This log is also available as text (106cc.txt) and as a (binary) annotation file (106cc.log).
Generated: Thursday, 23-Apr-2009 00:34:48 EDT
(All dates below are surrogates.)
id: Service Type t0: [09:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [09:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [09:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [09:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: PAP Mean t0: [09:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: mmHg st: NotStopd id: PAP S/D t0: [09:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg v2: 21 n2: 21 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 94 n2: 94 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [09:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 26/11/2017] 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 26/11/2017] 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 26/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Temp. Site t0: [09:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [09:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 35.6667 n1: 35.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [09:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 96.2 n1: 96.2 u1: Deg. F st: NotStopd id: calprevflg t0: [09:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 26/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 40 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 26/11/2017] el: 1 ai: 416 cg: RN cu: CCU vo: 12 vu: ml st: Stopped id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 26/11/2017] el: 1 ai: 416 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium t0: [07:00:00 26/11/2017] el: 1 ai: 156 cg: RN cu: CCU vu: ml id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium t0: [08:00:00 26/11/2017] el: 1 ai: 156 cg: RN cu: CCU vo: 34 vu: ml id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium t0: [09:00:00 26/11/2017] el: 1 ai: 156 cg: RN cu: CCU vo: 17 vu: ml id: Urine Out Foley t0: [09:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 26/11/2017] el: 1 ai: 431 cg: RN cu: CCU vo: 14 vu: ml
id: Fentanyl t0: [09:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Vecuronium t0: [06:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0.085 du: mgkghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Vecuronium t0: [07:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0.085 du: mgkghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Vecuronium t0: [09:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0.075 du: mgkghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [09:31:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.23 n1: 7.23 rs: Final st: NotStopd id: Lactic Acid t0: [09:31:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Arterial Base Excess t0: [09:31:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [09:31:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 36 n1: 36 rs: Final st: NotStopd id: Arterial PaCO2 t0: [09:31:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 81 n1: 81 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [09:31:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 73 n1: 73 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [09:31:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.23 n1: 7.23 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [09:31:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd
id: CPK/MB t0: [06:49:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd
id: Service Type t0: [10:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [10:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Unarousable st: NotStopd id: Risk for Falls t0: [10:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: PAP Mean t0: [10:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: PAP S/D t0: [10:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: PCWP t0: [10:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [10:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 26/11/2017] 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 26/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [10:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 26/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 26/11/2017] el: 1 ai: 416 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium t0: [10:00:00 26/11/2017] el: 1 ai: 156 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [10:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 26/11/2017] el: 1 ai: 431 cg: RN cu: CCU vo: 7 vu: ml
id: Fentanyl t0: [10:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Vecuronium t0: [10:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0.07 du: mgkghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [10:38:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.27 n1: 7.27 rs: Final st: NotStopd id: Arterial Base Excess t0: [10:38:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [10:38:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 36 n1: 36 rs: Final st: NotStopd id: Arterial PaCO2 t0: [10:38:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 76 n1: 76 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [10:38:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 78 n1: 78 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [10:38:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.27 n1: 7.27 rs: Final st: NotStopd
id: CoolingDevice/Status t0: [11:00:00 26/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd
id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 26/11/2017] el: 1 ai: 416 cg: -1 cu: CCU vo: 0 st: D/C'd id: D5W 250.0ml + 400mcgkgmin Dopamine t0: [11:00:00 26/11/2017] el: 1 ai: 112 cg: -1 cu: CCU vo: 0 st: D/C'd id: N/A 50.0vl + 500mcgkgmin Propofol t0: [11:00:00 26/11/2017] el: 1 ai: 304 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Differential-Bands t0: [06:49:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 0 n1: 0 rs: Final st: NotStopd
id: ETT Mark/Location t0: [11:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: Driving pressure t0: [11:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 id: High Insp. Pressure t0: [11:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [11:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 1:4 st: NotStopd id: Airway Size t0: [11:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [11:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:00:00 26/11/2017] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [11:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [11:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [11:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 7.4 n1: 7.4 u1: L/min st: NotStopd id: PEEP Set t0: [11:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [11:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [11:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [11:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [11:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [11:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [11:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 1100 n1: 1100 st: NotStopd id: Tank B psi. t0: [11:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [11:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 st: NotStopd id: Sensitivity-Vent t0: [11:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: TCPCV Fixed I Time t0: [11:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: Insp. Time Fixed st: NotStopd id: TCPCV I:E Ratio t0: [11:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 1:4 st: NotStopd id: TCPCV Insp. Pressure t0: [11:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: TCPCV Insp. Time t0: [11:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: sec st: NotStopd id: Tidal Volume (Obser) t0: [11:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 632 n1: 632 u1: ml/B st: NotStopd id: Pmax t0: [11:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 id: Ventilator Mode t0: [11:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: Pressure Control st: NotStopd id: Ventilator Type t0: [11:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Pain Present t0: [10:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [10:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Daily Wake Up t0: [10:00:00 26/11/2017] el: 1 cg: RN cu: CCU v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: GI Prophylaxis t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Diet Type t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Dorsal PedPulse R/L t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Barrier t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Eye Care t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Eye Opening t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Family Communication t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GCS Total t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: points st: NotStopd id: GCS Total t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: points st: NotStopd id: HOB t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: HOB t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Abdominal Assessment t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Ins/Exp Wheeze st: NotStopd id: LUL Lung Sounds t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Ins/Exp Wheeze st: NotStopd id: Level of Conscious t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Paralytic Med st: NotStopd id: Level of Conscious t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Paralytic Med st: NotStopd id: Angio Appearance #1 t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #1 t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Motor Response t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Angio Dressing #1 t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #1 t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Oral Cavity t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Orientation t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: PAP Mean t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: mmHg st: NotStopd id: PAP S/D t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [10:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 26/11/2017] el: 0 cg: RN cu: CCU u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Position t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Response R/L t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: Pupil Size R/L t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Ins/Exp Wheeze st: NotStopd id: RUL Lung Sounds t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Ins/Exp Wheeze st: NotStopd id: Respiratory Pattern t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Stool Guaiac t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Stool Guaiac t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Therapeutic Bed t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Turn t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Verbal Response t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Bowel Sounds t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 26/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 26/11/2017] el: 1 ai: 416 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium t0: [11:00:00 26/11/2017] el: 1 ai: 156 cg: RN cu: CCU vo: 14 vu: ml id: Urine Out Foley t0: [11:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 14 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 26/11/2017] el: 1 ai: 431 cg: RN cu: CCU vo: 7 vu: ml
id: Fentanyl t0: [11:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Vecuronium t0: [11:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0.05 du: mgkghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: INV Line#1 Type/Site t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: INV Line#1SiteAppear t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: INV Line#2SiteAppear t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: IV #1 Site/Size t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: IV #2 Site/Size t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Temp. Site t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 35.9444 n1: 35.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 96.7 n1: 96.7 u1: Deg. F st: NotStopd
id: NMB Medication t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Vecuronium st: NotStopd id: NMB Medication t0: [09:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Vecuronium st: NotStopd id: NMB Medication t0: [10:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Vecuronium st: NotStopd id: Nerve Stimulated t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Right Facial st: NotStopd id: Nerve Stimulated t0: [09:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Right Facial st: NotStopd id: Arterial BP t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: Respiratory Rate t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: TOF Response/Twitch t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 0 Thumb Twitches st: NotStopd id: TOF Response/Twitch t0: [09:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 0 Thumb Twitches st: NotStopd id: TOF Response/Twitch t0: [10:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 0 Eye Lid Twitch st: NotStopd id: Baseline Current/mA t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mA st: NotStopd id: Baseline Current/mA t0: [09:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mA st: NotStopd id: Baseline Current/mA t0: [10:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mA st: NotStopd
id: MDI #2 (Puff/Drug) t0: [12:01:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 v2: Atrovent st: NotStopd
id: Service Type t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: PAP Mean t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: PAP S/D t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: calprevflg t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 26/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 26/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 26/11/2017] el: 1 ai: 416 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 26/11/2017] el: 1 ai: 416 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium t0: [12:00:00 26/11/2017] el: 1 ai: 156 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium t0: [13:00:00 26/11/2017] el: 1 ai: 156 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 26/11/2017] el: 1 ai: 431 cg: RN cu: CCU vo: 7 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 26/11/2017] el: 1 ai: 431 cg: RN cu: CCU vo: 7 vu: ml
id: Fentanyl t0: [12:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Vecuronium t0: [12:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0.05 du: mgkghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [13:47:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.27 n1: 7.27 rs: Final st: NotStopd id: Arterial Base Excess t0: [13:47:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [13:47:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Arterial PaCO2 t0: [13:47:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 63 n1: 63 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [13:47:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 63 n1: 63 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [13:47:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.27 n1: 7.27 rs: Final st: NotStopd
id: Service Type t0: [13:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [13:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rate t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: PAP Mean t0: [13:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: PAP Mean t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: PAP S/D t0: [13:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: PAP S/D t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [13:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 26/11/2017] 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: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: kg st: NotStopd id: Previous WeightF t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:45:00 26/11/2017] 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 26/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [13:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [13:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 36.2778 n1: 36.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 97.3 n1: 97.3 u1: Deg. F st: NotStopd id: calprevflg t0: [13:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [13:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [13:45:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [13:45:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Vecuronium t0: [13:45:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0.05 du: mgkghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
pi: 4068575 hi: 9718 t0: [15:00:00 26/11/2017] tf: [14:00:00 28/11/2017] mn: Ipratropium Bromide MDI pt: Unit Dose st: Discontinued rt: IH fr: Q4H ds: 15, 19, 23, 3, 7, 11 dn: 6 di: Ongoing xv: 36 xu: Hours pi: 4068576 hi: 9718 t0: [15:00:00 26/11/2017] tf: [23:00:00 26/11/2017] mn: Magnesium Sulfate pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [14:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [14:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: BPM st: NotStopd id: PAP Mean t0: [14:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: PAP S/D t0: [14:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: PCWP t0: [14:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [14:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 26/11/2017] 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 26/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [14:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 26/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 26/11/2017] el: 1 ai: 416 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium t0: [14:00:00 26/11/2017] el: 1 ai: 156 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 26/11/2017] el: 1 ai: 431 cg: RN cu: CCU vo: 7 vu: ml
id: Fentanyl t0: [14:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: MDI #1 (Puff/Drug) t0: [14:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 v2: Albuterol st: NotStopd
id: WBC (4-11,000) t0: [13:14:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 27.6 n1: 27.6 rs: Final st: NotStopd id: WBC t0: [13:14:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 27.6 n1: 27.6 rs: Final st: NotStopd id: Hematocrit t0: [13:14:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 45.1 n1: 45.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [13:14:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 14.9 n1: 14.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [13:14:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 150 n1: 150 rs: Final st: NotStopd id: RBC t0: [13:14:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 5.29 n1: 5.29 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [13:14:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 27.6 n1: 27.6 rs: Final st: NotStopd
id: BUN t0: [13:14:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 13 n1: 13 rs: Final st: NotStopd id: Calcium t0: [13:14:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [13:14:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 rs: Final st: NotStopd id: Creatinine t0: [13:14:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose t0: [13:14:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 179 n1: 179 rs: Final st: NotStopd id: Magnesium t0: [13:14:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: Phosphorous t0: [13:14:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 4.6 n1: 4.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [13:14:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium t0: [13:14:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [13:14:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 13 n1: 13 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [13:14:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [13:14:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Chloride (100-112) t0: [13:14:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [13:14:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose (70-105) t0: [13:14:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 179 n1: 179 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [13:14:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [13:14:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 4.6 n1: 4.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [13:14:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [13:14:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 144 n1: 144 rs: Final st: NotStopd
id: Ectopy Frequency t0: [14:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rhythm t0: [14:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [14:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd
id: Urine Out Foley t0: [14:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 175 vu: ml
id: ETT Mark/Location t0: [14:25:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [14:25:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: Airway Size t0: [14:25:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [14:25:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Sputum Color/Consist t0: [14:25:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [14:25:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Scant st: NotStopd
id: Art.pH t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 7.27 n1: 7.27 rs: Manual st: NotStopd id: Cardiac Index t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 2.85024 n1: 2.85024 u1: ... st: NotStopd id: SVR t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1057.63 n1: 1057.63 u1: ... st: NotStopd id: SVRI t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 2189.47 n1: 2189.47 u1: ... st: NotStopd id: Arterial Base Excess t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 0 n1: 0 rs: Manual st: NotStopd id: Arterial CO2(Calc) t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 30 n1: 30 rs: Manual st: NotStopd id: Arterial PaCO2 t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg rs: Manual st: NotStopd id: Arterial PaO2 t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg rs: Manual st: NotStopd id: Arterial pH t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 7.27 n1: 7.27 rs: Manual st: NotStopd id: Hemoglobin t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 14.9 n1: 14.9 u1: gm/dl rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 75 n1: 75 rs: Manual st: NotStopd id: C.O. (fick) t0: [13:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 5.8907 n1: 5.8907 u1: L/min st: NotStopd
id: Service Type t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: HOB t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Activity t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: PAP Mean t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: mmHg st: NotStopd id: PAP S/D t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg v2: 21 n2: 21 u2: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 26/11/2017] 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 26/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Back Care t0: [08:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [07:00:00 26/11/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 100.0ml t0: [08:00:00 26/11/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 100.0ml t0: [15:00:00 26/11/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 26/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 26/11/2017] el: 1 ai: 416 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [15:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 26/11/2017] el: 1 ai: 431 cg: RN cu: CCU vo: 7 vu: ml
id: Fentanyl t0: [15:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Pain Present t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Unarousable st: NotStopd id: Daily Wake Up t0: [16:00:00 26/11/2017] el: 1 cg: RN cu: CCU v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Family Communication t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Fam Talked to RN st: NotStopd id: Family Communication t0: [13:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Fam Talked to MD st: NotStopd id: GCS Total t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: points st: NotStopd id: Heart Rate t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Ins/Exp Wheeze st: NotStopd id: LLL Lung Sounds t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Ins/Exp Wheeze st: NotStopd id: LUL Lung Sounds t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Ins/Exp Wheeze st: NotStopd id: LUL Lung Sounds t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Ins/Exp Wheeze st: NotStopd id: Level of Conscious t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Paralytic Med st: NotStopd id: Angio Appearance #1 t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: NMB Medication t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Vecuronium st: NotStopd id: NMB Medication t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Vecuronium st: NotStopd id: NMB Medication t0: [13:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Vecuronium st: NotStopd id: NMB Medication t0: [14:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Vecuronium st: NotStopd id: NMB Medication t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Vecuronium st: NotStopd id: NMB Medication t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Vecuronium st: NotStopd id: Angio Dressing #1 t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Nerve Stimulated t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Right Facial st: NotStopd id: Nerve Stimulated t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Right Facial st: NotStopd id: Nerve Stimulated t0: [13:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Right Facial st: NotStopd id: Nerve Stimulated t0: [14:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Right Facial st: NotStopd id: Nerve Stimulated t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Right Facial st: NotStopd id: Nerve Stimulated t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Right Facial st: NotStopd id: Oral Cavity t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: PAP Mean t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: mmHg st: NotStopd id: PAP S/D t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg v2: 19 n2: 19 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Doppler v2: Absent st: NotStopd id: Precautions t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Ins/Exp Wheeze st: NotStopd id: RLL Lung Sounds t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Ins/Exp Wheeze st: NotStopd id: RUL Lung Sounds t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Ins/Exp Wheeze st: NotStopd id: RUL Lung Sounds t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Ins/Exp Wheeze st: NotStopd id: Respiratory Pattern t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Location t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [13:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Stool Guaiac t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Support Systems t0: [13:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Support Systems t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: TOF Response/Twitch t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 0 Eye Lid Twitch st: NotStopd id: TOF Response/Twitch t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 0 Eye Lid Twitch st: NotStopd id: TOF Response/Twitch t0: [13:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 0 Thumb Twitches st: NotStopd id: TOF Response/Twitch t0: [14:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 0 Eye Lid Twitch st: NotStopd id: TOF Response/Twitch t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 0 Thumb Twitches st: NotStopd id: TOF Response/Twitch t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 0 Eye Lid Twitch st: NotStopd id: Temp. Site t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 36.2222 n1: 36.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 97.2 n1: 97.2 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Baseline Current/mA t0: [11:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mA st: NotStopd id: Baseline Current/mA t0: [12:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mA st: NotStopd id: Baseline Current/mA t0: [13:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mA st: NotStopd id: Baseline Current/mA t0: [14:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mA st: NotStopd id: Baseline Current/mA t0: [15:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mA st: NotStopd id: Baseline Current/mA t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mA st: NotStopd id: Bowel Sounds t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 26/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 26/11/2017] el: 1 ai: 416 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium t0: [15:00:00 26/11/2017] el: 1 ai: 156 cg: RN cu: CCU vo: 10 vu: ml st: Stopped id: Urine Out Foley t0: [16:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 26/11/2017] el: 1 ai: 431 cg: RN cu: CCU vo: 7 vu: ml
id: Fentanyl t0: [16:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Vecuronium t0: [13:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0.04 du: mgkghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Vecuronium t0: [14:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0.04 du: mgkghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Vecuronium t0: [15:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0.04 du: mgkghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped
id: IV Site Appear #2 t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd
pi: 4068837 hi: 9718 t0: [17:00:00 26/11/2017] tf: [23:00:00 26/11/2017] mn: Naloxone HCl pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: ETT Mark/Location t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: Driving pressure t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 id: High Insp. Pressure t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 1:4 st: NotStopd id: Airway Size t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 9.3 n1: 9.3 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 1100 n1: 1100 st: NotStopd id: Tank B psi. t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: TCPCV Fixed I Time t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: Insp. Time Fixed st: NotStopd id: TCPCV I:E Ratio t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 1:4 st: NotStopd id: TCPCV Insp. Pressure t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: TCPCV Insp. Time t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: sec st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 797 n1: 797 u1: ml/B st: NotStopd id: Pmax t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 id: Ventilator Mode t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: Pressure Control st: NotStopd id: Ventilator Type t0: [16:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Art.pH t0: [17:22:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.28 n1: 7.28 rs: Final st: NotStopd id: Arterial Base Excess t0: [17:22:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [17:22:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd id: Arterial PaCO2 t0: [17:22:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 55 n1: 55 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [17:22:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 84 n1: 84 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [17:22:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.28 n1: 7.28 rs: Final st: NotStopd
id: Lactic Acid t0: [17:22:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 11.8 n1: 11.8 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [17:22:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 11.8 n1: 11.8 rs: Final st: NotStopd
id: Service Type t0: [17:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [16:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [17:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: PAP Mean t0: [17:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: mmHg st: NotStopd id: PAP S/D t0: [17:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [17:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [17:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [16:00:00 26/11/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 100.0ml t0: [17:00:00 26/11/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 26/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 26/11/2017] el: 1 ai: 416 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [17:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 26/11/2017] el: 1 ai: 431 cg: RN cu: CCU vo: 7 vu: ml
id: Fentanyl t0: [16:45:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped id: Midazolam t0: [17:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: HOB t0: [18:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Activity t0: [18:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [18:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [18:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [18:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [18:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd
id: Service Type t0: [18:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [18:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: BPM st: NotStopd id: PAP Mean t0: [18:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: mmHg st: NotStopd id: PAP S/D t0: [18:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg v2: 21 n2: 21 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [18:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: calprevflg t0: [18:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [18:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Art.pH t0: [17:54:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.28 n1: 7.28 rs: Final st: NotStopd id: Lactic Acid t0: [17:54:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 11.9 n1: 11.9 rs: Final st: NotStopd id: Arterial Base Excess t0: [17:54:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [17:54:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Arterial PaCO2 t0: [17:54:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 54 n1: 54 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [17:54:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 83 n1: 83 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [17:54:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.28 n1: 7.28 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [17:54:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 11.9 n1: 11.9 rs: Final st: NotStopd
id: Ectopy Frequency t0: [18:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rhythm t0: [18:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd
id: BUN t0: [17:45:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd id: Chloride t0: [17:45:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 rs: Final st: NotStopd id: Creatinine t0: [17:45:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose t0: [17:45:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 208 n1: 208 rs: Final st: NotStopd id: Potassium t0: [17:45:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium t0: [17:45:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 142 n1: 142 rs: Final st: NotStopd id: BUN (6-20) t0: [17:45:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd id: Carbon Dioxide t0: [17:45:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [17:45:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [17:45:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [17:45:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 208 n1: 208 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [17:45:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [17:45:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 142 n1: 142 rs: Final st: NotStopd
pi: 4069081 hi: 9718 t0: [20:00:00 26/11/2017] tf: [23:00:00 26/11/2017] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [19:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [19:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: PAP Mean t0: [19:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: mmHg st: NotStopd id: PAP S/D t0: [19:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg v2: 21 n2: 21 u2: mmHg st: NotStopd id: Arterial BP t0: [19:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [19:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 26/11/2017] 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 26/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Temp. Site t0: [19:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [19:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [19:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: calprevflg t0: [19:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 26/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 26/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 26/11/2017] el: 1 ai: 416 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 26/11/2017] el: 1 ai: 416 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [19:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 26/11/2017] el: 1 ai: 431 cg: RN cu: CCU vo: 7 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 26/11/2017] el: 1 ai: 431 cg: RN cu: CCU vo: 7 vu: ml
