBP t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 154 n1: 154 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: calprevflg t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Incr Visibility st: NotStopd id: Pain Present t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Non-verbal cues st: NotStopd id: Circulation/SkinInt t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 28/05/2020] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v2: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: House st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Education Barrier t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Commun Barrier st: NotStopd id: Education Handout t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Not Given st: NotStopd id: Education Learner t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Patient st: NotStopd id: Education Method t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Explanation st: NotStopd id: Education Readiness t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Education Response t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Activity st: NotStopd id: Education Topic #2 t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 3 To speech st: NotStopd id: GCS Total t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 13 n1: 13 u1: points st: NotStopd id: Abdominal Assessment t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Crackles st: NotStopd id: Level of Conscious t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device#2 t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) #2 t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 6 n1: 6 u1: lpm st: NotStopd id: Oral Cavity t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Unable to Assess st: NotStopd id: Pain Location t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Position Change t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: RLL Lung Sounds t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Crackles st: NotStopd id: Reason For Restraint t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Restraint Location t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: RestraintReapply st: NotStopd id: Side Rails t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: Support Systems t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Urine Color/Appear t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 4 Confused st: NotStopd id: Behavior t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Calm st: NotStopd id: Pt./Family Informed t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Bowel Sounds t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 28/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 28/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 28/05/2020] el: 1 cg: RN cu: MICU vo: 80 vu: ml
id: bath t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Done id: HOB t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 30 degrees st: NotStopd id: Activity t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: Oral Care t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Left Side st: NotStopd id: Assistance Device t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: Therapeutic Bed t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: Back Care t0: [04:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd
id: Service Type t0: [05:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [05:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [05:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 166 n1: 166 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [05:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [06:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [06:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [06:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 144 n1: 144 u1: mmHg v2: 89 n2: 89 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [06:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [06:00:00 28/05/2020] el: 1 ai: 103 cg: RN cu: MICU vo: 60 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 28/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 28/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [06:00:00 28/05/2020] el: 1 cg: RN cu: MICU vo: 140 vu: ml
id: Eye Opening t0: [06:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [06:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 15 n1: 15 u1: points st: NotStopd id: Level of Conscious t0: [06:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: Motor Response t0: [06:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [06:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Oriented x 1 st: NotStopd id: Restraint Location t0: [06:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Side Rails t0: [06:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 123 n1: 123 rs: Manual st: NotStopd