id: Fentanyl t0: [19:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4069182 hi: 9718 t0: [21:00:00 26/11/2017] tf: [20:00:00 27/11/2017] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 15 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 4069226 hi: 9718 t0: [21:00:00 26/11/2017] tf: [13:00:00 27/11/2017] mn: Xopenex pt: Unit Dose st: Inactive (Due to a change order) rt: IH fr: Q2H:PRN dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4069272 hi: 9718 t0: [21:00:00 26/11/2017] tf: [10:00:00 01/12/2017] mn: Piperacillin-Tazobactam Na pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q8H ds: 21, 5, 13 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Art.pH t0: [19:58:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.32 n1: 7.32 rs: Final st: NotStopd id: CaO2 t0: [19:58:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 19.0067 n1: 19.0067 u1: ml/dl st: NotStopd id: Lactic Acid t0: [19:58:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 11.5 n1: 11.5 rs: Final st: NotStopd id: Arterial Base Excess t0: [19:58:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [19:58:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd id: Arterial PaCO2 t0: [19:58:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 50 n1: 50 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [19:58:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 77 n1: 77 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [19:58:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.32 n1: 7.32 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [19:58:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 11.5 n1: 11.5 rs: Final st: NotStopd id: SaO2 t0: [19:58:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 94 n1: 94 u1: % rs: Final st: NotStopd
id: Service Type t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Cardiac Index t0: [19:55:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 3.1401 n1: 3.1401 u1: ... st: NotStopd id: Code Status t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Very Sedated st: NotStopd id: DO2I t0: [19:58:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 596.6 n1: 596.6 u1: ml/m/m st: NotStopd id: Daily Wake Up t0: [20:00:00 26/11/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Care t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: points st: NotStopd id: HOB t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Insp Wheeze st: NotStopd id: LUL Lung Sounds t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Insp Wheeze st: NotStopd id: Level of Conscious t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Paralytic Med st: NotStopd id: Angio Appearance #1 t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Angio Dressing #1 t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: PAP Mean t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: mmHg st: NotStopd id: PAP S/D t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: PCWP t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 26/11/2017] 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 26/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Ins/Exp Wheeze st: NotStopd id: RUL Lung Sounds t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Ins/Exp Wheeze st: NotStopd id: Respiratory Pattern t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Temp. Site t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Mixed Venous O2% Sat t0: [19:55:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 74 n1: 74 rs: Manual st: NotStopd id: C.O. (fick) t0: [19:55:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 6.47977 n1: 6.47977 u1: L/min st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 26/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 26/11/2017] el: 1 ai: 416 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [20:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 26/11/2017] el: 1 ai: 431 cg: RN cu: CCU vo: 7 vu: ml
id: Fentanyl t0: [20:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [19:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [19:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [19:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: ETT Mark/Location t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [19:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: FiO2 Set t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: Driving pressure t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 id: Heart Rate t0: [19:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: High Insp. Pressure t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 1..4 st: NotStopd id: Airway Size t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 v2: Atrovent st: NotStopd id: MDI #3 (Puff/Drug) t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 v2: Flovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 10.9 n1: 10.9 u1: L/min st: NotStopd id: PAP Mean t0: [19:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: mmHg st: NotStopd id: PAP S/D t0: [19:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg v2: 21 n2: 21 u2: mmHg st: NotStopd id: PEEP Set t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: PVRI t0: [19:55:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 407.643 n1: 407.643 u1: ... st: NotStopd id: Arterial BP t0: [19:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Precautions t0: [19:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [19:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:45:00 26/11/2017] 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: [19:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Auto-PEEP Level t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: SVR t0: [19:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 775.385 n1: 775.385 u1: ... st: NotStopd id: SVRI t0: [19:55:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1605.1 n1: 1605.1 u1: ... st: NotStopd id: Sensitivity-Vent t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: Clear v2: Thin st: NotStopd id: Sputum Source/Amt t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Scant st: NotStopd id: TCPCV Fixed I Time t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: Insp. Time Fixed st: NotStopd id: TCPCV I:E Ratio t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 1..4 st: NotStopd id: TCPCV Insp. Pressure t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: TCPCV Insp. Time t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: sec st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 931 n1: 931 u1: ml/B st: NotStopd id: Total PEEP Level t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 10.5 n1: 10.5 u1: cmH2O st: NotStopd id: Pmax t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 id: Ventilator Mode t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: Pressure Control st: NotStopd id: Ventilator Type t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 26/11/2017] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd id: calprevflg t0: [19:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [19:45:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:45:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Cardiac Index t0: [19:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 3.1401 n1: 3.1401 u1: ... st: NotStopd id: Cardiac Index t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 3.1401 n1: 3.1401 u1: ... st: NotStopd id: PVRI t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 382.166 n1: 382.166 u1: ... st: NotStopd id: SVR t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 750.769 n1: 750.769 u1: ... st: NotStopd id: SVRI t0: [19:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1605.1 n1: 1605.1 u1: ... st: NotStopd id: SVRI t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1554.14 n1: 1554.14 u1: ... st: NotStopd id: Temp. Site t0: [19:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [19:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [19:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: C.O. (fick) t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 6.47977 n1: 6.47977 u1: L/min st: NotStopd
id: Significant Events t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Fluid Bolus st: NotStopd
id: D5W 100.0ml t0: [20:00:00 26/11/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 500 vu: ml
id: INV Line#1 Type/Site t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd
pi: 4069490 hi: 9718 t0: [23:00:00 26/11/2017] tf: [22:00:00 27/11/2017] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 15 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 4069491 hi: 9718 t0: [23:00:00 26/11/2017] tf: [11:00:00 28/11/2017] mn: Vancomycin HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q 12H ds: 23, 11 dn: 2 dt: 72 di: Hours xv: 36 xu: Hours
id: Service Type t0: [21:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [21:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Very Sedated st: NotStopd id: Daily Wake Up t0: [22:00:00 26/11/2017] el: 1 cg: RN cu: CCU v1: No/Hemodyn Issue st: NotStopd id: Risk for Falls t0: [21:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Activity t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Nerve Stimulated t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Right Facial st: NotStopd id: PAP Mean t0: [21:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: mmHg st: NotStopd id: PAP Mean t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: mmHg st: NotStopd id: PAP S/D t0: [21:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: mmHg v2: 19 n2: 19 u2: mmHg st: NotStopd id: PAP S/D t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: mmHg v2: 19 n2: 19 u2: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: PCWP t0: [21:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Assistance Device t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [21:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [21:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 26/11/2017] 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 26/11/2017] 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 26/11/2017] 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 26/11/2017] 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 26/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: TOF Response/Twitch t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 4 Thumb Twitches st: NotStopd id: Temp. Site t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: calprevflg t0: [21:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Baseline Current/mA t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mA st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 26/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 26/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 26/11/2017] el: 1 ai: 416 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 26/11/2017] el: 1 ai: 416 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [21:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [22:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 26/11/2017] el: 1 ai: 431 cg: RN cu: CCU vo: 7 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 26/11/2017] el: 1 ai: 431 cg: RN cu: CCU vo: 7 vu: ml
id: Fentanyl t0: [21:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [22:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Vecuronium t0: [22:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0.05 du: mgkghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Procedures t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Blood Cultured st: NotStopd
pi: 4069519 hi: 9718 t0: [00:00:00 27/11/2017] tf: [23:00:00 27/11/2017] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 15 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 4069546 hi: 9718 t0: [00:00:00 27/11/2017] tf: [12:00:00 28/11/2017] mn: Norepinephrine pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label
id: Art.pH t0: [23:29:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: CaO2 t0: [23:29:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 19.9418 n1: 19.9418 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [23:29:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [23:29:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Arterial PaCO2 t0: [23:29:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 44 n1: 44 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [23:29:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 121 n1: 121 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [23:29:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: SaO2 t0: [23:29:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Lactic Acid t0: [23:38:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 9.1 n1: 9.1 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [23:38:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 9.1 n1: 9.1 rs: Final st: NotStopd
id: Service Type t0: [23:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:15:00 26/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:30:00 26/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [23:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [23:15:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [23:30:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [23:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:15:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:30:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:15:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:30:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [23:15:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:30:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [23:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [23:15:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:30:00 26/11/2017] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [23:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: BPM st: NotStopd id: Heart Rate t0: [23:15:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rate t0: [23:30:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rate t0: [23:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [23:15:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [23:30:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [23:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: PAP Mean t0: [23:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: mmHg st: NotStopd id: PAP Mean t0: [23:30:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: mmHg st: NotStopd id: PAP Mean t0: [23:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: mmHg st: NotStopd id: PAP S/D t0: [23:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: mmHg v2: 19 n2: 19 u2: mmHg st: NotStopd id: PAP S/D t0: [23:30:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: PAP S/D t0: [23:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: mmHg v2: 17 n2: 17 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP t0: [23:15:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP t0: [23:30:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:15:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:30:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [23:15:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [23:30:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [23:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:15:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:30:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:15:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:30:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:15:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:30:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:15:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:30:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [23:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [23:15:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [23:30:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [23:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 26/11/2017] 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: [23:15:00 26/11/2017] 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: [23:30:00 26/11/2017] 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: [23:45:00 26/11/2017] 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 26/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:15:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:30:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:45:00 26/11/2017] 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 26/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:15:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:30:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Significant Events t0: [23:15:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Fluid Bolus st: NotStopd id: Significant Events t0: [23:30:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [23:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temperature C (calc) t0: [23:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [23:30:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [23:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Temperature F t0: [23:30:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: calprevflg t0: [23:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:15:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:30:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:45:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Mixed Venous O2% Sat t0: [23:30:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 76 n1: 76 rs: Manual st: NotStopd
id: Fentanyl t0: [23:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:15:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:30:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:45:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped id: Midazolam t0: [23:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [23:15:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [23:30:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Vecuronium t0: [23:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0.05 du: mgkghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Vecuronium t0: [23:15:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0.05 du: mgkghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Vecuronium t0: [23:30:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 0 du: mgkghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped
id: LOS Net Body Balance t0: [23:00:00 27/11/2017] el: 2 cg: 1663 cu: CCU pv: -214.8 cv: 4549.2 ac: multiple days ap: none re: 0
id: Cardiac Index t0: [23:30:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 2.85024 n1: 2.85024 u1: ... st: NotStopd id: DO2I t0: [23:29:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 570 n1: 570 u1: ml/m/m st: NotStopd id: SVR t0: [23:30:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 718.644 n1: 718.644 u1: ... st: NotStopd id: SVRI t0: [23:30:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 1487.72 n1: 1487.72 u1: ... st: NotStopd id: Hemoglobin t0: [23:30:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 14.9 n1: 14.9 u1: gm/dl rs: Manual st: NotStopd id: C.O. (fick) t0: [23:30:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 5.8907 n1: 5.8907 u1: L/min st: NotStopd
id: PAP S/D t0: [23:15:00 26/11/2017] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: mmHg v2: 15 n2: 15 u2: mmHg st: NotStopd
pi: 4069616 hi: 9718 t0: [01:00:00 27/11/2017] tf: [00:00:00 28/11/2017] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Bolus 1000 ml Over 15 mins it: B dt: 1 di: Doses xu: Enter on Label
id: ETT Mark/Location t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: Driving pressure t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 id: High Insp. Pressure t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 1..4 st: NotStopd id: Airway Size t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Micro-Neb Treatment t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: XOP st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 11.7 n1: 11.7 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 38 n1: 38 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Auto-PEEP Level t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 0.7 n1: 0.7 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: TCPCV Fixed I Time t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Insp. Time Fixed st: NotStopd id: TCPCV I:E Ratio t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 1..4 st: NotStopd id: TCPCV Insp. Pressure t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 38 n1: 38 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 1000 n1: 1000 u1: ml/B st: NotStopd id: Total PEEP Level t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 8.7 n1: 8.7 u1: cmH2O st: NotStopd id: Pmax t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 38 n1: 38 id: Ventilator Mode t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Pressure Control st: NotStopd id: Ventilator Type t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Art.pH t0: [00:26:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: CaO2 t0: [00:26:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 19.9852 n1: 19.9852 u1: ml/dl st: NotStopd id: DO2I t0: [00:26:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 570 n1: 570 u1: ml/m/m st: NotStopd id: Arterial Base Excess t0: [00:26:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [00:26:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Arterial PaCO2 t0: [00:26:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 40 n1: 40 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [00:26:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 135 n1: 135 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [00:26:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: Hematocrit t0: [00:26:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 37 n1: 37 u1: % rs: Final st: NotStopd
id: Magnesium t0: [17:45:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 2.9 n1: 2.9 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [17:45:00 26/11/2017] el: 0 cg: 1663 cu: CCU v1: 2.9 n1: 2.9 rs: Final st: NotStopd
id: ETT Mark/Location t0: [02:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [02:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 0.75 n1: 0.75 u1: torr st: NotStopd id: Driving pressure t0: [02:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 id: High Insp. Pressure t0: [02:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [02:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [02:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 1..4 st: NotStopd id: Airway Size t0: [02:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [02:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Low Exhaled Min Vol t0: [02:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [02:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [02:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 13.3 n1: 13.3 u1: L/min st: NotStopd id: PEEP Set t0: [02:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [02:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [02:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 36 n1: 36 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [02:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Auto-PEEP Level t0: [02:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [02:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [02:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [02:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [02:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [02:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: TCPCV Fixed I Time t0: [02:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Insp. Time Fixed st: NotStopd id: TCPCV I:E Ratio t0: [02:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 1..4 st: NotStopd id: TCPCV Insp. Pressure t0: [02:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 36 n1: 36 u1: cmH2O st: NotStopd id: TCPCV Insp. Time t0: [00:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: sec st: NotStopd id: TCPCV Insp. Time t0: [02:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: sec st: NotStopd id: Tidal Volume (Obser) t0: [02:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 1070 n1: 1070 u1: ml/B st: NotStopd id: Total PEEP Level t0: [02:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 8.5 n1: 8.5 u1: cmH2O st: NotStopd id: Pmax t0: [02:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 36 n1: 36 id: Ventilator Mode t0: [02:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Pressure Control st: NotStopd id: Ventilator Type t0: [02:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [02:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Art.pH t0: [03:22:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:22:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:22:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:22:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:22:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 121 n1: 121 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:22:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd
id: CaO2 t0: [03:22:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 19.5425 n1: 19.5425 u1: ml/dl st: NotStopd id: SaO2 t0: [03:22:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
id: Pain Present t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: bath t0: [02:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: done id: Service Type t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [00:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [00:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [01:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [02:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [03:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [03:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [00:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 27/11/2017] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [00:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [00:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [01:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [03:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [03:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [00:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [01:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [03:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [03:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Care t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Care t0: [02:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Care t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Eye Opening t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: GCS Total t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GCS Total t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: HOB t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: HOB t0: [02:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: HOB t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rate t0: [00:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rate t0: [01:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 137 n1: 137 u1: BPM st: NotStopd id: Heart Rate t0: [03:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [00:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [01:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [02:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [03:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [03:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: INV Line#1SiteAppear t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: INV Line#2SiteAppear t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: IV #1 Site/Size t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: IV #2 Site/Size t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: Activity t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [02:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [02:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: LUL Lung Sounds t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Level of Conscious t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Motor Response t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [02:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Orientation t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: PAP Mean t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: mmHg st: NotStopd id: PAP Mean t0: [00:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: mmHg st: NotStopd id: PAP Mean t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: mmHg st: NotStopd id: PAP Mean t0: [01:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: PAP Mean t0: [02:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: mmHg st: NotStopd id: PAP Mean t0: [03:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: mmHg st: NotStopd id: PAP Mean t0: [03:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: mmHg st: NotStopd id: PAP S/D t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg v2: 19 n2: 19 u2: mmHg st: NotStopd id: PAP S/D t0: [00:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: PAP S/D t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: PAP S/D t0: [01:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: PAP S/D t0: [02:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: mmHg v2: 17 n2: 17 u2: mmHg st: NotStopd id: PAP S/D t0: [03:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: PAP S/D t0: [03:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP t0: [00:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP t0: [01:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP t0: [03:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [00:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [01:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Assistance Device t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [02:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [00:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [01:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [03:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [03:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd id: INV#2 Dsg Change t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [00:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [02:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [03:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [03:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 27/11/2017] 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: [00:30:00 27/11/2017] 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 27/11/2017] 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: [01:30:00 27/11/2017] 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: [02:00:00 27/11/2017] 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 27/11/2017] 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: [03:15:00 27/11/2017] 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 27/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:30:00 27/11/2017] 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 27/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 27/11/2017] 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 27/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: RUL Lung Sounds t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [00:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [02:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Significant Events t0: [03:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Fluid Bolus st: NotStopd id: Skin Care t0: [02:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Support Systems t0: [22:00:00 26/11/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Temp. Site t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temp. Site t0: [01:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [01:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [03:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Temperature F t0: [01:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Temperature F t0: [03:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [02:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Turn t0: [02:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Verbal Response t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [02:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [00:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Absent st: NotStopd
id: D5W 100.0ml t0: [00:00:00 27/11/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 1000 vu: ml id: D5W 100.0ml t0: [03:00:00 27/11/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 250 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 27/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 27/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 27/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 27/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 26/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 26/11/2017] el: 1 ai: 416 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [00:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [01:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [02:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [03:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [23:00:00 26/11/2017] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 27/11/2017] el: 1 ai: 431 cg: RN cu: CCU vo: 3 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 27/11/2017] el: 1 ai: 431 cg: RN cu: CCU vo: 3 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 27/11/2017] el: 1 ai: 431 cg: RN cu: CCU vo: 3 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 26/11/2017] el: 1 ai: 431 cg: RN cu: CCU vo: 7 vu: ml
id: Fentanyl t0: [02:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [03:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [03:15:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:30:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [01:30:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [03:15:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: RSBI Not Completed t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Hemodyn Instabil st: NotStopd id: ETT Mark/Location t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 0.65 n1: 0.65 u1: torr st: NotStopd id: Driving pressure t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 id: High Insp. Pressure t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 1..4 st: NotStopd id: Airway Size t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Low Exhaled Min Vol t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 11.7 n1: 11.7 u1: L/min st: NotStopd id: PEEP Set t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 32 n1: 32 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Previous WeightF t0: [09:00:00 26/11/2017] el: 0 cg: RRT cu: CCU u1: kg st: NotStopd id: Auto-PEEP Level t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 0.7 n1: 0.7 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: TCPCV Fixed I Time t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Insp. Time Fixed st: NotStopd id: TCPCV I:E Ratio t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 1..4 st: NotStopd id: TCPCV Insp. Pressure t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 32 n1: 32 u1: cmH2O st: NotStopd id: TCPCV Insp. Time t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: sec st: NotStopd id: Tidal Volume (Obser) t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 835 n1: 835 u1: ml/B st: NotStopd id: Total PEEP Level t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 8.7 n1: 8.7 u1: cmH2O st: NotStopd id: Pmax t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 32 n1: 32 id: Ventilator Mode t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Pressure Control st: NotStopd id: Ventilator Type t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [03:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Pain Present t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [03:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [03:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [03:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [03:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [03:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [03:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [03:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [03:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: BPM st: NotStopd id: Heart Rate t0: [03:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [03:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: PAP Mean t0: [03:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: mmHg st: NotStopd id: PAP Mean t0: [03:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: mmHg st: NotStopd id: PAP Mean t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: mmHg st: NotStopd id: PAP S/D t0: [03:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: PAP S/D t0: [03:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: PAP S/D t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: Arterial BP t0: [03:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP t0: [03:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [03:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [03:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [03:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [03:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:30:00 27/11/2017] 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: [03:45:00 27/11/2017] 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 27/11/2017] 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: [03:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:45:00 27/11/2017] 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 27/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [03:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: calprevflg t0: [03:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [01:00:00 27/11/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: D5W 100.0ml t0: [23:00:00 26/11/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 27/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 27/11/2017] el: 1 ai: 416 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 27/11/2017] el: 1 ai: 416 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 27/11/2017] el: 1 ai: 416 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 27/11/2017] el: 1 ai: 416 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 27/11/2017] el: 1 ai: 431 cg: RN cu: CCU vo: 6.5 vu: ml
id: Fentanyl t0: [03:30:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [03:45:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [04:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:30:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [03:45:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Mark/Location t0: [04:20:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:20:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Airway Size t0: [04:20:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:20:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: SpO2 t0: [04:20:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Ventilator Type t0: [04:20:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Art.pH t0: [04:53:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd id: Lactic Acid t0: [04:53:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 5 n1: 5 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:53:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:53:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:53:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 35 n1: 35 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:53:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 79 n1: 79 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:53:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [04:53:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 5 n1: 5 rs: Final st: NotStopd id: SaO2 t0: [04:53:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
pi: 4069872 hi: 9718 t0: [06:00:00 27/11/2017] tf: [05:00:00 28/11/2017] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: WBC (4-11,000) t0: [04:14:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 17.8 n1: 17.8 rs: Final st: NotStopd id: CaO2 t0: [04:53:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 17.1423 n1: 17.1423 u1: ml/dl st: NotStopd id: WBC t0: [04:14:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 17.8 n1: 17.8 rs: Final st: NotStopd id: Hematocrit t0: [04:14:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 37 n1: 37 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:14:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 13 n1: 13 u1: gm/dl rs: Final st: NotStopd id: RBC t0: [04:14:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 4.44 n1: 4.44 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:14:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 17.8 n1: 17.8 rs: Final st: NotStopd
id: ETT Mark/Location t0: [05:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [05:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Airway Size t0: [05:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [05:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: MDI #2 (Puff/Drug) t0: [05:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 v2: Atrovent st: NotStopd id: Micro-Neb Treatment t0: [05:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Xop st: NotStopd id: Ventilator Type t0: [05:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: PT t0: [04:14:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 16.5 n1: 16.5 rs: Final st: NotStopd id: INR t0: [04:14:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PTT t0: [04:14:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:14:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:14:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 16.5 n1: 16.5 rs: Final st: NotStopd id: PTT(22-35) t0: [04:14:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd
id: Calcium t0: [04:14:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:14:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine t0: [04:14:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose t0: [04:14:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd id: Magnesium t0: [04:14:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [04:14:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:14:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Sodium t0: [04:14:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 142 n1: 142 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:14:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:14:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:14:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:14:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:14:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:14:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:14:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:14:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:14:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 142 n1: 142 rs: Final st: NotStopd
id: BUN t0: [04:14:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 21 n1: 21 rs: Final st: NotStopd id: BUN (6-20) t0: [04:14:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 21 n1: 21 rs: Final st: NotStopd
id: Platelets t0: [04:14:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [05:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [05:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: PAP Mean t0: [05:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: mmHg st: NotStopd id: PAP Mean t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: mmHg st: NotStopd id: PAP S/D t0: [05:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: mmHg v2: 17 n2: 17 u2: mmHg st: NotStopd id: PAP S/D t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [05:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 27/11/2017] 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: [06:00:00 27/11/2017] 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 27/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 27/11/2017] 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 27/11/2017] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Temperature C (calc) t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: calprevflg t0: [05:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [05:00:00 27/11/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 100.0ml t0: [06:00:00 27/11/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 27/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 27/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 27/11/2017] el: 1 ai: 416 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 27/11/2017] el: 1 ai: 416 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: Urine Out Foley t0: [05:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [06:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 27/11/2017] el: 1 ai: 431 cg: RN cu: CCU vo: 7 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 27/11/2017] el: 1 ai: 431 cg: RN cu: CCU vo: 7 vu: ml
id: Fentanyl t0: [05:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [06:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Mark/Location t0: [06:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [06:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Driving pressure t0: [06:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 id: High Insp. Pressure t0: [06:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [06:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [06:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 1..4 st: NotStopd id: Airway Size t0: [06:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [06:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Low Exhaled Min Vol t0: [06:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [06:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [06:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: L/min st: NotStopd id: PEEP Set t0: [06:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [06:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [06:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [06:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [06:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [06:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [06:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [06:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 st: NotStopd id: Sensitivity-Vent t0: [06:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: TCPCV Fixed I Time t0: [06:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Insp. Time Fixed st: NotStopd id: TCPCV I:E Ratio t0: [06:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 1..4 st: NotStopd id: TCPCV Insp. Pressure t0: [06:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: TCPCV Insp. Time t0: [06:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: sec st: NotStopd id: Tidal Volume (Obser) t0: [06:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 890 n1: 890 u1: ml/B st: NotStopd id: Pmax t0: [06:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 id: Ventilator Mode t0: [06:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Pressure Control st: NotStopd id: Ventilator Type t0: [06:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [06:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Distraction st: NotStopd id: Range of Motion t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: HOB t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: HOB t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Activity t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position Change t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Temp. Site t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Therapeutic Bed t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [06:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Braden Activity t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Cardiac Index t0: [04:50:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 4.2029 n1: 4.2029 u1: ... st: NotStopd id: DO2I t0: [04:53:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 714 n1: 714 u1: ml/m/m st: NotStopd id: SVR t0: [05:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 643.678 n1: 643.678 u1: ... st: NotStopd id: Mixed Venous O2% Sat t0: [04:50:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 rs: Manual st: NotStopd id: C.O. (fick) t0: [04:50:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 8.73742 n1: 8.73742 u1: L/min st: NotStopd
id: Service Type t0: [04:50:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [04:50:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [04:50:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:50:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:50:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [04:50:00 27/11/2017] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [04:50:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:50:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: PAP S/D t0: [04:50:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: mmHg v2: 19 n2: 19 u2: mmHg st: NotStopd id: Arterial BP t0: [04:50:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:50:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [04:50:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:50:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:50:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:50:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:50:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [04:50:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:50:00 27/11/2017] 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: [04:50:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:50:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SVR t0: [04:50:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 689.655 n1: 689.655 u1: ... st: NotStopd id: SVRI t0: [04:50:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1428.57 n1: 1428.57 u1: ... st: NotStopd id: calprevflg t0: [04:50:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [04:50:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:50:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: PAP Mean t0: [04:50:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: mmHg st: NotStopd
id: Levophed-k io: D5W 250.0ml + 8mcgkgmin Levophed-k el: 100 cg: RN cu: CCU am: 8 du: mcgkgmin rt: IV Drip
pi: 4069934 hi: 9718 t0: [08:00:00 27/11/2017] tf: [07:00:00 28/11/2017] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 10 mins it: B dt: 1 di: Doses xu: Enter on Label
id: ETT Mark/Location t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Driving pressure t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 id: High Insp. Pressure t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 1:4 st: NotStopd id: Airway Size t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 v2: Flovent st: NotStopd id: Mean Airway Pressure t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 13.2 n1: 13.2 u1: L/min st: NotStopd id: PEEP Set t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Auto-PEEP Level t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 0.9 n1: 0.9 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 st: NotStopd id: Sensitivity-Vent t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: TCPCV Fixed I Time t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Insp. Time Fixed st: NotStopd id: TCPCV I:E Ratio t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 1:4 st: NotStopd id: TCPCV Insp. Pressure t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: TCPCV Insp. Time t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: sec st: NotStopd id: Tidal Volume (Obser) t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 781 n1: 781 u1: ml/B st: NotStopd id: Total PEEP Level t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 8.9 n1: 8.9 u1: cmH2O st: NotStopd id: Pmax t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 id: Ventilator Mode t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Pressure Control st: NotStopd id: Ventilator Type t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [07:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [07:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [07:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: BPM st: NotStopd id: PAP Mean t0: [07:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: mmHg st: NotStopd id: PAP S/D t0: [07:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [07:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 27/11/2017] 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 27/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Significant Events t0: [07:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Fluid Bolus st: NotStopd id: calprevflg t0: [07:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [07:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4070008 hi: 9718 t0: [09:00:00 27/11/2017] tf: [08:00:00 28/11/2017] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4070009 hi: 9718 t0: [09:00:00 27/11/2017] tf: [08:00:00 28/11/2017] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4070010 hi: 9718 t0: [10:00:00 27/11/2017] tf: [16:00:00 27/11/2017] mn: Argatroban pt: IV Piggyback st: Discontinued rt: IV DRIP fr: INFUSION di: Ongoing xu: Enter on Label
id: Art.pH t0: [09:28:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.53 n1: 7.53 rs: Final st: NotStopd id: Arterial Base Excess t0: [09:28:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 5 n1: 5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [09:28:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Arterial PaCO2 t0: [09:28:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [09:28:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 151 n1: 151 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [09:28:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.53 n1: 7.53 rs: Final st: NotStopd
id: Lactic Acid t0: [09:28:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 5.7 n1: 5.7 rs: Final st: NotStopd id: Potassium t0: [09:28:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Ionized Calcium t0: [09:28:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 1.06 n1: 1.06 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [09:28:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 5.7 n1: 5.7 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [09:28:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd
id: Service Type t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: PAP Mean t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: mmHg st: NotStopd id: PAP S/D t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg v2: 19 n2: 19 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 27/11/2017] 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 27/11/2017] 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 27/11/2017] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temperature C (calc) t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 37.7778 n1: 37.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: Deg. F st: NotStopd id: calprevflg t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 27/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 27/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 500 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 27/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 27/11/2017] el: 1 ai: 416 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 27/11/2017] el: 1 ai: 416 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 27/11/2017] el: 1 ai: 416 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [07:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [08:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [09:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 27/11/2017] el: 1 ai: 431 cg: RN cu: CCU vo: 7 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 27/11/2017] el: 1 ai: 431 cg: RN cu: CCU vo: 7 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 27/11/2017] el: 1 ai: 431 cg: RN cu: CCU vo: 7 vu: ml
id: Fentanyl t0: [08:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Pain Level/Response t0: [07:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Assess Method t0: [07:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: PainLevel Acceptable t0: [07:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Riker-SAS Scale t0: [07:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Daily Wake Up t0: [07:00:00 27/11/2017] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Location t0: [07:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Management t0: [07:00:00 27/11/2017] el: 1 cg: RN cu: CCU v1: IV Push v2: IV Gtt st: NotStopd
id: Total Protein t0: [09:02:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 4.7 n1: 4.7 rs: Final st: NotStopd id: Total Protein(6.5-8) t0: [09:02:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 4.7 n1: 4.7 rs: Final st: NotStopd
id: Service Type t0: [09:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [09:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [09:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: PAP Mean t0: [09:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: mmHg st: NotStopd id: PAP S/D t0: [09:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg v2: 21 n2: 21 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [09:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 27/11/2017] 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 27/11/2017] 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 27/11/2017] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [09:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [09:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 120 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Pain Level/Response t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1-None to Mild st: NotStopd id: Pain Present t0: [07:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Present t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: PainLevel Acceptable t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Riker-SAS Scale t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Daily Wake Up t0: [08:00:00 27/11/2017] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: FiO2 Set t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Airway Size t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Endotracheal st: NotStopd id: Pain Location t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Pain Management t0: [08:00:00 27/11/2017] el: 1 cg: RN cu: CCU v1: IV Gtt st: NotStopd id: Ventilator Type t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd
id: Argatroban io: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban el: 100 cg: RN cu: CCU am: 250 du: mcgkgmin rt: IV Drip
io: .9% Normal Saline 250.0ml + 250mcgkgmin Argatroban el: 1 cg: RN cu: CCU ra: 9.6 ru: ml/hr
pi: 4070294 hi: 9718 t0: [11:00:00 27/11/2017] tf: [10:00:00 28/11/2017] mn: Neutra-Phos pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: ETT Mark/Location t0: [10:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [10:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Airway Size t0: [10:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [10:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: PEEP Set t0: [10:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Pressure Support t0: [10:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [10:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Sputum Color/Consist t0: [10:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [10:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [10:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 621 n1: 621 u1: ml/B st: NotStopd id: Ventilator Mode t0: [10:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [10:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: PAP Mean t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: mmHg st: NotStopd id: PAP S/D t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Precautions t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 27/11/2017] 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 27/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temperature C (calc) t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: calprevflg t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [10:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 130 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [11:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [11:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [11:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [11:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: BPM st: NotStopd id: NBP t0: [11:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [11:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: PAP Mean t0: [11:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: mmHg st: NotStopd id: PAP S/D t0: [11:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg v2: 17 n2: 17 u2: mmHg st: NotStopd id: Arterial BP t0: [11:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [11:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [11:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:30:00 27/11/2017] 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: [11:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: calprevflg t0: [11:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [11:30:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 130 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:30:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Argatroban t0: [10:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped id: Argatroban t0: [11:30:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mcgkgmin so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped
id: Fingerstick Glucose t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 126 n1: 126 rs: Manual st: NotStopd
id: Pain Present t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [10:00:00 27/11/2017] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: Daily Wake Up t0: [12:00:00 27/11/2017] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80.3333 n1: 80.3333 u1: mmHg st: NotStopd id: PAP Mean t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: mmHg st: NotStopd id: PAP S/D t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg v2: 18 n2: 18 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Pain Location t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Location t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 27/11/2017] 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 27/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: calprevflg t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [08:00:00 27/11/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 27/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 27/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 27/11/2017] el: 1 ai: 416 cg: RN cu: CCU vo: 12 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 27/11/2017] el: 1 ai: 416 cg: RN cu: CCU vo: 13 vu: ml id: Urine Out Foley t0: [11:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 55 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 27/11/2017] el: 1 ai: 431 cg: RN cu: CCU vo: 7 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 27/11/2017] el: 1 ai: 431 cg: RN cu: CCU vo: 7 vu: ml
id: Fentanyl t0: [12:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 130 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: GI Prophylaxis t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: GI Prophylaxis t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Diet Type t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Eye Opening t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Eye Opening t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GCS Total t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: Abdominal Assessment t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Abdominal Assessment t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LLL Lung Sounds t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: LUL Lung Sounds t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Appearance #1 t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Motor Response t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Oral Cavity t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Orientation t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Pupil Response R/L t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Response R/L t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: Pupil Size R/L t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RLL Lung Sounds t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Stool Guaiac t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Stool Guaiac t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Verbal Response t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Bowel Sounds t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: ETT Mark/Location t0: [12:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 13.2 n1: 13.2 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [12:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [12:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [12:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [12:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 763 n1: 763 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Barrier t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Education Topic #1 t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Position Change t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Eye Care t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Care t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: HOB t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Care t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Therapeutic Bed t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: HOB Measurement t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: HOB Measurement t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: Back Care t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Braden Activity t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: INV Line#1 Type/Site t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: IV Site Appear #2 t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd
id: INV Line#1 Type/Site t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd
id: MDI #1 (Puff/Drug) t0: [12:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd
id: Art.pH t0: [12:38:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Arterial Base Excess t0: [12:38:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: -3 n1: -3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:38:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 18 n1: 18 rs: Final st: NotStopd id: Arterial PaCO2 t0: [12:38:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 25 n1: 25 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [12:38:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 212 n1: 212 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:38:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: SaO2 t0: [12:38:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: ETT Mark/Location t0: [12:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Airway Size t0: [12:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [12:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: PEEP Set t0: [12:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Pressure Support t0: [12:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Tidal Volume (Spont) t0: [12:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 496 n1: 496 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
pi: 4070877 hi: 9718 t0: [14:00:00 27/11/2017] tf: [14:00:00 03/12/2017] mn: Xopenex pt: Unit Dose st: Discontinued rt: IH fr: Q4H:PRN dn: 6 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [13:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [13:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [13:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 82.6667 n1: 82.6667 u1: mmHg st: NotStopd id: PAP Mean t0: [13:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: mmHg st: NotStopd id: PAP S/D t0: [13:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [13:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 27/11/2017] 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 27/11/2017] 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 27/11/2017] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [13:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 27/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 27/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 27/11/2017] el: 1 ai: 416 cg: RN cu: CCU vo: 13 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 27/11/2017] el: 1 ai: 416 cg: RN cu: CCU vo: 13 vu: ml id: Urine Out Foley t0: [12:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [13:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 27/11/2017] el: 1 ai: 431 cg: RN cu: CCU vo: 8.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 27/11/2017] el: 1 ai: 431 cg: RN cu: CCU vo: 10 vu: ml
id: Fentanyl t0: [13:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 130 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Eye Care t0: [13:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [13:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Care t0: [13:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: HOB t0: [13:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [13:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [13:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: Off st: NotStopd id: Assistance Device t0: [13:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [13:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd
id: Lactic Acid t0: [12:38:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [12:38:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd
id: Art.pH t0: [13:42:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: Arterial Base Excess t0: [13:42:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [13:42:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd id: Arterial PaCO2 t0: [13:42:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 39 n1: 39 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [13:42:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 132 n1: 132 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [13:42:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd
id: Lactic Acid t0: [13:42:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Potassium t0: [13:42:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [13:42:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [13:42:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd
id: ETT Mark/Location t0: [13:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [13:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Airway Size t0: [13:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [13:45:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd
pi: 4071116 hi: 9718 t0: [15:00:00 27/11/2017] tf: [14:00:00 28/11/2017] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4071117 hi: 9718 t0: [15:00:00 27/11/2017] tf: [14:00:00 28/11/2017] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 71.3333 n1: 71.3333 u1: mmHg st: NotStopd id: PAP Mean t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: mmHg st: NotStopd id: PAP S/D t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 27/11/2017] 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 27/11/2017] 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 27/11/2017] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [14:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 130 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Pain Present t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Riker-SAS Scale t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [14:00:00 27/11/2017] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: ETT Mark/Location t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Airway Size t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Endotracheal st: NotStopd id: Pain Location t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Ventilator Type t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd
id: IV #1 D/C Date t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: IV #2 D/C Date t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: IV Site Appear #2 t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Bleeding st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 27/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 27/11/2017] el: 1 ai: 416 cg: RN cu: CCU vo: 13 vu: ml id: Urine Out Foley t0: [14:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 27/11/2017] el: 1 ai: 431 cg: RN cu: CCU vo: 10 vu: ml
id: CaO2 t0: [12:38:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 17.7288 n1: 17.7288 u1: ml/dl st: NotStopd
id: Temp. Site t0: [10:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temp. Site t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Range of Motion t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Education Barrier t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Patient/Family st: NotStopd id: Education Method t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Suctioning st: NotStopd id: Education Topic #2 t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Care t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: INV Line#1SiteAppear t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: INV Line#2SiteAppear t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Dampened st: NotStopd id: INV#2 WaveformAppear t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 D/C Date t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: IV #1 Insert Date t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: IV #1 Site/Size t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Left Hand v2: 20 gauge st: NotStopd id: IV #2 D/C Date t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: IV #2 Insert Date t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: IV #2 Site/Size t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 20 gauge st: NotStopd id: Activity t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Bleeding st: NotStopd id: Activity Tolerance t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: NBP t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 87.3333 n1: 87.3333 u1: mmHg st: NotStopd id: Oral Care t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PAP Mean t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: PAP S/D t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Position t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd id: INV#2 Dsg Change t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 27/11/2017] 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 27/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: SpO2 t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 37.7778 n1: 37.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: HOB Measurement t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg st: NotStopd id: calprevflg t0: [15:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [15:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 130 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Art.pH t0: [15:22:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.49 n1: 7.49 rs: Final st: NotStopd id: CaO2 t0: [15:22:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 17.6705 n1: 17.6705 u1: ml/dl st: NotStopd id: Lactic Acid t0: [15:22:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Arterial Base Excess t0: [15:22:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [15:22:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd id: Arterial PaCO2 t0: [15:22:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 35 n1: 35 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [15:22:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 137 n1: 137 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [15:22:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.49 n1: 7.49 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [15:22:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: SaO2 t0: [15:22:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 u1: % rs: Final st: NotStopd