id: WBC (4-11,000) t0: [05:40:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 15.4 n1: 15.4 rs: Final st: NotStopd id: WBC t0: [05:40:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 15.4 n1: 15.4 rs: Final st: NotStopd id: Hematocrit t0: [05:40:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 34.5 n1: 34.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:40:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 11.5 n1: 11.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:40:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 130 n1: 130 rs: Final st: NotStopd id: RBC t0: [05:40:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 4.02 n1: 4.02 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:40:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 15.4 n1: 15.4 rs: Final st: NotStopd
id: BUN t0: [05:40:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 24 n1: 24 rs: Final st: NotStopd id: Calcium t0: [05:40:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:40:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 115 n1: 115 rs: Final st: NotStopd id: Creatinine t0: [05:40:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [05:40:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 94 n1: 94 rs: Final st: NotStopd id: Magnesium t0: [05:40:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: Phosphorous t0: [05:40:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 2.1 n1: 2.1 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:40:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [05:40:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 146 n1: 146 rs: Final st: NotStopd id: BUN (6-20) t0: [05:40:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 24 n1: 24 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:40:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:40:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 20 n1: 20 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:40:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 115 n1: 115 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:40:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:40:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 94 n1: 94 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:40:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:40:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 2.1 n1: 2.1 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:40:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:40:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 146 n1: 146 rs: Final st: NotStopd
pi: 4782562 hi: 11194 t0: [08:00:00 28/05/2020] tf: [01:00:00 29/05/2020] mn: Potassium Chloride pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4782563 hi: 11194 t0: [08:00:00 28/05/2020] tf: [01:00:00 29/05/2020] mn: Magnesium Sulfate pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: O2 Delivery Device t0: [08:00:00 28/05/2020] el: 0 cg: -1 cu: MICU st: D/C'd id: O2 Flow (lpm) t0: [08:00:00 28/05/2020] el: 0 cg: -1 cu: MICU st: D/C'd
id: D5W 100.0ml t0: [08:00:00 28/05/2020] el: 1 ai: 105 cg: -1 cu: MICU vo: 0 st: D/C'd id: TF Residual t0: [08:00:00 28/05/2020] el: 1 ai: 115 cg: -1 cu: MICU vo: 0 st: D/C'd id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [08:00:00 28/05/2020] el: 1 ai: 113 cg: -1 cu: MICU vo: 0 st: D/C'd id: .9% Normal Saline 250.0ml t0: [08:00:00 28/05/2020] el: 1 ai: 416 cg: -1 cu: MICU vo: 0 st: D/C'd id: Tube Feeding 255.0ml t0: [08:00:00 28/05/2020] el: 1 ai: 107 cg: -1 cu: MICU vo: 0 st: D/C'd
id: Pain Present t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 28/05/2020] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Readmit <48 hrs t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: House st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Alarms t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Health Care Proxy t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Eye Opening t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 12 n1: 12 u1: points st: NotStopd id: HOB t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 degrees st: NotStopd id: Heart Rate t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Soft Distended st: NotStopd id: IV #1 Insert Date t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 v2: 30 n2: 30 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: LLL Lung Sounds t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Confused st: NotStopd id: Motor Response t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 160 n1: 160 u1: mmHg v2: 91 n2: 91 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 107 n1: 107 u1: mmHg st: NotStopd id: O2 Flow (lpm) #2 t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Position t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 31 n1: 31 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Side Rails t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: SpO2 t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Temp. Site t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Confused st: NotStopd id: Pt./Family Informed t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Bowel Sounds t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 28/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 20 vu: ml id: Urine Out Foley t0: [08:00:00 28/05/2020] el: 1 cg: RN cu: MICU vo: 50 vu: ml