id: Propofol io: N/A 50.0vl + 500mcgkgmin Propofol el: 200 cg: RN cu: CCU am: 500 du: mcgkgmin rt: IV Drip
io: N/A 50.0vl + 500mcgkgmin Propofol el: 2 cg: RN cu: CCU ra: 19.2 ru: ml/hr
id: ETT Mark/Location t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Driving pressure t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 id: High Insp. Pressure t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 1:4 st: NotStopd id: Airway Size t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 11.1 n1: 11.1 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 st: NotStopd id: Sputum Color/Consist t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: TCPCV Fixed I Time t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Insp. Time Fixed st: NotStopd id: TCPCV I:E Ratio t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 1:4 st: NotStopd id: TCPCV Insp. Pressure t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: TCPCV Insp. Time t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: sec st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 827 n1: 827 u1: ml/B st: NotStopd id: Pmax t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 id: Ventilator Type t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: BPM st: NotStopd id: NBP t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 146 n1: 146 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: PAP Mean t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: PAP S/D t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 160 n1: 160 u1: mmHg v2: 103 n2: 103 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 27/11/2017] 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 27/11/2017] 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 27/11/2017] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [16:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 130 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped id: Midazolam t0: [16:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip st: Stopped id: Propofol t0: [16:00:00 27/11/2017] el: 2 cg: RN cu: CCU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Cardiac Index t0: [15:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 3.76812 n1: 3.76812 u1: ... st: NotStopd id: DO2I t0: [15:22:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 678.6 n1: 678.6 u1: ml/m/m st: NotStopd id: Mixed Venous O2 t0: [15:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 rs: Manual st: NotStopd id: Mixed Venous O2% Sat t0: [15:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 rs: Manual st: NotStopd id: C.O. (fick) t0: [15:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 7.81769 n1: 7.81769 u1: L/min st: NotStopd
id: Service Type t0: [15:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [15:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Cardiac Index t0: [15:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 3.76812 n1: 3.76812 u1: ... st: NotStopd id: Code Status t0: [15:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [15:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: BPM st: NotStopd id: NBP t0: [15:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [15:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 76.6667 n1: 76.6667 u1: mmHg st: NotStopd id: PAP Mean t0: [15:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: PAP S/D t0: [15:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: Arterial BP t0: [15:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [15:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [15:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:15:00 27/11/2017] 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: [15:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SVR t0: [15:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 769.231 n1: 769.231 u1: ... st: NotStopd id: SVRI t0: [15:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1591.51 n1: 1591.51 u1: ... st: NotStopd id: SpO2 t0: [15:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [15:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [15:15:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 130 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:15:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [16:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [16:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: mmHg st: NotStopd id: Code Status t0: [16:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [16:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [16:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [16:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: PAP Mean t0: [16:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg st: NotStopd id: PAP S/D t0: [16:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Precautions t0: [16:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [16:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:15:00 27/11/2017] 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: [16:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [16:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temp. Site t0: [16:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Blood st: NotStopd id: Temperature C (calc) t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [16:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Temperature F t0: [16:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: calprevflg t0: [16:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [16:15:00 27/11/2017] el: 2 cg: RN cu: CCU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip st: Stopped
id: Service Type t0: [16:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [16:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [16:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [16:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rate t0: [16:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [16:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [16:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 63.3333 n1: 63.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [16:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 60.6667 n1: 60.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 59.3333 n1: 59.3333 u1: mmHg st: NotStopd id: PAP Mean t0: [16:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: mmHg st: NotStopd id: PAP Mean t0: [16:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 151 n1: 151 u1: mmHg st: NotStopd id: PAP S/D t0: [16:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: PAP S/D t0: [16:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 0 n2: 0 u2: mmHg st: NotStopd id: Precautions t0: [16:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [16:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [16:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [16:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:30:00 27/11/2017] 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: [16:45:00 27/11/2017] 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: [17:00:00 27/11/2017] 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: [16:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [16:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [16:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Precautions t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 27/11/2017] 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: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [17:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0.03 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [17:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [17:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [17:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [17:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [17:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [17:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [17:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [17:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [17:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [17:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rate t0: [17:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rate t0: [17:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [17:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [17:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [17:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP t0: [17:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP t0: [17:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [17:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 60.3333 n1: 60.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [17:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 57.6667 n1: 57.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [17:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [17:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [17:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [17:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [17:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [17:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [17:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:15:00 27/11/2017] 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: [17:30:00 27/11/2017] 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: [17:45:00 27/11/2017] 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: [17:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [17:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [17:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [17:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [17:15:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:30:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:45:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [17:15:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0.03 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [17:30:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0.05 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Ventilator Mode t0: [16:00:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Pressure Control st: NotStopd
id: IV #1 Reason DC'D t0: [18:00:00 27/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 D/C Date t0: [18:00:00 27/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd
id: NBP t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Respiratory Rate t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd
id: Levophed-k t0: [17:45:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0.06 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Pain Present t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Riker-SAS Scale t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Very Sedated st: NotStopd id: Riker-SAS Scale t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [17:00:00 27/11/2017] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: Daily Wake Up t0: [18:00:00 27/11/2017] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Location t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Location t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Back st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 27/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 500 vu: ml id: Urine Out Foley t0: [16:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: INV Line#1 D/C Date t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 D/C Date t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: IV #1 Insert Date t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Right Hand v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd
id: INV Line#1 Type/Site t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: INV Line#2InsertDate t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: IV #1 Insert Date t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: IV #1 Site/Size t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Right Hand v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: IV #2 Site/Size t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Right Wrist v2: 20 gauge st: NotStopd id: INV#1 Dsg Change t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd id: INV#2 Dsg Change t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd
id: INV Line#2 Type/Site t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Introducer v2: Right Femoral st: NotStopd id: INV Line#2SiteAppear t0: [17:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 27/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 250 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 27/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 250 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 27/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 250 vu: ml id: Gastric Meds t0: [10:00:00 27/11/2017] el: 1 ai: 198 cg: RN cu: CCU vo: 100 vu: ml id: Gastric Meds t0: [17:00:00 27/11/2017] el: 1 ai: 198 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [17:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [18:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: Auto-PEEP Level t0: [19:00:00 27/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: Total PEEP Level t0: [19:00:00 27/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 27/11/2017] el: 1 ai: 416 cg: -1 cu: CCU vo: 0 st: D/C'd id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium t0: [19:00:00 27/11/2017] el: 1 ai: 156 cg: -1 cu: CCU vo: 0 st: D/C'd id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 27/11/2017] el: 1 ai: 431 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Less Restrict Meas. t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Range of Motion t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: GI Prophylaxis t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Diet Type t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Dorsal PedPulse R/L t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Education Barrier t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Patient/Family st: NotStopd id: Education Method t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Eye Care t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Eye Opening t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Fam Talked to MD st: NotStopd id: GCS Total t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: points st: NotStopd id: GCS Total t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: HOB t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Abdominal Assessment t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LLL Lung Sounds t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: LUL Lung Sounds t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Level of Conscious t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Angio Appearance #1 t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Motor Response t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #1 t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Oral Cavity t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Orientation t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Pupil Response R/L t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Response R/L t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: Pupil Size R/L t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RLL Lung Sounds t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: RUL Lung Sounds t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Type t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Care t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Verbal Response t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [16:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Bowel Sounds t0: [18:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [14:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Propofol t0: [18:00:00 27/11/2017] el: 2 cg: RN cu: CCU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: ETT Mark/Location t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Driving pressure t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 id: High Insp. Pressure t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: Low Exhaled Min Vol t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: MDI #2 (Puff/Drug) t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 v2: Flovent st: NotStopd id: Mean Airway Pressure t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: L/min st: NotStopd id: PEEP Set t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: TCPCV Fixed I Time t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Insp. Time Fixed st: NotStopd id: TCPCV I:E Ratio t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 1:4 st: NotStopd id: TCPCV Insp. Pressure t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: TCPCV Insp. Time t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: sec st: NotStopd id: Tidal Volume (Obser) t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: 780 n1: 780 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Pressure Control st: NotStopd id: Ventilator Type t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [19:30:00 27/11/2017] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 79.6667 n1: 79.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 73.3333 n1: 73.3333 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 27/11/2017] 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 27/11/2017] 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 27/11/2017] 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 27/11/2017] 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 27/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [19:00:00 27/11/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 500 vu: ml id: Urine Out Foley t0: [20:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: Levophed-k t0: [20:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0.05 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [19:00:00 27/11/2017] el: 2 cg: RN cu: CCU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [20:00:00 27/11/2017] el: 2 cg: RN cu: CCU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
pi: 4072257 hi: 9718 t0: [21:00:00 27/11/2017] tf: [12:00:00 28/11/2017] mn: Propofol pt: Unit Dose st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4072258 hi: 9718 t0: [21:00:00 27/11/2017] tf: [12:00:00 28/11/2017] mn: Propofol pt: Unit Dose st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours
id: WBC (4-11,000) t0: [20:16:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 11.1 n1: 11.1 rs: Final st: NotStopd id: WBC t0: [20:16:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 11.1 n1: 11.1 rs: Final st: NotStopd id: Hematocrit t0: [20:16:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 28.4 n1: 28.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [20:16:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 10 n1: 10 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [20:16:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 rs: Final st: NotStopd id: RBC t0: [20:16:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 3.38 n1: 3.38 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [20:16:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 11.1 n1: 11.1 rs: Final st: NotStopd
id: Temp. Site t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd
id: Service Type t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 27/11/2017] 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 27/11/2017] 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 27/11/2017] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [21:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [21:00:00 27/11/2017] el: 2 cg: RN cu: CCU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
pi: 4072388 hi: 9718 t0: [20:00:00 27/11/2017] tf: [19:00:00 28/11/2017] mn: Neutra-Phos pt: Unit Dose st: Expired rt: PO fr: BID ds: 08, 20 dn: 2 dt: 2 di: Doses xv: 36 xu: Hours pi: 4072389 hi: 9718 t0: [22:00:00 27/11/2017] tf: [21:00:00 28/11/2017] mn: Calcium Gluconate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: BUN t0: [20:16:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Calcium t0: [20:16:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.4 n1: 7.4 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [20:16:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine t0: [20:16:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose t0: [20:16:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 143 n1: 143 rs: Final st: NotStopd id: Magnesium t0: [20:16:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [20:16:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [20:16:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium t0: [20:16:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [20:16:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [20:16:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.4 n1: 7.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [20:16:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride (100-112) t0: [20:16:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [20:16:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose (70-105) t0: [20:16:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 143 n1: 143 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [20:16:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [20:16:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [20:16:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [20:16:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 144 n1: 144 rs: Final st: NotStopd
id: Art.pH t0: [22:47:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.49 n1: 7.49 rs: Final st: NotStopd id: Arterial Base Excess t0: [22:47:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 5 n1: 5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [22:47:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Arterial PaCO2 t0: [22:47:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 38 n1: 38 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [22:47:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 84 n1: 84 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [22:47:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.49 n1: 7.49 rs: Final st: NotStopd
id: CVP t0: [23:00:00 27/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: Cardiac Index t0: [23:00:00 27/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: PAP Mean t0: [23:00:00 27/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: PAP S/D t0: [23:00:00 27/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: PCWP t0: [23:00:00 27/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: SVR t0: [23:00:00 27/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: Stroke Volume t0: [23:00:00 27/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: C.O. (fick) t0: [23:00:00 27/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: C.O.(thermodilution) t0: [23:00:00 27/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4072634 hi: 9718 t0: [08:00:00 28/11/2017] tf: [23:00:00 27/11/2017] mn: Methadone HCl pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4072640 hi: 9718 t0: [00:00:00 28/11/2017] tf: [09:00:00 30/11/2017] mn: Morphine Sulfate IR pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q6H ds: 0, 6, 12, 18 dn: 4 di: Ongoing xv: 36 xu: Hours
id: WBC (4-11,000) t0: [22:08:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 14.4 n1: 14.4 rs: Final st: NotStopd id: WBC t0: [22:08:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 14.4 n1: 14.4 rs: Final st: NotStopd id: Hematocrit t0: [22:08:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [22:08:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 9.7 n1: 9.7 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [22:08:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 93 n1: 93 rs: Final st: NotStopd id: RBC t0: [22:08:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 3.33 n1: 3.33 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [22:08:00 27/11/2017] el: 0 cg: 1663 cu: CCU v1: 14.4 n1: 14.4 rs: Final st: NotStopd
id: Service Type t0: [22:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [22:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [22:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [22:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [22:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [22:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 27/11/2017] 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: [23:00:00 27/11/2017] 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 27/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 27/11/2017] 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 27/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [22:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [21:00:00 27/11/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 100.0ml t0: [22:00:00 27/11/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 27/11/2017] el: 1 ai: 107 cg: RN cu: CCU vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 27/11/2017] el: 1 ai: 107 cg: RN cu: CCU vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [18:00:00 27/11/2017] el: 2 ai: 126 cg: RN cu: CCU vo: 14.4 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [19:00:00 27/11/2017] el: 2 ai: 126 cg: RN cu: CCU vo: 9.6 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [20:00:00 27/11/2017] el: 2 ai: 126 cg: RN cu: CCU vo: 7.7 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [21:00:00 27/11/2017] el: 2 ai: 126 cg: RN cu: CCU vo: 7.7 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [22:00:00 27/11/2017] el: 2 ai: 126 cg: RN cu: CCU vo: 7.7 vu: ml id: Gastric Meds t0: [22:00:00 27/11/2017] el: 1 ai: 198 cg: RN cu: CCU vo: 60 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [20:00:00 27/11/2017] el: 1 ai: 155 cg: RN cu: CCU vo: 7.5 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [21:00:00 27/11/2017] el: 1 ai: 155 cg: RN cu: CCU vo: 7.5 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [22:00:00 27/11/2017] el: 1 ai: 155 cg: RN cu: CCU vo: 7.5 vu: ml id: Urine Out Foley t0: [23:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 240 vu: ml
id: Levophed-k t0: [22:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [23:00:00 27/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [22:00:00 27/11/2017] el: 2 cg: RN cu: CCU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [23:00:00 27/11/2017] el: 2 cg: RN cu: CCU vo: 0 do: 16 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Less Restrict Meas. t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Education Barrier t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Care t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Family Communication t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: GCS Total t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: HOB t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [22:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [22:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [22:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [22:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Introducer v2: Right Femoral st: NotStopd id: INV Line#2 Type/Site t0: [22:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Introducer v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: INV Line#2InsertDate t0: [22:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [22:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Right Hand v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Angio Appearance #1 t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Angio Dressing #1 t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: AntiEmbDevice/Status t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd id: INV#2 Dsg Change t0: [22:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd id: Pupil Response R/L t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Bowel Sounds t0: [20:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [19:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: Pain Assess Method t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Daily Wake Up t0: [23:00:00 27/11/2017] el: 1 cg: RN cu: CCU v1: No/Hemodyn Issue st: NotStopd id: Diet Type t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Eye Opening t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: Level of Conscious t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: Angio Dressing #1 t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Pupil Response R/L t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: Respiratory Pattern t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Color/Appear t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [23:00:00 27/11/2017] el: 2 ai: 126 cg: RN cu: CCU vo: 7.7 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [23:00:00 27/11/2017] el: 1 ai: 155 cg: RN cu: CCU vo: 7.5 vu: ml
id: PO/Gastric In Total t0: [23:00:00 27/11/2017] el: 2 cg: 1663 cu: CCU cv: 260 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 27/11/2017] el: 2 cg: 1663 cu: CCU pv: 240 cv: 240 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 27/11/2017] el: 2 cg: 1663 cu: CCU pv: 240 cv: 1255 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 27/11/2017] el: 2 cg: 1663 cu: CCU pv: 240 cv: 1255 ac: 24 ap: none re: 0
id: Service Type t0: [00:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [00:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [00:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [00:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 78.6667 n1: 78.6667 u1: mmHg st: NotStopd id: Arterial BP t0: [00:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [00:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 28/11/2017] 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 28/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 27/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [00:00:00 28/11/2017] el: 2 ai: 126 cg: RN cu: CCU vo: 6.7 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [00:00:00 28/11/2017] el: 1 ai: 155 cg: RN cu: CCU vo: 6 vu: ml id: Urine Out Foley t0: [00:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 75 vu: ml
id: Levophed-k t0: [00:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0.08 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [00:00:00 28/11/2017] el: 2 cg: RN cu: CCU vo: 0 do: 14 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: D5W 100.0ml t0: [00:00:00 28/11/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 28/11/2017] el: 1 ai: 107 cg: RN cu: CCU vu: ml
id: ETT Mark/Location t0: [00:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Driving pressure t0: [00:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 id: High Insp. Pressure t0: [00:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 1:4 st: NotStopd id: Airway Size t0: [00:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [00:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [00:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 8.8 n1: 8.8 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: TCPCV Fixed I Time t0: [00:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: Insp. Time Fixed st: NotStopd id: TCPCV I:E Ratio t0: [00:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 1:4 st: NotStopd id: TCPCV Insp. Pressure t0: [00:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: TCPCV Insp. Time t0: [00:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: sec st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 750 n1: 750 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: Pressure Control st: NotStopd id: Ventilator Type t0: [00:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Blood Products t0: [02:04:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: Y rs: Final st: NotStopd
id: IV Infusion In Total t0: [23:00:00 27/11/2017] el: 2 cg: 1663 cu: CCU pv: 25.2 cv: 4694.3 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 27/11/2017] el: 2 cg: 1663 cu: CCU pv: 25.2 cv: 4954.3 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 27/11/2017] el: 2 cg: 1663 cu: CCU pv: -214.8 cv: 3699.3 ac: 24 ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 27/11/2017] el: 2 cg: 1663 cu: CCU pv: -214.8 cv: -214.8 ac: 1 ap: none re: 0
id: Less Restrict Meas. t0: [01:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [23:00:00 27/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [01:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [01:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [01:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [01:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [02:00:00 28/11/2017] el: 1 cg: RN cu: CCU v1: No/Hemodyn Issue st: NotStopd id: Risk for Falls t0: [01:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Type t0: [01:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [01:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [01:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: HOB t0: [00:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [01:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: INV Line#2 Type/Site t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Introducer v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: IV #1 Insert Date t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: IV #1 Site/Size t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Right Hand v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: IV #2 Site/Size t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [00:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Level of Conscious t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Angio Appearance #1 t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: NBP t0: [01:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 81.3333 n1: 81.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 81.6667 n1: 81.6667 u1: mmHg st: NotStopd id: Angio Dressing #1 t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [00:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [01:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position t0: [00:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [01:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [00:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [01:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd id: INV#2 Dsg Change t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 28/11/2017] 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: [02:00:00 28/11/2017] 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 28/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: Reason For Restraint t0: [01:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [01:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [01:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Restraint Location t0: [01:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [01:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [01:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [01:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [01:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [00:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [01:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 28/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 28/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [01:00:00 28/11/2017] el: 2 ai: 126 cg: RN cu: CCU vo: 6.72 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [02:00:00 28/11/2017] el: 2 ai: 126 cg: RN cu: CCU vo: 6.72 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [01:00:00 28/11/2017] el: 1 ai: 155 cg: RN cu: CCU vo: 6 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [02:00:00 28/11/2017] el: 1 ai: 155 cg: RN cu: CCU vo: 6 vu: ml id: Urine Out Foley t0: [02:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Levophed-k t0: [01:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0.08 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [02:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0.07 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [01:00:00 28/11/2017] el: 2 cg: RN cu: CCU vo: 0 do: 14 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [02:00:00 28/11/2017] el: 2 cg: RN cu: CCU vo: 0 do: 14 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Total Hourly Output t0: [23:00:00 28/11/2017] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: estimateVol re: 0 id: Urine Out Total t0: [23:00:00 28/11/2017] el: 2 cg: RN cu: CCU cv: 1010 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 28/11/2017] el: 2 cg: RN cu: CCU cv: 1010 ac: 24 ap: estimateVol re: 0
id: Less Restrict Meas. t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: HOB t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Oral Care t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 28/11/2017] 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 28/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: calprevflg t0: [03:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 28/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [03:00:00 28/11/2017] el: 2 ai: 126 cg: RN cu: CCU vo: 6.72 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [03:00:00 28/11/2017] el: 1 ai: 155 cg: RN cu: CCU vo: 10.5 vu: ml
id: Levophed-k t0: [03:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0.07 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [03:00:00 28/11/2017] el: 2 cg: RN cu: CCU vo: 0 do: 14 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
pi: 4072936 hi: 9718 t0: [05:00:00 28/11/2017] tf: [07:00:00 28/11/2017] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 mL LR Continuous at 1000 ml/hr for 500 ml ir: 1000 it: C ss: N dt: 0 di: Hours xu: Enter on Label
id: Art.pH t0: [04:10:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.52 n1: 7.52 rs: Final st: NotStopd id: Lactic Acid t0: [04:10:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 2.9 n1: 2.9 rs: Final st: NotStopd id: Potassium t0: [04:10:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:10:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 5 n1: 5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:10:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:10:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 35 n1: 35 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:10:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 74 n1: 74 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:10:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.52 n1: 7.52 rs: Final st: NotStopd id: Ionized Calcium t0: [04:10:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 1.11 n1: 1.11 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [04:10:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 2.9 n1: 2.9 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:10:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 15.5 n1: 15.5 rs: Final st: NotStopd id: WBC t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 15.5 n1: 15.5 rs: Final st: NotStopd id: Hematocrit t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 30.2 n1: 30.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 10.5 n1: 10.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 112 n1: 112 rs: Final st: NotStopd id: RBC t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 3.63 n1: 3.63 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 15.5 n1: 15.5 rs: Final st: NotStopd
id: Service Type t0: [04:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: PT t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: Code Status t0: [04:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fibrinogen t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 376 n1: 376 rs: Final st: NotStopd id: INR t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PTT t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 26.1 n1: 26.1 rs: Final st: NotStopd id: Ectopy Type t0: [04:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [04:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [04:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 87.6667 n1: 87.6667 u1: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [04:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 28/11/2017] 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 28/11/2017] 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 28/11/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [04:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fibrinogen (150-400) t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 376 n1: 376 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: PTT(22-35) t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 26.1 n1: 26.1 rs: Final st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 28/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [04:00:00 28/11/2017] el: 1 ai: 155 cg: RN cu: CCU vo: 10.5 vu: ml
id: BUN t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Calcium t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 137 n1: 137 rs: Final st: NotStopd id: Magnesium t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 143 n1: 143 rs: Final st: NotStopd id: BUN (6-20) t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 137 n1: 137 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 143 n1: 143 rs: Final st: NotStopd
id: Art.pH t0: [04:46:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:46:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 5 n1: 5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:46:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:46:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 38 n1: 38 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:46:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 83 n1: 83 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:46:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd
id: ETT Mark/Location t0: [04:45:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:45:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Driving pressure t0: [04:45:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 id: High Insp. Pressure t0: [04:45:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:45:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:45:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 1:4 st: NotStopd id: Airway Size t0: [04:45:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [04:45:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:45:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:45:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: Low Exhaled Min Vol t0: [04:45:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:45:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:45:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:45:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:45:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 8.5 n1: 8.5 u1: L/min st: NotStopd id: PEEP Set t0: [04:45:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:45:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:45:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:45:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:45:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:45:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:45:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [04:45:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [04:45:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:45:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: TCPCV Fixed I Time t0: [04:45:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: Insp. Time Fixed st: NotStopd id: TCPCV Insp. Pressure t0: [04:45:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: TCPCV Insp. Time t0: [04:45:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: sec st: NotStopd id: Tidal Volume (Obser) t0: [04:45:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 700 n1: 700 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:45:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: Pressure Control st: NotStopd id: Ventilator Type t0: [04:45:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
pi: 4072940 hi: 9718 t0: [06:00:00 28/11/2017] tf: [05:00:00 29/11/2017] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Type t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: Heart Rate t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 4 Flex-withdraws st: NotStopd id: NBP t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 82.6667 n1: 82.6667 u1: mmHg st: NotStopd id: Oral Cavity t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Arterial BP t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position Change t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 28/11/2017] 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 28/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: Reason For Restraint t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Restraint Location t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 28/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [04:00:00 28/11/2017] el: 2 ai: 126 cg: RN cu: CCU vo: 8.6 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [05:00:00 28/11/2017] el: 2 ai: 126 cg: RN cu: CCU vo: 6.7 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [05:00:00 28/11/2017] el: 1 ai: 155 cg: RN cu: CCU vo: 6 vu: ml id: Urine Out Foley t0: [05:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 90 vu: ml
id: Levophed-k t0: [04:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [05:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0.07 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [04:00:00 28/11/2017] el: 2 cg: RN cu: CCU vo: 0 do: 18 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [05:00:00 28/11/2017] el: 2 cg: RN cu: CCU vo: 0 do: 14 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Differential-Bands t0: [03:53:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 0 n1: 0 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 28/11/2017] el: 0 cg: CoWker cu: CCU v1: 142 n1: 142 rs: Manual st: NotStopd
id: Art.pH t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 7.5 n1: 7.5 rs: Manual st: NotStopd id: Arterial Base Excess t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 5 n1: 5 rs: Manual st: NotStopd id: Arterial CO2(Calc) t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 31 n1: 31 rs: Manual st: NotStopd id: Arterial PaCO2 t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg rs: Manual st: NotStopd id: Arterial PaO2 t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg rs: Manual st: NotStopd id: Arterial pH t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 7.5 n1: 7.5 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [00:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 132 n1: 132 rs: Manual st: NotStopd
id: Pain Present t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [05:00:00 28/11/2017] el: 1 cg: RN cu: CCU v1: No/Hemodyn Issue st: NotStopd id: Risk for Falls t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: HOB t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Introducer v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: INV Line#2SiteAppear t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: IV #1 Site/Size t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Right Hand v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: IV #2 Site/Size t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: NBP t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Oral Care t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd id: INV#2 Dsg Change t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 28/11/2017] 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 28/11/2017] 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 28/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: calprevflg t0: [06:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [06:00:00 28/11/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [06:00:00 28/11/2017] el: 2 ai: 126 cg: RN cu: CCU vo: 6.72 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [06:00:00 28/11/2017] el: 1 ai: 155 cg: RN cu: CCU vo: 6 vu: ml id: Urine Out Foley t0: [06:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 75 vu: ml
id: Levophed-k t0: [06:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0.07 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [06:00:00 28/11/2017] el: 2 cg: RN cu: CCU vo: 0 do: 14 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Arterial BP t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 28/11/2017] 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 28/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [07:00:00 28/11/2017] el: 2 cg: RN cu: CCU vo: 0 do: 14 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip st: Stopped
id: RSBI (<100) t0: [07:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 25.7143 n1: 25.7143 u1: units st: NotStopd id: FiO2 Set t0: [07:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Resp. Rate t0: [07:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Low Exhaled Min Vol t0: [07:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [07:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: L/min st: NotStopd id: PEEP Set t0: [07:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [07:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: RSBI (<200) t0: [07:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 25.7143 n1: 25.7143 u1: units st: NotStopd id: Resp Rate (Total) t0: [07:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [07:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Spon RR (Mech.) t0: [07:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [07:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 0.7 n1: 0.7 u1: L st: NotStopd id: Tidal Volume (Spont) t0: [07:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 700 n1: 700 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd
id: Service Type t0: [07:30:00 28/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:30:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:30:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [07:30:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:30:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:30:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [07:30:00 28/11/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [07:30:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [07:30:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:30:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:30:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:30:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [07:30:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:30:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:30:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:30:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:30:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [07:30:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:30:00 28/11/2017] 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: [07:30:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:30:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [07:30:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [07:30:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [07:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0.04 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped id: Levophed-k t0: [07:30:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [07:30:00 28/11/2017] el: 2 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Pain Present t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Daily Wake Up t0: [07:00:00 28/11/2017] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Eye Opening t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [07:30:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: GCS Total t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: Abdominal Assessment t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: Level of Conscious t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: PostTib. Pulses R/L t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Pupil Response R/L t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Color/Appear t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 28/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [07:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Service Type t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 138 n1: 138 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 28/11/2017] 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 28/11/2017] 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 28/11/2017] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 38.2778 n1: 38.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 100.9 n1: 100.9 u1: Deg. F st: NotStopd id: calprevflg t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [08:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [08:00:00 28/11/2017] el: 2 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Art.pH t0: [08:08:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.49 n1: 7.49 rs: Final st: NotStopd id: CaO2 t0: [08:08:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 14.1668 n1: 14.1668 u1: ml/dl st: NotStopd id: Glucose t0: [08:08:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 107 n1: 107 rs: Final st: NotStopd id: Arterial Base Excess t0: [08:08:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [08:08:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd id: Arterial PaCO2 t0: [08:08:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [08:08:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 122 n1: 122 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [08:08:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.49 n1: 7.49 rs: Final st: NotStopd id: Glucose (70-105) t0: [08:08:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 107 n1: 107 rs: Final st: NotStopd id: SaO2 t0: [08:08:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: D5W 100.0ml t0: [08:00:00 28/11/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 28/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [08:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: ETT Mark/Location t0: [08:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 7.5 mm st: NotStopd id: Airway Type t0: [08:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: MDI #3 (Puff/Drug) t0: [08:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 v2: Flovent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 17.7 n1: 17.7 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Ve High t0: [08:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [08:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Copious st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: 680 n1: 680 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 28/11/2017] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Pain Present t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [10:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [10:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Daily Wake Up t0: [09:00:00 28/11/2017] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: Daily Wake Up t0: [10:00:00 28/11/2017] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: BPM st: NotStopd id: O2 Delivery Device t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device t0: [10:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [10:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: lpm st: NotStopd id: Arterial BP t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Pain Location t0: [10:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Arterial BP Mean t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 28/11/2017] 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 28/11/2017] 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 28/11/2017] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 38.3333 n1: 38.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: Deg. F st: NotStopd id: calprevflg t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [09:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [10:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: Levophed-k t0: [09:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [09:00:00 28/11/2017] el: 2 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [10:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Very Agitated st: NotStopd id: Risk for Falls t0: [10:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: BPM st: NotStopd id: Arterial BP t0: [10:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [10:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 28/11/2017] 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 28/11/2017] 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 28/11/2017] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: calprevflg t0: [10:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [10:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [10:00:00 28/11/2017] el: 2 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
pi: 4073365 hi: 9718 t0: [11:00:00 28/11/2017] tf: [10:00:00 29/11/2017] mn: Morphine Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4073559 hi: 9718 t0: [10:00:00 28/11/2017] tf: [13:00:00 29/11/2017] mn: Olanzapine (Disintegrating Tablet) 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: 4073560 hi: 9718 t0: [12:00:00 28/11/2017] tf: [09:00:00 30/11/2017] mn: Vancomycin HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q 8H ds: 12, 20, 4 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4073658 hi: 9718 t0: [12:00:00 28/11/2017] tf: [11:00:00 29/11/2017] mn: Olanzapine pt: Unit Dose st: Expired rt: IM fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4073969 hi: 9718 t0: [14:00:00 28/11/2017] tf: [22:00:00 07/12/2017] mn: Acetaminophen pt: Unit Dose st: Discontinued via patient discharge rt: PR fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Pain Assess Method t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Very Agitated st: NotStopd id: Riker-SAS Scale t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Daily Wake Up t0: [11:00:00 28/11/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 28/11/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: FiO2 Set t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: Heart Rate t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [10:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 89 n2: 89 u2: mmHg st: NotStopd id: NBP t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 97.6667 n1: 97.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 84.3333 n1: 84.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Arterial BP t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Pain Location t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Location t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 28/11/2017] 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 28/11/2017] 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: [13:00:00 28/11/2017] 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 28/11/2017] 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 28/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 28/11/2017] 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 28/11/2017] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Lactated Ringers t0: [10:00:00 28/11/2017] el: 1 ai: 106 cg: RN cu: CCU vo: 500 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 28/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 200 vu: ml id: Urine Out Foley t0: [11:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [12:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: Urine Out Foley t0: [13:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: Levophed-k t0: [11:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [12:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [13:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [11:00:00 28/11/2017] el: 2 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [12:00:00 28/11/2017] el: 2 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [13:00:00 28/11/2017] el: 2 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Hematocrit t0: [11:16:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 27.6 n1: 27.6 u1: % rs: Final st: NotStopd
id: Ectopy Frequency t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rhythm t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd
id: Ectopy Frequency t0: [14:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [14:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 88.6667 n1: 88.6667 u1: mmHg st: NotStopd id: Respiratory Rate t0: [14:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [14:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Level/Response t0: [10:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 1-None to Mild st: NotStopd id: Pain Present t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [13:00:00 28/11/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Extubation Date t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 26 n2: 26 st: NotStopd id: Extubation Date t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 26 n2: 26 st: NotStopd id: FiO2 Set t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: FiO2 Set t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: FiO2 Set t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: Intubation Date t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: Intubation Date t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: O2 Delivery Device t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Pain Location t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Management t0: [10:00:00 28/11/2017] el: 1 cg: RN cu: CCU v1: IV Push v2: IV Push st: NotStopd
id: Sputum Color/Consist t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Expectorated v2: Scant st: NotStopd id: Ventilator Type t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU st: NotStopd id: Ventilator Type t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 28/11/2017] el: 1 ai: 107 cg: RN cu: CCU vo: 100 vu: ml
id: GI Prophylaxis t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Eye Opening t0: [10:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Eye Opening t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [10:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GCS Total t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: Abdominal Assessment t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: Level of Conscious t0: [10:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [10:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Motor Response t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [10:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Orientation t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Angio Site #1 t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Pupil Response R/L t0: [10:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [10:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: Respiratory Pattern t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Stool Guaiac t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Stool Guaiac t0: [14:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Urine Color/Appear t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [10:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Verbal Response t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Bowel Sounds t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: Less Restrict Meas. t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Distraction st: NotStopd id: Less Restrict Meas. t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Distraction st: NotStopd id: Less Restrict Meas. t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Range of Motion t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: bath t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: DONE id: Circulation/SkinInt t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Eye Care t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Care t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Family Communication t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: HOB t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Introducer v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Dampened st: NotStopd id: IV #1 Insert Date t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Right Hand v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Activity Tolerance t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 26 n2: 26 st: NotStopd id: Reason For Restraint t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Side Rails t0: [09:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Side Rails t0: [11:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Care t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Care t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Spiritual Support t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Clergy Visited st: NotStopd id: Support Systems t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Therapeutic Bed t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: HOB Measurement t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: Back Care t0: [08:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Braden Activity t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [07:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Art.pH t0: [14:48:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd id: Arterial Base Excess t0: [14:48:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [14:48:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd id: Arterial PaCO2 t0: [14:48:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [14:48:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [14:48:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 rs: Final st: NotStopd
pi: 4074400 hi: 9718 t0: [16:00:00 28/11/2017] tf: [06:00:00 03/12/2017] mn: Morphine Sulfate pt: Unit Dose st: Discontinued rt: IV fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Heart Rate t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 28/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2 Type/Site t0: [16:00:00 28/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#1 WaveformAppear t0: [16:00:00 28/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: NBP t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 89.6667 n1: 89.6667 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 28/11/2017] 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 28/11/2017] 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 28/11/2017] 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 28/11/2017] 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 28/11/2017] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: calprevflg t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [16:00:00 28/11/2017] el: 2 ai: 126 cg: -1 cu: CCU vo: 0 st: D/C'd id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [16:00:00 28/11/2017] el: 1 ai: 155 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Levophed-k t0: [15:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [16:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [15:00:00 28/11/2017] el: 2 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [16:00:00 28/11/2017] el: 2 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Alarms t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1 D/C Date t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 26 n2: 26 st: NotStopd id: INV Line#1 Type/Site t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Introducer v2: Right Femoral st: NotStopd id: INV Line#2InsertDate t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: INV#1 WaveformAppear t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Dampened st: NotStopd id: IV #1 Insert Date t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: IV #1 Site/Size t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Right Hand v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: IV #2 Site/Size t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: IV Site Appear #2 t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU st: NotStopd id: INV#1 Dsg Change t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd id: INV#2 Dsg Change t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 26 n2: 26 st: NotStopd
id: Lactated Ringers t0: [14:00:00 28/11/2017] el: 1 ai: 106 cg: RN cu: CCU vo: 10 vu: ml id: Lactated Ringers t0: [15:00:00 28/11/2017] el: 1 ai: 106 cg: RN cu: CCU vo: 10 vu: ml id: Lactated Ringers t0: [16:00:00 28/11/2017] el: 1 ai: 106 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [14:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [15:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [16:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Less Restrict Meas. t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Range of Motion t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Family Communication t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: O2 Delivery Device t0: [14:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [14:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Position Change t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Braden Activity t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [13:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Glucose t0: [17:00:00 28/11/2017] el: 0 cg: CoWker cu: CCU v1: 121 n1: 121 rs: Manual st: NotStopd id: Glucose (70-105) t0: [17:00:00 28/11/2017] el: 0 cg: CoWker cu: CCU v1: 121 n1: 121 rs: Manual st: NotStopd
id: Cuff Pressure-Airway t0: [18:00:00 28/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: ETT Mark/Location t0: [18:00:00 28/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: ETT Position Change t0: [18:00:00 28/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: Airway Size t0: [18:00:00 28/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: Airway Type t0: [18:00:00 28/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4075297 hi: 9718 t0: [22:00:00 28/11/2017] tf: [19:00:00 28/11/2017] mn: Lorazepam pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [17:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [17:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: NBP t0: [17:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 79.3333 n1: 79.3333 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [17:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 28/11/2017] 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 28/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [17:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [17:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Pain Assess Method t0: [17:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Pain Assess Method t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [17:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Very Agitated st: NotStopd id: Daily Wake Up t0: [15:00:00 28/11/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Daily Wake Up t0: [17:00:00 28/11/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Daily Wake Up t0: [18:00:00 28/11/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 59.3333 n1: 59.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [17:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [17:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Pain Location t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Location t0: [17:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Location t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Precautions t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 28/11/2017] 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: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Lactated Ringers t0: [17:00:00 28/11/2017] el: 1 ai: 106 cg: RN cu: CCU vo: 10 vu: ml id: Lactated Ringers t0: [18:00:00 28/11/2017] el: 1 ai: 106 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [17:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [18:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 35 vu: ml
id: Less Restrict Meas. t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Range of Motion t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Eye Opening t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: Abdominal Assessment t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: Level of Conscious t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Cavity t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Angio Site #1 t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Position Change t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: RLL Lung Sounds t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Type t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Urine Color/Appear t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Bowel Sounds t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: Eye Care t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: Off st: NotStopd id: Position t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: HOB Measurement t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Less Restrict Meas. t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Range of Motion t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Extubation Date t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 26 n2: 26 st: NotStopd id: Family Communication t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Fam Talked to MD st: NotStopd id: INV Line#2InsertDate t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: INV Line#2SiteAppear t0: [15:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2SiteAppear t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV #1 Insert Date t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: IV #1 Site/Size t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Right Hand v2: 20 gauge st: NotStopd id: IV #2 Insert Date t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: IV #2 Site/Size t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Intubation Date t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: Position Change t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#2 Dsg Change t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 26 n2: 26 st: NotStopd id: Reason For Restraint t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Type t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Side Rails t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Support Systems t0: [18:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Braden Activity t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
pi: 4075447 hi: 9718 t0: [22:00:00 28/11/2017] tf: [13:00:00 29/11/2017] mn: Lorazepam pt: Unit Dose st: Discontinued rt: IV fr: TID ds: 08, 16, 22 dn: 3 dt: 3 di: Doses xv: 36 xu: Hours
id: Service Type t0: [19:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [19:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [19:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [19:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [19:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 77.6667 n1: 77.6667 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [19:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 28/11/2017] 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 28/11/2017] 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 28/11/2017] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: calprevflg t0: [19:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: IV #1 Insert Date t0: [20:00:00 28/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 Site/Size t0: [20:00:00 28/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #1 t0: [20:00:00 28/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd
id: Less Restrict Meas. t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Pain Present t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Daily Wake Up t0: [20:00:00 28/11/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: IV #1 Reason DC'D t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Risk for Falls t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Type t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Barrier t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Invasive Lines st: NotStopd id: Extubation Date t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 26 n2: 26 st: NotStopd id: Eye Care t0: [19:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GCS Total t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [19:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 D/C Date t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 26 n2: 26 st: NotStopd id: Activity t0: [19:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [19:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Intubation Date t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: LLL Lung Sounds t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: O2 Delivery Device t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [19:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Angio Site #1 t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: AntiEmbDevice/Status t0: [19:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [19:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [19:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 28/11/2017] 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 28/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Therapeutic Bed t0: [19:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [19:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: calprevflg t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Po Intake t0: [20:00:00 28/11/2017] el: 1 ai: 103 cg: RN cu: CCU vu: ml id: D5W 100.0ml t0: [20:00:00 28/11/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: Lactated Ringers t0: [19:00:00 28/11/2017] el: 1 ai: 106 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [20:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 110 vu: ml
id: IV #2 Insert Date t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Right Hand v2: 20 gauge st: NotStopd id: NBP t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd
id: WBC (4-11,000) t0: [20:17:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: WBC t0: [20:17:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Hematocrit t0: [20:17:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 26.3 n1: 26.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [20:17:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 9.1 n1: 9.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [20:17:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 81 n1: 81 rs: Final st: NotStopd id: RBC t0: [20:17:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 3.11 n1: 3.11 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [20:17:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.4 n1: 7.4 rs: Final st: NotStopd
pi: 4075776 hi: 9718 t0: [22:00:00 28/11/2017] tf: [13:00:00 29/11/2017] mn: Lorazepam pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: BUN t0: [20:20:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 35 n1: 35 rs: Final st: NotStopd id: Calcium t0: [20:20:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.1 n1: 7.1 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [20:20:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 rs: Final st: NotStopd id: Creatinine t0: [20:20:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Magnesium t0: [20:20:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [20:20:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 2.9 n1: 2.9 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [20:20:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [20:20:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 133 n1: 133 rs: Final st: NotStopd id: BUN (6-20) t0: [20:20:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 35 n1: 35 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [20:20:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.1 n1: 7.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [20:20:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [20:20:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [20:20:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [20:20:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [20:20:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 2.9 n1: 2.9 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [20:20:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [20:20:00 28/11/2017] el: 0 cg: 1663 cu: CCU v1: 133 n1: 133 rs: Final st: NotStopd
id: Glucose t0: [22:00:00 28/11/2017] el: 0 cg: CoWker cu: CCU v1: 134 n1: 134 rs: Manual st: NotStopd id: Glucose (70-105) t0: [22:00:00 28/11/2017] el: 0 cg: CoWker cu: CCU v1: 134 n1: 134 rs: Manual st: NotStopd
id: Service Type t0: [21:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [21:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [21:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [21:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Precautions t0: [21:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [21:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 28/11/2017] 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 28/11/2017] 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 28/11/2017] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [21:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [21:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [21:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: calprevflg t0: [21:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Lactated Ringers t0: [21:00:00 28/11/2017] el: 1 ai: 106 cg: RN cu: CCU vo: 10 vu: ml id: Lactated Ringers t0: [22:00:00 28/11/2017] el: 1 ai: 106 cg: RN cu: CCU vo: 10 vu: ml id: Stool Out Stool t0: [22:00:00 28/11/2017] el: 1 cg: RN cu: CCU vu: ml es: Medium id: Urine Out Foley t0: [22:00:00 28/11/2017] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Less Restrict Meas. t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Daily Wake Up t0: [22:00:00 28/11/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: NBP t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 78.6667 n1: 78.6667 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 28/11/2017] 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 28/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Therapeutic Bed t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: calprevflg t0: [22:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
io: D5W 1000.0ml el: 1 cg: RN cu: CCU ra: 75 ru: ml/hr
pi: 4076185 hi: 9718 t0: [00:00:00 29/11/2017] tf: [23:00:00 29/11/2017] mn: Olanzapine (Disintegrating Tablet) pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 0 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4076186 hi: 9718 t0: [00:00:00 29/11/2017] tf: [13:00:00 29/11/2017] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml D5NS Continuous at 75 ml/hr for 1000 ml ir: 75 it: C ss: N dt: 13 di: Hours xu: Enter on Label
id: Service Type t0: [23:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [23:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [23:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 28/11/2017] 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 28/11/2017] 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 28/11/2017] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [23:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [23:00:00 28/11/2017] el: 1 ai: 168 cg: RN cu: CCU vu: ml nb: 1 id: Stool Out Stool t0: [23:00:00 28/11/2017] el: 1 cg: RN cu: CCU vu: ml es: Medium
id: IV Infusion In Total t0: [23:00:00 28/11/2017] el: 2 cg: RN cu: CCU cv: 1599.88 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 28/11/2017] el: 2 cg: RN cu: CCU cv: 1599.88 ac: 24 ap: none re: 0 id: Stool Out Total t0: [23:00:00 28/11/2017] el: 2 cg: RN cu: CCU cv: 0 ac: 24 ap: estimateVol re: 0 id: 24h Net Body Balance t0: [23:00:00 28/11/2017] el: 2 cg: RN cu: CCU cv: 589.88 ac: 24 ap: estimateVol re: 0 id: LOS Net Body Balance t0: [23:00:00 28/11/2017] el: 2 cg: RN cu: CCU cv: 5139.08 ac: multiple days ap: estimateVol re: 0 id: Net Hourly Balance t0: [23:00:00 28/11/2017] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: estimateVol re: 0
id: Lactated Ringers t0: [00:00:00 29/11/2017] el: 1 ai: 106 cg: -1 cu: CCU vo: 0 st: D/C'd id: .9% Normal Saline 1000.0ml t0: [00:00:00 29/11/2017] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Less Restrict Meas. t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Type t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Extubation Date t0: [23:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 26 n2: 26 st: NotStopd id: Eye Opening t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: Heart Rate t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Intubation Date t0: [23:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: LLL Lung Sounds t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 82.3333 n1: 82.3333 u1: mmHg st: NotStopd id: Angio Dressing #1 t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: O2 Delivery Device t0: [23:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [23:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Angio Site #1 t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Position Change t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 29/11/2017] 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 29/11/2017] 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 29/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Urine Color/Appear t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: calprevflg t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: D5W 1000.0ml t0: [00:00:00 29/11/2017] el: 1 ai: 168 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [00:00:00 29/11/2017] el: 1 cg: RN cu: CCU vo: 125 vu: ml
id: Total Hourly Output t0: [23:00:00 29/11/2017] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 29/11/2017] el: 2 cg: RN cu: CCU cv: 1345 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 29/11/2017] el: 2 cg: RN cu: CCU cv: 1645 ac: 24 ap: none re: 0
pi: 4076464 hi: 9718 t0: [02:00:00 29/11/2017] tf: [01:00:00 30/11/2017] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 2 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: Less Restrict Meas. t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [01:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [01:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [01:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [01:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Daily Wake Up t0: [01:00:00 29/11/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [01:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [01:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [01:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [01:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Extubation Date t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 26 n2: 26 st: NotStopd id: HOB t0: [01:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [01:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Introducer v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV #2 Insert Date t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [01:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [01:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Intubation Date t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: NBP t0: [01:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 77.3333 n1: 77.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Care t0: [01:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [01:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [01:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [01:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [01:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 29/11/2017] 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: [02:00:00 29/11/2017] 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 29/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [01:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [01:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Therapeutic Bed t0: [01:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: calprevflg t0: [01:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [01:00:00 29/11/2017] el: 1 ai: 168 cg: RN cu: CCU vo: 75 vu: ml id: D5W 1000.0ml t0: [02:00:00 29/11/2017] el: 1 ai: 168 cg: RN cu: CCU vo: 75 vu: ml
id: IV Infusion In Total t0: [23:00:00 29/11/2017] el: 2 cg: RN cu: CCU cv: 1400 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 29/11/2017] el: 2 cg: RN cu: CCU cv: 3250 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 29/11/2017] el: 2 cg: RN cu: CCU cv: 1605 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 29/11/2017] el: 2 cg: RN cu: CCU cv: 6744.08 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 29/11/2017] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0
id: INV Line#1 Type/Site t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Introducer v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [03:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [03:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [03:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [03:00:00 29/11/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [03:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [03:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Type t0: [03:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: HOB t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Introducer v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV #2 Insert Date t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Level of Conscious t0: [03:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Angio Appearance #1 t0: [03:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: NBP t0: [03:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Angio Dressing #1 t0: [03:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Site #1 t0: [03:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 28/11/2017] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [03:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 29/11/2017] 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 29/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [03:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [03:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [03:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [03:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [03:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [04:00:00 29/11/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: D5 Normal Saline 1000.0ml t0: [03:00:00 29/11/2017] el: 1 ai: 168 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [03:00:00 29/11/2017] el: 1 cg: RN cu: CCU vo: 175 vu: ml
id: Less Restrict Meas. t0: [06:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [06:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [05:00:00 29/11/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [03:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: GI Prophylaxis t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Type t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Extubation Date t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 26 n2: 26 st: NotStopd id: Heart Rate t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [03:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Abdominal Assessment t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Intubation Date t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: LLL Lung Sounds t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Angio Appearance #1 t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: NBP t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 83.6667 n1: 83.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 73.6667 n1: 73.6667 u1: mmHg st: NotStopd id: Angio Dressing #1 t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: O2 Delivery Device t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Angio Site #1 t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Position Change t0: [06:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 29/11/2017] 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: [05:00:00 29/11/2017] 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 29/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [06:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Guaiac t0: [00:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Stool Guaiac t0: [03:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Temp. Site t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [03:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Bowel Sounds t0: [05:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Urine Out Foley t0: [05:00:00 29/11/2017] el: 1 cg: RN cu: CCU vo: 150 vu: ml
id: PT t0: [05:28:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 15.9 n1: 15.9 rs: Final st: NotStopd id: INR t0: [05:28:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PTT t0: [05:28:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 27.2 n1: 27.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:28:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:28:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 15.9 n1: 15.9 rs: Final st: NotStopd id: PTT(22-35) t0: [05:28:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 27.2 n1: 27.2 rs: Final st: NotStopd
id: BUN t0: [05:28:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 39 n1: 39 rs: Final st: NotStopd id: Calcium t0: [05:28:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:28:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine t0: [05:28:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose t0: [05:28:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 131 n1: 131 rs: Final st: NotStopd id: Magnesium t0: [05:28:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Phosphorous t0: [05:28:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 4.4 n1: 4.4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:28:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 4.7 n1: 4.7 rs: Final st: NotStopd id: Sodium t0: [05:28:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 145 n1: 145 rs: Final st: NotStopd id: BUN (6-20) t0: [05:28:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 39 n1: 39 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:28:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:28:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:28:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:28:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:28:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 131 n1: 131 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:28:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:28:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 4.4 n1: 4.4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:28:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 4.7 n1: 4.7 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:28:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 145 n1: 145 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [05:24:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.1 n1: 7.1 rs: Final st: NotStopd id: WBC t0: [05:24:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.1 n1: 7.1 rs: Final st: NotStopd id: Hematocrit t0: [05:24:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 25.9 n1: 25.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:24:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 9.3 n1: 9.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:24:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 80 n1: 80 rs: Final st: NotStopd id: RBC t0: [05:24:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 3.11 n1: 3.11 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:24:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.1 n1: 7.1 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [04:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [06:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [06:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [06:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 76.3333 n1: 76.3333 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [06:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 29/11/2017] 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 29/11/2017] 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 29/11/2017] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: calprevflg t0: [06:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [05:00:00 29/11/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5W 100.0ml t0: [06:00:00 29/11/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5W 100.0ml t0: [07:00:00 29/11/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: Urine Out Foley t0: [07:00:00 29/11/2017] el: 1 cg: RN cu: CCU vo: 75 vu: ml
id: Pain Present t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 29/11/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Clear Liquid st: NotStopd id: Ectopy Frequency t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Extubation Date t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 26 n2: 26 st: NotStopd id: Eye Opening t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Introducer v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: Abdominal Assessment t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Right Hand v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Intubation Date t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: LUL Lung Sounds t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Care t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Orientation t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Angio Site #1 t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Assistance Device t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 29/11/2017] 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 29/11/2017] 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 29/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Skin Care t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 35.7778 n1: 35.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 96.4 n1: 96.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 100.0ml t0: [08:00:00 29/11/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml
id: Gastric Meds t0: [09:00:00 29/11/2017] el: 1 ai: 198 cg: -1 cu: CCU vo: 0 st: D/C'd id: Gastric Oral Gastric t0: [09:00:00 29/11/2017] el: 1 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Service Type t0: [09:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [09:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 29/11/2017] 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: [10:00:00 29/11/2017] 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 29/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 29/11/2017] 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 29/11/2017] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [09:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5 Normal Saline 1000.0ml t0: [09:00:00 29/11/2017] el: 1 ai: 168 cg: RN cu: CCU vo: 75 vu: ml id: Urine Out Foley t0: [09:00:00 29/11/2017] el: 1 cg: RN cu: CCU vo: 125 vu: ml
pi: 4077326 hi: 9718 t0: [19:00:00 29/11/2017] tf: [09:00:00 30/11/2017] mn: MethylPREDNISolone Sodium Succ pt: Unit Dose st: Discontinued rt: IV fr: Q6H ds: 19, 1, 7, 13 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 4077327 hi: 9718 t0: [11:00:00 29/11/2017] tf: [15:00:00 29/11/2017] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml D5W Continuous at 75 ml/hr for 300 ml ir: 75 it: C ss: N dt: 4 di: Hours xu: Enter on Label pi: 4077345 hi: 9718 t0: [11:00:00 29/11/2017] tf: [22:00:00 07/12/2017] mn: Pantoprazole pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q24H ds: 11 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Position Change t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd
id: INV Line#1SiteAppear t0: [11:00:00 29/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2InsertDate t0: [11:00:00 29/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd
id: Pre-Admission Intake t0: [11:00:00 29/11/2017] el: 1 ai: 189 cg: -1 cu: CCU vo: 0 st: D/C'd id: D5 Normal Saline 1000.0ml t0: [11:00:00 29/11/2017] el: 1 ai: 168 cg: -1 cu: CCU vo: 0 st: D/C'd
id: MDI #1 (Puff/Drug) t0: [11:00:00 29/11/2017] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 v2: Flovent st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [11:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [11:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 29/11/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [11:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Glucose t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 88 n1: 88 rs: Manual st: NotStopd id: Diet Type t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [11:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Topic #1 t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Extubation Date t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 26 n2: 26 st: NotStopd id: Eye Opening t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: Heart Rate t0: [11:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 D/C Date t0: [11:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 27 n2: 27 st: NotStopd id: INV Line#1 Type/Site t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Introducer v2: Right Femoral st: NotStopd id: INV Line#1 Type/Site t0: [11:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Introducer v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: INV Line#1InsertDate t0: [11:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: Abdominal Assessment t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #2 D/C Date t0: [11:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 27 n2: 27 st: NotStopd id: IV #2 Insert Date t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: IV #2 Insert Date t0: [11:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 25 n2: 25 st: NotStopd id: IV #2 Site/Size t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Right Hand v2: 20 gauge st: NotStopd id: IV #2 Site/Size t0: [11:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Right Hand v2: 20 gauge st: NotStopd id: IV #3 Insert Date t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 27 n2: 27 st: NotStopd id: IV #3 Site/Size t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 20 gauge st: NotStopd id: Activity t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [11:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Intubation Date t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: LLL Lung Sounds t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [11:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 86.3333 n1: 86.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Angio Site #1 t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position Change t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [11:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd id: INV#1 Dsg Change t0: [11:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 24 n2: 24 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [11:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 29/11/2017] 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 29/11/2017] 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 29/11/2017] 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 29/11/2017] 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 29/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Color/Consist t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Therapeutic Bed t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Source t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: calprevflg t0: [11:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Glucose (70-105) t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 88 n1: 88 rs: Manual st: NotStopd
id: Po Intake t0: [09:00:00 29/11/2017] el: 1 ai: 103 cg: RN cu: CCU vo: 350 vu: ml id: D5W 100.0ml t0: [12:00:00 29/11/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: D5 Normal Saline 1000.0ml t0: [10:00:00 29/11/2017] el: 1 ai: 168 cg: RN cu: CCU vo: 75 vu: ml
id: Risk for Falls t0: [13:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rhythm t0: [13:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 86.3333 n1: 86.3333 u1: mmHg st: NotStopd
id: Po Intake t0: [11:00:00 29/11/2017] el: 1 ai: 103 cg: RN cu: CCU vo: 550 vu: ml id: Po Intake t0: [13:00:00 29/11/2017] el: 1 ai: 103 cg: RN cu: CCU vo: 200 vu: ml id: Urine Out Foley t0: [12:00:00 29/11/2017] el: 1 cg: RN cu: CCU vo: 100 vu: ml
pi: 4077890 hi: 9718 t0: [14:00:00 29/11/2017] tf: [09:00:00 30/11/2017] mn: Lorazepam pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: QID ds: 10, 14, 18, 22 dn: 4 dt: 4 di: Doses xv: 36 xu: Hours pi: 4077891 hi: 9718 t0: [20:00:00 29/11/2017] tf: [09:00:00 30/11/2017] mn: Olanzapine (Disintegrating Tablet) 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: 4078133 hi: 9718 t0: [18:00:00 29/11/2017] tf: [08:00:00 03/12/2017] mn: Calcium Carbonate pt: Unit Dose st: Discontinued rt: PO fr: QID ds: 10, 14, 18, 22 dn: 4 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [13:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [14:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Parameters Checked t0: [12:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [13:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [14:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 29/11/2017] 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 29/11/2017] 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 29/11/2017] 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 29/11/2017] 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 29/11/2017] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [14:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [13:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [13:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: calprevflg t0: [13:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [14:00:00 29/11/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [14:00:00 29/11/2017] el: 1 cg: RN cu: CCU vo: 125 vu: ml
id: Riker-SAS Scale t0: [14:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd
id: Service Type t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 29/11/2017] 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 29/11/2017] 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 29/11/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [16:00:00 29/11/2017] el: 1 ai: 103 cg: RN cu: CCU vo: 300 vu: ml
id: GI Prophylaxis t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Eye Opening t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Abdominal Assessment t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #3 Insert Date t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 27 n2: 27 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 20 gauge st: NotStopd id: LLL Lung Sounds t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Angio Site #1 t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: RLL Lung Sounds t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Color/Appear t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Glucose t0: [17:00:00 29/11/2017] el: 0 cg: CoWker cu: CCU v1: 105 n1: 105 rs: Manual st: NotStopd id: Glucose (70-105) t0: [17:00:00 29/11/2017] el: 0 cg: CoWker cu: CCU v1: 105 n1: 105 rs: Manual st: NotStopd
id: Service Type t0: [17:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 29/11/2017] 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 29/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: calprevflg t0: [17:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [18:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [18:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IV #3 Insert Date t0: [18:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 27 n2: 27 st: NotStopd id: IV #3 Site/Size t0: [18:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [18:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 27 n2: 27 st: NotStopd id: Activity t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Activity t0: [18:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #4 t0: [18:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Activity Tolerance t0: [18:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: NBP t0: [18:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 88.6667 n1: 88.6667 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: Off st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Assistance Device t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [18:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 29/11/2017] 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: [18:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [18:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: calprevflg t0: [18:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [14:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [14:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Position Change t0: [14:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [14:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [14:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [14:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd
id: IV #4 Site/Size t0: [18:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: Restraint Location t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: Po Intake t0: [18:00:00 29/11/2017] el: 1 ai: 103 cg: RN cu: CCU vo: 250 vu: ml id: Stool Out Stool t0: [18:00:00 29/11/2017] el: 1 cg: RN cu: CCU vo: 300 vu: ml id: Urine Out Foley t0: [16:00:00 29/11/2017] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: Urine Out Foley t0: [18:00:00 29/11/2017] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Stool Out Total t0: [23:00:00 29/11/2017] el: 2 cg: RN cu: CCU cv: 300 ac: 24 ap: none re: 0
id: Skin Integrity t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Integrity t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Braden Activity t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Activity t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Frict/Shear t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Mobility t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Moisture t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Nutrition t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden Score t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden SensoryPercep t0: [16:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Pain Present t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 29/11/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Extubation Date t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 26 n2: 26 st: NotStopd id: Eye Opening t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #3 Insert Date t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 27 n2: 27 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 27 n2: 27 st: NotStopd id: IV #4 Site/Size t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Intubation Date t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: LLL Lung Sounds t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 94.6667 n1: 94.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Oriented x 1 st: NotStopd id: Angio Site #1 t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 29/11/2017] 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 29/11/2017] 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 29/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Temp. Site t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 36.2778 n1: 36.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 97.3 n1: 97.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Urine Out Foley t0: [20:00:00 29/11/2017] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Hematocrit t0: [19:45:00 29/11/2017] el: 0 cg: 1663 cu: CCU v1: 32.1 n1: 32.1 u1: % rs: Final st: NotStopd
id: Service Type t0: [21:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [21:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 92.3333 n1: 92.3333 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 29/11/2017] 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 29/11/2017] 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 29/11/2017] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [21:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [21:00:00 29/11/2017] el: 1 ai: 103 cg: RN cu: CCU vo: 200 vu: ml id: D5W 100.0ml t0: [21:00:00 29/11/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: Urine Out Foley t0: [21:00:00 29/11/2017] el: 1 cg: RN cu: CCU vo: 70 vu: ml
id: PO/Gastric In Total t0: [23:00:00 29/11/2017] el: 2 cg: RN cu: CCU cv: 1850 ac: 24 ap: none re: 0
id: Extubation Date t0: [21:45:00 29/11/2017] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 v2: 26 n2: 26 st: NotStopd id: Intubation Date t0: [21:45:00 29/11/2017] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: MDI #1 (Puff/Drug) t0: [21:45:00 29/11/2017] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 v2: Flovent st: NotStopd id: O2 Delivery Device t0: [21:45:00 29/11/2017] el: 0 cg: RRT cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [21:45:00 29/11/2017] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd
id: Glucose t0: [22:00:00 29/11/2017] el: 0 cg: CoWker cu: CCU v1: 138 n1: 138 rs: Manual st: NotStopd id: Glucose (70-105) t0: [22:00:00 29/11/2017] el: 0 cg: CoWker cu: CCU v1: 138 n1: 138 rs: Manual st: NotStopd