id: IV #4 Insert Date t0: [08:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: IV #4 Site/Size t0: [08:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV Site Appear #4 t0: [08:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: O2 Flow (lpm) #2 t0: [08:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 6 n1: 6 u1: lpm st: NotStopd id: Respiratory Rate t0: [08:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 39 n1: 39 u1: BPM st: NotStopd id: SpO2 t0: [08:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 93 n1: 93 u1: % st: NotStopd
id: Po Intake t0: [08:30:00 28/05/2020] el: 1 ai: 103 cg: RN cu: MICU vo: 120 vu: ml id: D5W 100.0ml t0: [08:30:00 28/05/2020] el: 2 ai: 228 cg: RN cu: MICU vo: 50 vu: ml
id: PO/Gastric In Total t0: [23:00:00 28/05/2020] el: 1 cg: RN cu: -1 cv: 180 ac: 24 ap: none re: 0
id: Resp Alarm (Lo/Hi) t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd
id: Service Type t0: [09:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [09:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [09:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 181 n1: 181 u1: mmHg v2: 91 n2: 91 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [09:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Blood Cultured st: NotStopd id: Respiratory Rate t0: [09:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 95 n1: 95 u1: % st: NotStopd id: Stool Color/Consist t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Brown v2: Loose st: NotStopd id: calprevflg t0: [09:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [09:00:00 28/05/2020] el: 2 ai: 228 cg: RN cu: MICU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 28/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Packed RBC's t0: [09:00:00 28/05/2020] el: 1 ai: 113 cg: RN cu: MICU vu: ml uu: Units es: Medium id: Urine Out Foley t0: [09:00:00 28/05/2020] el: 1 cg: RN cu: MICU vo: 45 vu: ml
id: Blood Products Total t0: [23:00:00 28/05/2020] el: 1 cg: RN cu: -1 cv: 0 ac: 24 ap: carryForward re: 0
id: Service Type t0: [09:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [09:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [09:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [09:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [09:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: HOB t0: [09:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 45 degrees st: NotStopd id: Heart Rate t0: [09:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Sinus Tachy st: NotStopd id: Activity t0: [09:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Fair st: NotStopd id: NBP t0: [09:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 181 n1: 181 u1: mmHg v2: 91 n2: 91 u2: mmHg st: NotStopd id: NBP Mean t0: [09:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 114 n1: 114 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [09:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [09:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Left Side st: NotStopd id: Assistance Device t0: [09:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 36 n1: 36 u1: BPM st: NotStopd id: SpO2 t0: [09:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [09:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [09:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 38.2222 n1: 38.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [09:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 100.8 n1: 100.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [09:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: Back Care t0: [09:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Done st: NotStopd id: calprevflg t0: [09:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [10:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [10:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [10:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 166 n1: 166 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [10:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [10:00:00 28/05/2020] el: 2 ai: 228 cg: RN cu: MICU vo: 250 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 28/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 28/05/2020] el: 1 cg: RN cu: MICU vo: 50 vu: ml
pi: 4782982 hi: 11194 t0: [22:00:00 28/05/2020] tf: [10:00:00 28/05/2020] mn: Daptomycin pt: IV Piggyback st: Discontinued rt: IV fr: Q24H ds: 22 dn: 1 di: Ongoing xu: Enter on Label pi: 4783076 hi: 11194 t0: [14:00:00 28/05/2020] tf: [09:00:00 29/05/2020] mn: Metoprolol pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4783077 hi: 11194 t0: [12:00:00 28/05/2020] tf: [17:00:00 04/06/2020] mn: Ampicillin pt: IV Piggyback st: Discontinued via patient discharge rt: IV fr: Q6H ds: 0, 6, 12, 18 dn: 4 di: Ongoing xv: 36 xu: Hours
id: Parameters Checked t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Skin Integrity t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Intact st: NotStopd id: Braden Activity t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Very Poor st: NotStopd id: Braden Score t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: No Impairment st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 179 n1: 179 rs: Manual st: NotStopd