id: Pain Present t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [22:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 30/11/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [22:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [22:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Topic #1 t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Extubation Date t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 26 n2: 26 st: NotStopd id: Eye Opening t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [22:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #3 Insert Date t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 27 n2: 27 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 27 n2: 27 st: NotStopd id: IV #4 Site/Size t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: Activity t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Intubation Date t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: LLL Lung Sounds t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Motor Response t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP t0: [22:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 81.3333 n1: 81.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 92.6667 n1: 92.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 29/11/2017] 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: [23:00:00 29/11/2017] 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 29/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 29/11/2017] 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 30/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [22:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Therapeutic Bed t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [20:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [22:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 29/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Urine Out Foley t0: [00:00:00 30/11/2017] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Service Type t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [01:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 89.3333 n1: 89.3333 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [01:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 30/11/2017] 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 30/11/2017] 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 30/11/2017] 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 30/11/2017] 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 30/11/2017] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [01:00:00 30/11/2017] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Service Type t0: [02:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [02:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Parameters Checked t0: [02:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 30/11/2017] 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 30/11/2017] 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 30/11/2017] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [02:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [00:00:00 30/11/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [02:00:00 30/11/2017] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: IV Infusion In Total t0: [23:00:00 30/11/2017] el: 2 cg: RN cu: CCU cv: 600 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 30/11/2017] el: 2 cg: RN cu: CCU cv: 2280 ac: 24 ap: none re: 0
id: Service Type t0: [03:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 30/11/2017] 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 30/11/2017] 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 30/11/2017] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [03:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [03:00:00 30/11/2017] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: Total Hourly Output t0: [23:00:00 30/11/2017] el: 2 cg: RN cu: CCU pv: 500 cv: 500 ac: 1 ap: estimateVol re: 0 id: Urine Out Total t0: [23:00:00 30/11/2017] el: 2 cg: RN cu: CCU pv: 500 cv: 1115 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 30/11/2017] el: 2 cg: RN cu: CCU pv: -500 cv: 745 ac: 24 ap: estimateVol re: 0 id: LOS Net Body Balance t0: [23:00:00 30/11/2017] el: 2 cg: RN cu: CCU pv: -500 cv: 7489.08 ac: multiple days ap: estimateVol re: 0 id: Net Hourly Balance t0: [23:00:00 30/11/2017] el: 2 cg: RN cu: CCU pv: -500 cv: -500 ac: 1 ap: estimateVol re: 0 id: 24h Total Out t0: [23:00:00 30/11/2017] el: 2 cg: RN cu: CCU pv: 500 cv: 1535 ac: 24 ap: estimateVol re: 0
id: Pain Present t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 30/11/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Extubation Date t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 26 n2: 26 st: NotStopd id: Eye Opening t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #3 Insert Date t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 27 n2: 27 st: NotStopd id: IV #3 Site/Size t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 27 n2: 27 st: NotStopd id: IV #4 Site/Size t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: Activity t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Intubation Date t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 22 n2: 22 st: NotStopd id: LLL Lung Sounds t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Motor Response t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 77.6667 n1: 77.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 30/11/2017] 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 30/11/2017] 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 30/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Therapeutic Bed t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: D5W 100.0ml t0: [04:00:00 30/11/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: Urine Out Foley t0: [04:00:00 30/11/2017] el: 1 cg: RN cu: CCU vo: 35 vu: ml
id: Service Type t0: [05:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [05:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 30/11/2017] 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 30/11/2017] 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 30/11/2017] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [05:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [06:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [06:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 87.3333 n1: 87.3333 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 30/11/2017] 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 30/11/2017] 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 30/11/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [06:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: calprevflg t0: [06:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [06:00:00 30/11/2017] el: 1 cg: RN cu: CCU vo: 150 vu: ml
id: Aggitation t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Normal activity st: NotStopd id: Anxiety t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Mildly anxious st: NotStopd id: Ataxia t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Auditory Disturbance t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Not present st: NotStopd id: CIWA Sum Total t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: sum st: NotStopd id: Drowsiness t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Headache t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Not present st: NotStopd id: Insomnia t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Nausea and Vomiting t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: No N/V st: NotStopd id: Orient/Clouding Sens t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Oriented st: NotStopd id: Paroxysmal Sweats t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: No sweat visible st: NotStopd id: Seizure t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Slurred Speech t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Sustained Nystamus t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Tactile Disturbances t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Tremor t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: No Tremor st: NotStopd id: Visual Disturbances t0: [04:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: WBC (4-11,000) t0: [05:54:00 30/11/2017] el: 0 cg: 1663 cu: CCU v1: 8.5 n1: 8.5 rs: Final st: NotStopd id: WBC t0: [05:54:00 30/11/2017] el: 0 cg: 1663 cu: CCU v1: 8.5 n1: 8.5 rs: Final st: NotStopd id: Hematocrit t0: [05:54:00 30/11/2017] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:54:00 30/11/2017] el: 0 cg: 1663 cu: CCU v1: 10.8 n1: 10.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:54:00 30/11/2017] el: 0 cg: 1663 cu: CCU v1: 115 n1: 115 rs: Final st: NotStopd id: RBC t0: [05:54:00 30/11/2017] el: 0 cg: 1663 cu: CCU v1: 3.77 n1: 3.77 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:54:00 30/11/2017] el: 0 cg: 1663 cu: CCU v1: 8.5 n1: 8.5 rs: Final st: NotStopd
id: PT t0: [05:54:00 30/11/2017] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd id: INR t0: [05:54:00 30/11/2017] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PTT t0: [05:54:00 30/11/2017] el: 0 cg: 1663 cu: CCU v1: 22.2 n1: 22.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:54:00 30/11/2017] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:54:00 30/11/2017] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd id: PTT(22-35) t0: [05:54:00 30/11/2017] el: 0 cg: 1663 cu: CCU v1: 22.2 n1: 22.2 rs: Final st: NotStopd
id: BUN t0: [05:54:00 30/11/2017] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 rs: Final st: NotStopd id: Calcium t0: [05:54:00 30/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:54:00 30/11/2017] el: 0 cg: 1663 cu: CCU v1: 101 n1: 101 rs: Final st: NotStopd id: Creatinine t0: [05:54:00 30/11/2017] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose t0: [05:54:00 30/11/2017] el: 0 cg: 1663 cu: CCU v1: 163 n1: 163 rs: Final st: NotStopd id: Magnesium t0: [05:54:00 30/11/2017] el: 0 cg: 1663 cu: CCU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: Phosphorous t0: [05:54:00 30/11/2017] el: 0 cg: 1663 cu: CCU v1: 4.7 n1: 4.7 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:54:00 30/11/2017] el: 0 cg: 1663 cu: CCU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium t0: [05:54:00 30/11/2017] el: 0 cg: 1663 cu: CCU v1: 137 n1: 137 rs: Final st: NotStopd id: BUN (6-20) t0: [05:54:00 30/11/2017] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:54:00 30/11/2017] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:54:00 30/11/2017] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:54:00 30/11/2017] el: 0 cg: 1663 cu: CCU v1: 101 n1: 101 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:54:00 30/11/2017] el: 0 cg: 1663 cu: CCU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:54:00 30/11/2017] el: 0 cg: 1663 cu: CCU v1: 163 n1: 163 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:54:00 30/11/2017] el: 0 cg: 1663 cu: CCU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:54:00 30/11/2017] el: 0 cg: 1663 cu: CCU v1: 4.7 n1: 4.7 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:54:00 30/11/2017] el: 0 cg: 1663 cu: CCU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:54:00 30/11/2017] el: 0 cg: 1663 cu: CCU v1: 137 n1: 137 rs: Final st: NotStopd
id: MDI #1 (Puff/Drug) t0: [09:00:00 30/11/2017] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 v2: Flovent st: NotStopd
id: Service Type t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 91.3333 n1: 91.3333 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 30/11/2017] 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 30/11/2017] 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 30/11/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4080748 hi: 9718 t0: [22:00:00 30/11/2017] tf: [09:00:00 01/12/2017] mn: Olanzapine (Disintegrating Tablet) pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: QHS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4080749 hi: 9718 t0: [10:00:00 30/11/2017] tf: [06:00:00 03/12/2017] mn: Morphine Sulfate IR pt: Unit Dose st: Discontinued rt: PO fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4080750 hi: 9718 t0: [20:00:00 30/11/2017] tf: [19:00:00 01/12/2017] mn: Lorazepam pt: Unit Dose st: Expired rt: IV fr: BID ds: 08, 20 dn: 2 dt: 2 di: Doses xv: 36 xu: Hours pi: 4080751 hi: 9718 t0: [10:00:00 30/11/2017] tf: [10:00:00 02/12/2017] mn: Vancomycin HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q 12H ds: 8, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4080752 hi: 9718 t0: [10:00:00 30/11/2017] tf: [00:00:00 02/12/2017] mn: Prednisone pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [09:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [09:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [09:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [09:00:00 30/11/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [09:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Frequency t0: [09:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: Heart Rate t0: [09:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #3 Insert Date t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 27 n2: 27 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 20 gauge st: NotStopd id: IV #4 Insert Date t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 27 n2: 27 st: NotStopd id: IV #4 Site/Size t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #3 t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #4 t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: O2 Delivery Device t0: [09:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [09:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Angio Site #1 t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Precautions t0: [09:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 30/11/2017] 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 30/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [09:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [09:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [09:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 35.7222 n1: 35.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [09:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 96.3 n1: 96.3 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: calprevflg t0: [09:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Po Intake t0: [09:00:00 30/11/2017] el: 1 ai: 103 cg: RN cu: CCU vo: 350 vu: ml id: Urine Out Foley t0: [09:00:00 30/11/2017] el: 1 cg: RN cu: CCU vo: 175 vu: ml
id: Service Type t0: [10:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 96.3333 n1: 96.3333 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 30/11/2017] 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 30/11/2017] 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 30/11/2017] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: calprevflg t0: [10:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [10:00:00 30/11/2017] el: 1 cg: RN cu: CCU vo: 35 vu: ml
id: Service Type t0: [11:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [11:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 86.6667 n1: 86.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [11:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Precautions t0: [11:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 30/11/2017] 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 30/11/2017] 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 30/11/2017] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [11:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [11:00:00 30/11/2017] el: 1 ai: 103 cg: RN cu: CCU vo: 180 vu: ml
id: Fingerstick Glucose t0: [12:00:00 30/11/2017] el: 0 cg: CoWker cu: CCU v1: 162 n1: 162 rs: Manual st: NotStopd
id: IV #3 Reason DC'D t0: [12:00:00 30/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2 D/C Date t0: [12:00:00 30/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2 Zero/Cal t0: [12:00:00 30/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2SiteAppear t0: [12:00:00 30/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 WaveformAppear t0: [12:00:00 30/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 D/C Date t0: [12:00:00 30/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #3 Insert Date t0: [12:00:00 30/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #3 Site/Size t0: [12:00:00 30/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #4 Insert Date t0: [12:00:00 30/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #4 Site/Size t0: [12:00:00 30/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #3 t0: [12:00:00 30/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #4 t0: [12:00:00 30/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 Dsg Change t0: [12:00:00 30/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd
id: Service Type t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 30/11/2017] 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 30/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: calprevflg t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [12:00:00 30/11/2017] el: 1 ai: 103 cg: RN cu: CCU vo: 240 vu: ml
id: Less Restrict Meas. t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Bed Alarm st: NotStopd id: Less Restrict Meas. t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Bed Alarm st: NotStopd id: Pain Present t0: [13:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: bath t0: [09:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: done id: Pain Assess Method t0: [13:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [13:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [13:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [13:00:00 30/11/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [13:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [13:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Barrier t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Barrier t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Handout t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Learner t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Method t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Readiness t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Response t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #1 t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Care t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [11:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: GCS Total t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [09:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 90 degrees st: NotStopd id: HOB t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [09:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Activity t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [13:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Angio Dressing #1 t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: O2 Delivery Device t0: [13:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Care t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Angio Site #1 t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: Off st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [09:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 30/11/2017] 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 30/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Care t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [13:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Color/Consist t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Positive st: NotStopd id: Support Systems t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Support Systems t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Temp. Site t0: [13:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [13:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 35.8333 n1: 35.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 96.5 n1: 96.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [09:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Source t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Verbal Response t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Back Care t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [13:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Stool Out Stool t0: [13:00:00 30/11/2017] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: Service Type t0: [14:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 78.6667 n1: 78.6667 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 30/11/2017] 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 30/11/2017] 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 30/11/2017] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [14:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [15:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 88.3333 n1: 88.3333 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 30/11/2017] 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 30/11/2017] 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 30/11/2017] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [15:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [16:00:00 30/11/2017] el: 1 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Less Restrict Meas. t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Bed Alarm st: NotStopd id: Pain Present t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 30/11/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Handout t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [15:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GCS Total t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [15:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 D/C Date t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 28 n2: 28 st: NotStopd id: IV #1 Insert Date t0: [13:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 28 n2: 28 st: NotStopd id: IV #1 Insert Date t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 28 n2: 28 st: NotStopd id: IV #1 Site/Size t0: [13:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: IV #1 Site/Size t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [15:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [13:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #1 t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Infiltrated st: NotStopd id: Activity Tolerance t0: [15:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Angio Dressing #1 t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: O2 Delivery Device t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Angio Site #1 t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: AntiEmbDevice/Status t0: [15:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [15:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [15:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 30/11/2017] 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 30/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [15:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Stool Color/Consist t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Brown v2: Liquid st: NotStopd id: Support Systems t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Temperature C (calc) t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [15:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Source t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Verbal Response t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Back Care t0: [15:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Walks Occasional st: NotStopd id: Braden Frict/Shear t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Po Intake t0: [16:00:00 30/11/2017] el: 1 ai: 103 cg: RN cu: CCU vo: 180 vu: ml
id: Stool Out Stool t0: [15:00:00 30/11/2017] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Void t0: [16:00:00 30/11/2017] el: 1 cg: RN cu: CCU vu: ml
id: IV #1 Reason DC'D t0: [17:00:00 30/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 D/C Date t0: [17:00:00 30/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 Insert Date t0: [17:00:00 30/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #1 Site/Size t0: [17:00:00 30/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #1 t0: [17:00:00 30/11/2017] el: 0 cg: -1 cu: CCU st: D/C'd
id: Fingerstick Glucose t0: [17:00:00 30/11/2017] el: 0 cg: CoWker cu: CCU v1: 163 n1: 163 rs: Manual st: NotStopd
id: Service Type t0: [17:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IV #2 Insert Date t0: [17:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 28 n2: 28 st: NotStopd id: IV #2 Site/Size t0: [17:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #2 t0: [17:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: NBP t0: [17:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 90.3333 n1: 90.3333 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 30/11/2017] 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 30/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [17:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [18:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Precautions t0: [18:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 30/11/2017] 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: [18:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [18:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [18:00:00 30/11/2017] el: 1 ai: 103 cg: RN cu: CCU vo: 550 vu: ml
id: Service Type t0: [19:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [19:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [19:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [19:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: HOB t0: [18:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IV #2 Insert Date t0: [19:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 28 n2: 28 st: NotStopd id: IV #2 Site/Size t0: [19:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: Activity t0: [18:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [19:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [18:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: NBP t0: [19:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 98.3333 n1: 98.3333 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: Off st: NotStopd id: Position t0: [18:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [18:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 30/11/2017] 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 30/11/2017] 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 30/11/2017] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Skin Care t0: [18:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [19:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Color/Consist t0: [19:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [19:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Positive st: NotStopd id: Therapeutic Bed t0: [18:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [18:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [19:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [19:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Stool Out Stool t0: [18:00:00 30/11/2017] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: BSA t0: [19:01:00 30/11/2017] el: 1033 cg: -1 cu: CCU v1: 2.06596 n1: 2.06596 u1: m2 id: Admit Wt t0: [19:01:00 30/11/2017] el: 1032 cg: -1 cu: CCU v1: 80 n1: 80 u1: kg id: Allergy 1 t0: [19:01:00 30/11/2017] el: 1020 cg: -1 cu: CCU v1: No Known Drug Allergies id: Diagnosis/op t0: [19:01:00 30/11/2017] el: 1023 cg: -1 cu: CCU v1: CORONARY ARTERY DISEASE id: Service t0: [19:01:00 30/11/2017] el: 1026 cg: -1 cu: CCU v1: CME id: Admit Ht t0: [19:01:00 30/11/2017] el: 1034 cg: -1 cu: CCU v1: 78 n1: 78 u1: inches id: Readmission t0: [19:01:00 30/11/2017] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [19:01:00 30/11/2017] el: 1006 cg: -1 cu: CCU v1: S id: Religion t0: [19:01:00 30/11/2017] el: 1000 cg: -1 cu: CCU v1: RCA id: Allergy 2 t0: [19:01:00 30/11/2017] el: 1021 cg: -1 cu: CCU id: Ext t0: [19:01:00 30/11/2017] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [19:01:00 30/11/2017] el: 1022 cg: -1 cu: CCU
id: Service Type t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 94.6667 n1: 94.6667 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 30/11/2017] 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 30/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Bed Alarm st: NotStopd id: GI Prophylaxis t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Education Barrier t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Pacemaker st: NotStopd id: Eye Opening t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: Abdominal Assessment t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 28 n2: 28 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #2 t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Cavity t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Angio Site #1 t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Pupil Response R/L t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Temp. Site t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Urine Source t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Verbal Response t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: Bowel Sounds t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Pain Present t0: [21:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [21:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [21:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [21:00:00 30/11/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [21:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [21:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [21:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [21:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 30/11/2017] el: 0 cg: 2827 cu: CCU v1: 5 n1: 5 v2: Flovent st: NotStopd id: NBP t0: [21:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 101.667 n1: 101.667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 30/11/2017] el: 0 cg: 2827 cu: CCU v1: None st: NotStopd id: Position t0: [21:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [21:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 30/11/2017] 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 30/11/2017] 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 30/11/2017] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [21:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: calprevflg t0: [21:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [21:00:00 30/11/2017] el: 1 ai: 103 cg: RN cu: CCU vo: 180 vu: ml
id: PO/Gastric In Total t0: [23:00:00 30/11/2017] el: 2 cg: RN cu: CCU cv: 1680 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [22:00:00 30/11/2017] el: 0 cg: CoWker cu: CCU v1: 161 n1: 161 rs: Manual st: NotStopd
id: Service Type t0: [00:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [00:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [00:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [00:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 143 n1: 143 u1: mmHg v2: 89 n2: 89 u2: mmHg st: NotStopd id: NBP t0: [22:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 137 n1: 137 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 97.6667 n1: 97.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 01/12/2017] 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 30/11/2017] 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: [23:00:00 30/11/2017] 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 01/12/2017] 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 30/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [23:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [00:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [20:00:00 30/11/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: D5W 100.0ml t0: [22:00:00 30/11/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: Stool Out Stool t0: [23:00:00 30/11/2017] el: 1 cg: RN cu: CCU vu: ml es: Large id: Urine Out Void t0: [23:00:00 30/11/2017] el: 1 cg: RN cu: CCU vo: 500 vu: ml
id: Stool Out Total t0: [23:00:00 30/11/2017] el: 2 cg: RN cu: CCU cv: 420 ac: 24 ap: estimateVol re: 0
id: Less Restrict Meas. t0: [00:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Bed Alarm st: NotStopd id: Pain Present t0: [00:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 01/12/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Diet Type t0: [23:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Type t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [03:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [03:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [23:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [23:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 28 n2: 28 st: NotStopd id: IV #2 Site/Size t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: Activity t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Dozing Intermit st: NotStopd id: Level of Conscious t0: [03:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Level of Conscious t0: [23:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [23:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP t0: [02:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP t0: [03:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 95.6667 n1: 95.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 92.3333 n1: 92.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 98.3333 n1: 98.3333 u1: mmHg st: NotStopd id: Angio Dressing #1 t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: O2 Delivery Device t0: [00:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: O2 Delivery Device t0: [03:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [23:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Angio Site #1 t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [23:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Position t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [03:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 01/12/2017] 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: [02:00:00 01/12/2017] 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 01/12/2017] 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 01/12/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 01/12/2017] 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 01/12/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [23:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [00:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [00:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [02:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [03:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Color/Consist t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Brown v2: Liquid st: NotStopd id: Support Systems t0: [00:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Therapeutic Bed t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Urine Source t0: [23:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Verbal Response t0: [23:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: calprevflg t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Stool Out Total t0: [23:00:00 01/12/2017] el: 2 cg: RN cu: CCU cv: 530 ac: 24 ap: carryForward re: 0 id: Total Hourly Output t0: [23:00:00 01/12/2017] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 01/12/2017] el: 2 cg: RN cu: CCU cv: 270 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 01/12/2017] el: 2 cg: RN cu: CCU cv: 7759.08 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 01/12/2017] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 01/12/2017] el: 2 cg: RN cu: CCU cv: 1630 ac: 24 ap: carryForward re: 0
id: Less Restrict Meas. t0: [04:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Bed Alarm st: NotStopd id: Pain Present t0: [03:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [04:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Daily Wake Up t0: [03:00:00 01/12/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [04:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [04:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Topic #1 t0: [04:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: HOB t0: [04:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [04:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: NBP t0: [04:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 97.3333 n1: 97.3333 u1: mmHg st: NotStopd id: Position t0: [04:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [04:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 01/12/2017] 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 01/12/2017] 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 01/12/2017] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [04:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [04:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Therapeutic Bed t0: [04:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: calprevflg t0: [04:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [05:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [05:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [05:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [05:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Ectopy Type t0: [05:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Family Communication t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Heart Rate t0: [05:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [05:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Level of Conscious t0: [05:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Angio Appearance #1 t0: [05:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: NBP t0: [05:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 93.3333 n1: 93.3333 u1: mmHg st: NotStopd id: Angio Dressing #1 t0: [05:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Cavity t0: [05:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Angio Site #1 t0: [05:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Precautions t0: [05:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 01/12/2017] 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 01/12/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [05:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [05:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Stool Color/Consist t0: [05:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Brown v2: Liquid st: NotStopd id: Urine Source t0: [05:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: calprevflg t0: [05:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Cooperative st: NotStopd id: Bowel Sounds t0: [05:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Stool Out Stool t0: [00:00:00 01/12/2017] el: 1 cg: RN cu: CCU vu: ml es: Medium id: Stool Out Stool t0: [03:00:00 01/12/2017] el: 1 cg: RN cu: CCU vu: ml es: Small