id: Pain Present t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Non-verbal cues st: NotStopd id: Service Type t0: [11:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Service Type t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [11:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 28/05/2020] el: 1 cg: RN cu: MICU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [11:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Ectopy Frequency t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Alarms t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 12 n1: 12 u1: points st: NotStopd id: HOB t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 45 degrees st: NotStopd id: Heart Rate t0: [11:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Left Wrist v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 5 n1: 5 v2: 3 n2: 3 st: NotStopd id: IV #4 Site/Size t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Right Wrist v2: 20 gauge st: NotStopd id: Activity t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [11:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 152 n1: 152 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 168 n1: 168 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 105 n1: 105 u1: mmHg st: NotStopd id: O2 Delivery Device#2 t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) #2 t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 6 n1: 6 u1: lpm st: NotStopd id: Oral Cavity t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Position t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Right Side st: NotStopd id: Assistance Device t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: Precautions t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 29 n1: 29 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: All rails up st: NotStopd id: SpO2 t0: [11:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Temp. Site t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Pink v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [11:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Other/Remarks st: NotStopd id: Bowel Sounds t0: [12:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Present st: NotStopd
id: D5W 100.0ml t0: [12:00:00 28/05/2020] el: 2 ai: 228 cg: RN cu: MICU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 28/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 20 vu: ml id: Urine Out Foley t0: [12:00:00 28/05/2020] el: 1 cg: RN cu: MICU vo: 50 vu: ml
id: Service Type t0: [13:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [13:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [13:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [13:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [13:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [13:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: NBP t0: [13:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 142 n1: 142 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [13:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [13:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [13:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [13:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:30:00 28/05/2020] el: 1 ai: 107 cg: RN cu: MICU vo: 15 vu: ml id: Urine Out Foley t0: [13:30:00 28/05/2020] el: 1 cg: RN cu: MICU vo: 50 vu: ml
id: HOB t0: [13:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 45 degrees st: NotStopd id: Activity t0: [13:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [13:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [13:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Left Side st: NotStopd id: Assistance Device t0: [13:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [13:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:30:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Side to Side st: NotStopd
id: Service Type t0: [15:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: MSICU st: NotStopd id: Code Status t0: [15:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [15:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 142 n1: 142 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Precautions t0: [15:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [15:00:00 28/05/2020] el: 0 cg: RN cu: MICU v1: 1 n1: 1 u1: kg st: NotStopd
id: BUN t0: [14:34:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 21 n1: 21 rs: Final st: NotStopd id: Chloride t0: [14:34:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 117 n1: 117 rs: Final st: NotStopd id: Creatinine t0: [14:34:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [14:34:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 118 n1: 118 rs: Final st: NotStopd id: Potassium t0: [14:34:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [14:34:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 149 n1: 149 rs: Final st: NotStopd id: BUN (6-20) t0: [14:34:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 21 n1: 21 rs: Final st: NotStopd id: Carbon Dioxide t0: [14:34:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 23 n1: 23 rs: Final st: NotStopd id: Chloride (100-112) t0: [14:34:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 117 n1: 117 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [14:34:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [14:34:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 118 n1: 118 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [14:34:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [14:34:00 28/05/2020] el: 0 cg: 140 cu: MICU v1: 149 n1: 149 rs: Final st: NotStopd
pi: 4784545 hi: 11194 t0: [17:00:00 28/05/2020] tf: [08:00:00 29/05/2020] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4784546 hi: 11194 t0: [17:00:00 28/05/2020] tf: [17:00:00 04/06/2020] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
ci: 40674 t0: [18:19:00 25/05/2020] cu: MICU de: Regular ward dt: 4189
pi: 4785503 hi: 11194 t0: [22:00:00 28/05/2020] tf: [21:00:00 29/05/2020] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4785504 hi: 11194 t0: [22:00:00 28/05/2020] tf: [21:00:00 29/05/2020] mn: Metoprolol pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4785523 hi: 11194 t0: [10:00:00 28/05/2020] tf: [08:00:00 29/05/2020] mn: Lansoprazole Oral Disintegrating Tab pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4785524 hi: 11194 t0: [10:00:00 28/05/2020] tf: [17:00:00 04/06/2020] mn: Lansoprazole Oral Disintegrating Tab pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4785597 hi: 11194 t0: [22:00:00 28/05/2020] tf: [21:00:00 29/05/2020] mn: Metoprolol pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4785598 hi: 11194 t0: [10:00:00 28/05/2020] tf: [08:00:00 29/05/2020] mn: Lisinopril pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4785599 hi: 11194 t0: [22:00:00 28/05/2020] tf: [09:00:00 04/06/2020] mn: Olanzapine (Disintegrating Tablet) pt: Unit Dose st: Discontinued rt: PO fr: BID:PRN di: Ongoing xv: 36 xu: Hours
pi: 4785645 hi: 11194 t0: [23:00:00 28/05/2020] tf: [01:00:00 29/05/2020] mn: Nitroglycerin Ointment 2% pt: Unit Dose st: Inactive (Due to a change order) rt: TP fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4786108 hi: 11194 t0: [23:00:00 29/05/2020] tf: [22:00:00 30/05/2020] mn: Nitroglycerin Ointment 2% pt: Unit Dose st: Expired rt: TP fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4786717 hi: 11194 t0: [09:00:00 29/05/2020] tf: [08:00:00 30/05/2020] mn: Nitroglycerin Ointment 2% pt: Unit Dose st: Expired rt: TP fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4786718 hi: 11194 t0: [09:00:00 29/05/2020] tf: [08:00:00 30/05/2020] mn: Metoprolol pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4786719 hi: 11194 t0: [14:00:00 29/05/2020] tf: [09:00:00 29/05/2020] mn: Captopril pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
pi: 4786869 hi: 11194 t0: [10:00:00 29/05/2020] tf: [09:00:00 30/05/2020] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4786870 hi: 11194 t0: [10:00:00 29/05/2020] tf: [09:00:00 30/05/2020] mn: Magnesium Sulfate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4786871 hi: 11194 t0: [10:00:00 29/05/2020] tf: [09:00:00 30/05/2020] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4786914 hi: 11194 t0: [10:00:00 29/05/2020] tf: [10:00:00 31/05/2020] mn: Metoprolol pt: Unit Dose st: Discontinued rt: IV fr: Q6H ds: 10, 16, 22, 4 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 4786915 hi: 11194 t0: [10:00:00 29/05/2020] tf: [09:00:00 30/05/2020] mn: Nitroglycerin Ointment 2% pt: Unit Dose st: Expired rt: TP fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4786916 hi: 11194 t0: [10:00:00 29/05/2020] tf: [15:00:00 29/05/2020] mn: Nitroglycerin Ointment 2% pt: Unit Dose st: Inactive (Due to a change order) rt: TP fr: Q6H ds: 10, 16, 22, 4 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 4786917 hi: 11194 t0: [10:00:00 29/05/2020] tf: [14:00:00 29/05/2020] mn: Enalaprilat pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q6H ds: 10, 16, 22, 4 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 4786952 hi: 11194 t0: [10:00:00 29/05/2020] tf: [11:00:00 03/06/2020] mn: Ipratropium Bromide Neb pt: Unit Dose st: Discontinued rt: IH fr: Q6H ds: 10, 16, 22, 4 dn: 4 di: Ongoing xv: 36 xu: Hours
pi: 4787788 hi: 11194 t0: [20:00:00 29/05/2020] tf: [09:00:00 30/05/2020] mn: Enalaprilat pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q6H ds: 2, 8, 14, 20 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 4787791 hi: 11194 t0: [15:00:00 29/05/2020] tf: [14:00:00 30/05/2020] mn: Enalaprilat pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4787958 hi: 11194 t0: [16:00:00 29/05/2020] tf: [16:00:00 01/06/2020] mn: Nitroglycerin Ointment 2% pt: Unit Dose st: Discontinued rt: TP fr: Q6H ds: 10, 16, 22, 4 dn: 4 di: Ongoing xv: 36 xu: Hours
pi: 4790148 hi: 11194 t0: [07:00:00 30/05/2020] tf: [06:00:00 31/05/2020] mn: HydrALAzine pt: Unit Dose st: Expired rt: IV fr: ONCE MR1 ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4790250 hi: 11194 t0: [09:00:00 30/05/2020] tf: [14:00:00 30/05/2020] mn: HydrALAzine pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q6H ds: 9, 15, 21, 3 dn: 4 di: Ongoing xv: 36 xu: Hours
pi: 4790486 hi: 11194 t0: [10:00:00 30/05/2020] tf: [09:00:00 31/05/2020] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4790488 hi: 11194 t0: [14:00:00 30/05/2020] tf: [10:00:00 31/05/2020] mn: Enalaprilat pt: IV Piggyback st: Discontinued rt: IV fr: Q6H ds: 2, 8, 14, 20 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 4790490 hi: 11194 t0: [10:00:00 30/05/2020] tf: [09:00:00 31/05/2020] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4790491 hi: 11194 t0: [10:00:00 30/05/2020] tf: [09:00:00 31/05/2020] mn: Magnesium Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4791266 hi: 11194 t0: [15:00:00 30/05/2020] tf: [16:00:00 01/06/2020] mn: HydrALAzine pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q6H ds: 9, 15, 21, 3 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 4791267 hi: 11194 t0: [15:00:00 30/05/2020] tf: [14:00:00 31/05/2020] mn: HydrALAzine pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4791476 hi: 11194 t0: [18:00:00 30/05/2020] tf: [14:00:00 31/05/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml D5W Continuous at 100 ml/hr for 2000 ml ir: 100 it: C ss: N dt: 20 di: Hours xu: Enter on Label
pi: 4791684 hi: 11194 t0: [19:00:00 30/05/2020] tf: [18:00:00 31/05/2020] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xu: Enter on Label
pi: 4792765 hi: 11194 t0: [10:00:00 31/05/2020] tf: [09:00:00 01/06/2020] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xu: Enter on Label
pi: 4793021 hi: 11194 t0: [14:00:00 31/05/2020] tf: [18:00:00 31/05/2020] mn: Captopril pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4793022 hi: 11194 t0: [14:00:00 31/05/2020] tf: [18:00:00 31/05/2020] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4793023 hi: 11194 t0: [11:00:00 31/05/2020] tf: [10:00:00 01/06/2020] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4793024 hi: 11194 t0: [11:00:00 31/05/2020] tf: [00:00:00 01/06/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml D5W Continuous at 75 ml/hr for 1000 ml ir: 75 it: C ss: N dt: 13 di: Hours xu: Enter on Label pi: 4793025 hi: 11194 t0: [10:00:00 01/06/2020] tf: [17:00:00 04/06/2020] mn: Furosemide pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4794101 hi: 11194 t0: [19:00:00 31/05/2020] tf: [18:00:00 01/06/2020] mn: Captopril pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4794102 hi: 11194 t0: [20:00:00 31/05/2020] tf: [15:00:00 02/06/2020] mn: Captopril pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4794103 hi: 11194 t0: [20:00:00 31/05/2020] tf: [16:00:00 01/06/2020] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
pi: 4794584 hi: 11194 t0: [23:00:00 31/05/2020] tf: [09:00:00 01/06/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 40 mEq Potassium Chloride / 1000 mL D5W Continuous at 100 ml/hr for 1000 ml ir: 100 it: C ss: N dt: 10 di: Hours xu: Enter on Label
pi: 4794871 hi: 11194 t0: [03:00:00 01/06/2020] tf: [02:00:00 02/06/2020] mn: HydrALAzine pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 3 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4795699 hi: 11194 t0: [11:00:00 01/06/2020] tf: [17:00:00 04/06/2020] mn: Heparin Flush PICC (100 units/ml) pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
pi: 4797107 hi: 11194 t0: [16:00:00 01/06/2020] tf: [15:00:00 02/06/2020] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 16 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4797258 hi: 11194 t0: [20:00:00 01/06/2020] tf: [15:00:00 02/06/2020] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4797259 hi: 11194 t0: [10:00:00 01/06/2020] tf: [17:00:00 04/06/2020] mn: Lisinopril pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4797260 hi: 11194 t0: [17:00:00 01/06/2020] tf: [17:00:00 04/06/2020] mn: HydrALAzine pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours
pi: 4798916 hi: 11194 t0: [04:00:00 02/06/2020] tf: [03:00:00 03/06/2020] mn: Haloperidol pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 4 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4800807 hi: 11194 t0: [16:00:00 02/06/2020] tf: [15:00:00 03/06/2020] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 16 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4800808 hi: 11194 t0: [16:00:00 02/06/2020] tf: [15:00:00 03/06/2020] mn: Magnesium Sulfate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 16 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4800948 hi: 11194 t0: [20:00:00 02/06/2020] tf: [11:00:00 03/06/2020] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
pi: 4803744 hi: 11194 t0: [20:00:00 03/06/2020] tf: [17:00:00 04/06/2020] mn: Potassium Chloride pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 dt: 24 di: Hours xv: 36 xu: Hours pi: 4803745 hi: 11194 t0: [14:00:00 03/06/2020] tf: [17:00:00 04/06/2020] mn: Metoprolol pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4803746 hi: 11194 t0: [14:00:00 03/06/2020] tf: [17:00:00 04/06/2020] mn: Metoprolol pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
pi: 4806417 hi: 11194 t0: [04:00:00 04/06/2020] tf: [17:00:00 04/06/2020] mn: Potassium Chloride pt: IV Piggyback st: Discontinued via patient discharge rt: IV fr: ONCE ds: 4 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4807065 hi: 11194 t0: [10:00:00 04/06/2020] tf: [15:00:00 04/06/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml D5W Continuous at 100 ml/hr for 500 ml ir: 100 it: C ss: N dt: 5 di: Hours xu: Enter on Label