id: Less Restrict Meas. t0: [02:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Bed Alarm st: NotStopd id: Less Restrict Meas. t0: [06:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Bed Alarm st: NotStopd id: Less Restrict Meas. t0: [22:00:00 30/11/2017] el: 0 cg: RN cu: CCU v1: Bed Alarm st: NotStopd id: Pain Present t0: [06:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [03:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Pain Assess Method t0: [06:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [06:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [06:00:00 01/12/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [06:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [06:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IV #2 Insert Date t0: [05:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 28 n2: 28 st: NotStopd id: IV #2 Site/Size t0: [05:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #2 t0: [05:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: NBP t0: [06:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [06:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Precautions t0: [06:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 01/12/2017] 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 01/12/2017] 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 01/12/2017] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [04:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [06:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [03:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [03:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [03:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: calprevflg t0: [06:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [07:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [07:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [07:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [07:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [07:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 92.3333 n1: 92.3333 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 01/12/2017] 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 01/12/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [07:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [07:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 35.8333 n1: 35.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [07:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 96.5 n1: 96.5 u1: Deg. F st: NotStopd id: calprevflg t0: [07:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Precautions t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 01/12/2017] 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 01/12/2017] 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 01/12/2017] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: calprevflg t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4084068 hi: 9718 t0: [09:00:00 01/12/2017] tf: [22:00:00 07/12/2017] mn: Albuterol-Ipratropium pt: Unit Dose st: Discontinued via patient discharge rt: IH fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours
pi: 4084211 hi: 9718 t0: [10:00:00 01/12/2017] tf: [09:00:00 02/12/2017] mn: Albuterol 0.083% Neb Soln pt: Unit Dose st: Expired rt: IH fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4084212 hi: 9718 t0: [10:00:00 01/12/2017] tf: [14:00:00 03/12/2017] mn: Ipratropium Bromide Neb pt: Unit Dose st: Discontinued rt: IH fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4084241 hi: 9718 t0: [10:00:00 01/12/2017] tf: [22:00:00 07/12/2017] mn: Olanzapine (Disintegrating Tablet) pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: QHS:PRN di: Ongoing xv: 36 xu: Hours pi: 4084242 hi: 9718 t0: [10:00:00 01/12/2017] tf: [22:00:00 07/12/2017] mn: Spironolactone pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4084243 hi: 9718 t0: [10:00:00 01/12/2017] tf: [09:00:00 02/12/2017] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [09:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: Flovent st: NotStopd id: Micro-Neb Treatment t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: atr/alb st: NotStopd id: NBP t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP t0: [09:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 96.3333 n1: 96.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 96.3333 n1: 96.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Precautions t0: [09:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 01/12/2017] 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 01/12/2017] 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 01/12/2017] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [09:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Expectorated v2: Small st: NotStopd id: calprevflg t0: [09:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [08:00:00 01/12/2017] el: 1 ai: 103 cg: RN cu: CCU vo: 600 vu: ml id: Stool Out Stool t0: [07:00:00 01/12/2017] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: Stool Out Stool t0: [08:00:00 01/12/2017] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Pain Present t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 01/12/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Level of Conscious t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd
id: Service Type t0: [10:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Precautions t0: [10:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 01/12/2017] 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 01/12/2017] 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 01/12/2017] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: calprevflg t0: [10:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4084467 hi: 9718 t0: [12:00:00 01/12/2017] tf: [00:00:00 02/12/2017] mn: Piperacillin-Tazobactam Na pt: IV Piggyback st: Discontinued rt: IV fr: Q8H ds: 4, 12, 20 dn: 3 dt: 1 di: Days xv: 36 xu: Hours
id: NBP t0: [10:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 99.3333 n1: 99.3333 u1: mmHg st: NotStopd id: SpO2 t0: [10:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd
id: Eye Opening t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: Motor Response t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Verbal Response t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd
id: Urine Out Void t0: [10:00:00 01/12/2017] el: 1 cg: RN cu: CCU vo: 500 vu: ml
id: Less Restrict Meas. t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Bed Alarm st: NotStopd id: bath t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: done id: Service Type t0: [11:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [11:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Diet Type t0: [10:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [11:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Barrier t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Care t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [11:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [11:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 28 n2: 28 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [09:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Activity t0: [11:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [11:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LLL Lung Sounds t0: [09:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Ins/Exp Wheeze st: NotStopd id: LLL Lung Sounds t0: [10:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [09:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Ins/Exp Wheeze st: NotStopd id: LUL Lung Sounds t0: [10:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Angio Appearance #1 t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: NBP t0: [11:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Angio Dressing #1 t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: O2 Delivery Device t0: [10:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Care t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Angio Site #1 t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [10:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: Off st: NotStopd id: AntiEmbDevice/Status t0: [11:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [11:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [11:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 01/12/2017] 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 01/12/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RLL Lung Sounds t0: [09:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Ins/Exp Wheeze st: NotStopd id: RLL Lung Sounds t0: [10:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [09:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Ins/Exp Wheeze st: NotStopd id: RUL Lung Sounds t0: [10:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [10:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [11:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Color/Consist t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Positive st: NotStopd id: Support Systems t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Therapeutic Bed t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [09:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [11:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Turn t0: [11:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Urine Source t0: [10:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Back Care t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [11:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Walks Occasional st: NotStopd id: Braden Frict/Shear t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 01/12/2017] el: 0 cg: CoWker cu: CCU v1: 228 n1: 228 rs: Manual st: NotStopd
id: Pain Present t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 01/12/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Heart Rate t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: NBP t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 100.667 n1: 100.667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Orientation t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Precautions t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 01/12/2017] 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 01/12/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Verbal Response t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Bed Alarm st: NotStopd id: GI Prophylaxis t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Education Barrier t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Handout t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: GCS Total t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Abdominal Assessment t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 28 n2: 28 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #2 t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Angio Appearance #1 t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Cavity t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Angio Site #1 t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Pupil Response R/L t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Stool Color/Consist t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Positive st: NotStopd id: Support Systems t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Temp. Site t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Bowel Sounds t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: Service Type t0: [13:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 148 n1: 148 u1: mmHg v2: 95 n2: 95 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 112.667 n1: 112.667 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 01/12/2017] 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 01/12/2017] 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 01/12/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [13:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [12:00:00 01/12/2017] el: 1 ai: 103 cg: RN cu: CCU vo: 300 vu: ml id: Stool Out Stool t0: [10:00:00 01/12/2017] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: Stool Out Stool t0: [12:00:00 01/12/2017] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Urine Out Void t0: [14:00:00 01/12/2017] el: 1 cg: CoWker cu: CCU vo: 600 vu: ml
id: Urine Out Total t0: [23:00:00 01/12/2017] el: 2 cg: CoWker cu: CCU cv: 1100 ac: 24 ap: none re: 0
id: Service Type t0: [14:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: HOB t0: [14:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [14:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IV #2 Insert Date t0: [14:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 28 n2: 28 st: NotStopd id: IV #2 Site/Size t0: [14:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: Activity t0: [14:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [14:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [14:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: NBP t0: [14:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 82.3333 n1: 82.3333 u1: mmHg st: NotStopd id: Oral Care t0: [13:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [14:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [14:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 01/12/2017] 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 01/12/2017] 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 01/12/2017] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [12:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [14:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Stool Out Stool t0: [14:00:00 01/12/2017] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: Service Type t0: [15:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Precautions t0: [15:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 01/12/2017] 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 01/12/2017] 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 01/12/2017] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [15:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Stool Out Stool t0: [15:00:00 01/12/2017] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: Pain Present t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 01/12/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: NBP t0: [15:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 98.3333 n1: 98.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 01/12/2017] 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 01/12/2017] 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 01/12/2017] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: calprevflg t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [08:00:00 01/12/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: D5W 100.0ml t0: [15:00:00 01/12/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml
id: IV Infusion In Total t0: [23:00:00 01/12/2017] el: 2 cg: RN cu: CCU cv: 600 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [17:00:00 01/12/2017] el: 0 cg: CoWker cu: CCU v1: 200 n1: 200 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Bed Alarm st: NotStopd id: Service Type t0: [17:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [17:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [17:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Barrier t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Patient/Family st: NotStopd id: Education Method t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [14:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [15:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [14:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Family Communication t0: [15:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Family Communication t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: GCS Total t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: Heart Rate t0: [17:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 28 n2: 28 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #2 t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP t0: [17:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 85.6667 n1: 85.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 87.6667 n1: 87.6667 u1: mmHg st: NotStopd id: Angio Dressing #1 t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Oral Cavity t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Angio Site #1 t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [17:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 01/12/2017] 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 01/12/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [17:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [14:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [15:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [17:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Color/Consist t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Positive st: NotStopd id: Support Systems t0: [14:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Support Systems t0: [15:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Support Systems t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Temp. Site t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Verbal Response t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: calprevflg t0: [17:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Service Type t0: [18:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Precautions t0: [18:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 01/12/2017] 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: [18:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [18:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: NBP t0: [19:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd
id: Service Type t0: [19:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Precautions t0: [19:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 01/12/2017] 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 01/12/2017] 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 01/12/2017] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [19:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [19:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [19:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [19:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: calprevflg t0: [19:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [18:00:00 01/12/2017] el: 1 ai: 103 cg: RN cu: CCU vo: 300 vu: ml
id: Pain Present t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 01/12/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Topic #1 t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 28 n2: 28 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 94 n2: 94 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Angio Dressing #1 t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: O2 Delivery Device t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Angio Site #1 t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Position t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 01/12/2017] 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 01/12/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Stool Color/Consist t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Brown v2: Liquid st: NotStopd id: Support Systems t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Therapeutic Bed t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Verbal Response t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 4 Confused st: NotStopd id: calprevflg t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Art.pH t0: [20:20:00 01/12/2017] el: 0 cg: 1663 cu: CCU v1: 7.53 n1: 7.53 rs: Final st: NotStopd id: Arterial Base Excess t0: [20:20:00 01/12/2017] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [20:20:00 01/12/2017] el: 0 cg: 1663 cu: CCU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [20:20:00 01/12/2017] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [20:20:00 01/12/2017] el: 0 cg: 1663 cu: CCU v1: 81 n1: 81 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [20:20:00 01/12/2017] el: 0 cg: 1663 cu: CCU v1: 7.53 n1: 7.53 rs: Final st: NotStopd
id: Glucose t0: [20:20:00 01/12/2017] el: 0 cg: 1663 cu: CCU v1: 207 n1: 207 rs: Final st: NotStopd id: Lactic Acid t0: [20:20:00 01/12/2017] el: 0 cg: 1663 cu: CCU v1: 2.9 n1: 2.9 rs: Final st: NotStopd id: Potassium t0: [20:20:00 01/12/2017] el: 0 cg: 1663 cu: CCU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [20:20:00 01/12/2017] el: 0 cg: 1663 cu: CCU v1: 207 n1: 207 rs: Final st: NotStopd id: Hematocrit t0: [20:20:00 01/12/2017] el: 0 cg: 1663 cu: CCU v1: 36 n1: 36 u1: % rs: Final st: NotStopd id: Ionized Calcium t0: [20:20:00 01/12/2017] el: 0 cg: 1663 cu: CCU v1: 1.04 n1: 1.04 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [20:20:00 01/12/2017] el: 0 cg: 1663 cu: CCU v1: 2.9 n1: 2.9 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [20:20:00 01/12/2017] el: 0 cg: 1663 cu: CCU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: SaO2 t0: [20:20:00 01/12/2017] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
id: Service Type t0: [21:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 01/12/2017] 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 01/12/2017] 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 01/12/2017] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Temp. Site t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: calprevflg t0: [21:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [21:00:00 01/12/2017] el: 1 ai: 103 cg: RN cu: CCU vo: 100 vu: ml
id: 24h Total In t0: [23:00:00 01/12/2017] el: 2 cg: RN cu: CCU cv: 1900 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 01/12/2017] el: 2 cg: RN cu: CCU cv: 1300 ac: 24 ap: none re: 0
pi: 4086841 hi: 9718 t0: [23:00:00 01/12/2017] tf: [22:00:00 02/12/2017] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [22:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 01/12/2017] 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 01/12/2017] 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 01/12/2017] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: calprevflg t0: [22:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fingerstick Glucose t0: [22:00:00 01/12/2017] el: 0 cg: CoWker cu: CCU v1: 174 n1: 174 rs: Manual st: NotStopd
pi: 4086964 hi: 9718 t0: [00:00:00 02/12/2017] tf: [23:00:00 02/12/2017] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 0 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [23:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 85.6667 n1: 85.6667 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 01/12/2017] 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 01/12/2017] 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 01/12/2017] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:00:00 01/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4087079 hi: 9718 t0: [10:00:00 02/12/2017] tf: [14:00:00 03/12/2017] mn: Prednisone pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 02/12/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 28 n2: 28 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: Activity t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 91.3333 n1: 91.3333 u1: mmHg st: NotStopd id: Angio Dressing #1 t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: O2 Delivery Device t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 02/12/2017] 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 02/12/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Stool Color/Consist t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Therapeutic Bed t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Source t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Verbal Response t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Service Type t0: [01:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 98.3333 n1: 98.3333 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 02/12/2017] 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 02/12/2017] 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 02/12/2017] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [01:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Stool Out Stool t0: [22:00:00 01/12/2017] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: MDI #1 (Puff/Drug) t0: [20:00:00 01/12/2017] el: 0 cg: 2827 cu: CCU v1: 2 n1: 2 v2: Flovent st: NotStopd
id: Service Type t0: [02:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 94.6667 n1: 94.6667 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 02/12/2017] 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 02/12/2017] 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 02/12/2017] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [02:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Void t0: [01:00:00 02/12/2017] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: Total Hourly Output t0: [23:00:00 02/12/2017] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 02/12/2017] el: 2 cg: RN cu: CCU cv: 2950 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 02/12/2017] el: 2 cg: RN cu: CCU cv: -1556 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 02/12/2017] el: 2 cg: RN cu: CCU cv: 6203.08 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 02/12/2017] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 02/12/2017] el: 2 cg: RN cu: CCU cv: 2950 ac: 24 ap: carryForward re: 0
id: Service Type t0: [03:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Precautions t0: [03:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 02/12/2017] 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 02/12/2017] 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 02/12/2017] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [03:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: NBP t0: [03:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd
id: Pain Present t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 02/12/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 28 n2: 28 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: Activity t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None v2: Scant st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Gluteal, Right st: NotStopd id: LLL Lung Sounds t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Angio Appearance #1 t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: O2 Delivery Device t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Angio Site #1 t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position t0: [00:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 02/12/2017] 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 02/12/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Color/Consist t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Positive st: NotStopd id: Stool Management t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Therapeutic Bed t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Verbal Response t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Service Type t0: [05:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Precautions t0: [05:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 02/12/2017] 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 02/12/2017] 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 02/12/2017] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [05:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [00:00:00 02/12/2017] el: 1 ai: 105 cg: RN cu: CCU vu: ml nb: 1 id: D5W 100.0ml t0: [01:00:00 02/12/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 62 vu: ml id: D5W 100.0ml t0: [02:00:00 02/12/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 62 vu: ml id: D5W 100.0ml t0: [03:00:00 02/12/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 62 vu: ml id: D5W 100.0ml t0: [04:00:00 02/12/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 62 vu: ml id: D5W 100.0ml t0: [05:00:00 02/12/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 62 vu: ml id: D5W 100.0ml t0: [20:00:00 01/12/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: D5W 100.0ml t0: [22:00:00 01/12/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml
id: Service Type t0: [06:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP t0: [06:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 02/12/2017] 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 02/12/2017] 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 02/12/2017] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [06:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [06:00:00 02/12/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 62 vu: ml
id: Service Type t0: [07:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Precautions t0: [07:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 02/12/2017] 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 02/12/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [07:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [07:00:00 02/12/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 62 vu: ml
id: Service Type t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 138 n1: 138 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 94.6667 n1: 94.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 02/12/2017] el: 0 cg: RN cu: CCU u1: lpm st: NotStopd id: Precautions t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 02/12/2017] 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 02/12/2017] 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 02/12/2017] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Bed Alarm st: NotStopd id: Range of Motion t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Education Barrier t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #2 t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Abdominal Assessment t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Gluteal, Right st: NotStopd id: LLL Lung Sounds t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Oriented x 2 st: NotStopd id: Angio Site #1 t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Position Change t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: RLL Lung Sounds t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraints Evaluated t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Stool Color/Consist t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Urine Color/Appear t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Verbal Response t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Fingerstick Glucose t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 99 n1: 99 rs: Manual st: NotStopd
id: Cartridge/Bag Change t0: [09:00:00 02/12/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: Initials (2 RNs) t0: [09:00:00 02/12/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: Med Wasted/Amt t0: [09:00:00 02/12/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: Nausea and Vomiting t0: [09:00:00 02/12/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: Nerve Stimulated t0: [09:00:00 02/12/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: TOF Response/Twitch t0: [09:00:00 02/12/2017] el: 0 cg: -1 cu: CCU st: D/C'd id: Baseline Current/mA t0: [09:00:00 02/12/2017] el: 0 cg: -1 cu: CCU st: D/C'd
id: Pain Present t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [09:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 02/12/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Tremor t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: No Tremor st: NotStopd id: Risk for Falls t0: [09:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Imp Skin Cleanse #1 t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Rash st: NotStopd id: ImpSkin Drain/Amt#1 t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Red st: NotStopd id: Angio Dressing #1 t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Dry Sterile Dsg st: NotStopd id: Pain Location t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Precautions t0: [09:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 02/12/2017] 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 02/12/2017] 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 02/12/2017] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [09:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Stool Out Stool t0: [08:00:00 02/12/2017] el: 1 cg: RN cu: CCU vu: ml es: Small
pi: 4087837 hi: 9718 t0: [11:00:00 02/12/2017] tf: [14:00:00 03/12/2017] mn: Diphenoxylate-Atropine pt: Unit Dose st: Discontinued rt: PO fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4087864 hi: 9718 t0: [20:00:00 02/12/2017] tf: [08:00:00 03/12/2017] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q 12H ds: 8, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Riker-SAS Scale t0: [11:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Ectopy Frequency t0: [11:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Respiratory Rate t0: [11:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [11:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 02/12/2017] el: 0 cg: CoWker cu: CCU v1: 144 n1: 144 rs: Manual st: NotStopd
id: Service Type t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 147 n1: 147 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 02/12/2017] 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 02/12/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [11:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Daily Wake Up t0: [11:00:00 02/12/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Pain Location t0: [11:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [11:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Temp. Site t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd
id: Po Intake t0: [09:00:00 02/12/2017] el: 1 ai: 103 cg: RN cu: CCU vo: 200 vu: ml id: D5W 100.0ml t0: [09:00:00 02/12/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: Urine Out Void t0: [09:00:00 02/12/2017] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: Braden Activity t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: bath t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: done id: Eye Care t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: HOB t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [10:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 90 degrees st: NotStopd id: IV #2 Insert Date t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 28 n2: 28 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [10:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Activity Tolerance t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Activity Tolerance t0: [10:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Oral Care t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: Off st: NotStopd id: Position t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [10:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [10:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [10:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [10:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: HOB Measurement t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: Back Care t0: [08:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Service Type t0: [14:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Riker-SAS Scale t0: [14:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [14:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Alarms t0: [07:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [07:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Parameters Checked t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: NBP t0: [14:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 96.3333 n1: 96.3333 u1: mmHg st: NotStopd id: Respiratory Rate t0: [14:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [14:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Potassium t0: [14:45:00 02/12/2017] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [14:45:00 02/12/2017] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 rs: Final st: NotStopd
pi: 4088431 hi: 9718 t0: [16:00:00 02/12/2017] tf: [14:00:00 03/12/2017] mn: Furosemide pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 16 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4088440 hi: 9718 t0: [16:00:00 02/12/2017] tf: [16:00:00 02/12/2017] mn: Potassium Chloride pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 16 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4088441 hi: 9718 t0: [20:00:00 02/12/2017] tf: [16:00:00 02/12/2017] mn: Potassium Chloride pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Ectopy Frequency t0: [14:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rhythm t0: [14:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd
id: NBP t0: [09:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 144 n1: 144 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Pain Present t0: [14:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [11:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Pain Assess Method t0: [14:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Circulation/SkinInt t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Daily Wake Up t0: [14:00:00 02/12/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Education Barrier t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Handout t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Abdominal Assessment t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Imp Skin Cleanse #1 t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Drain/Amt#1 t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Gluteal, Right st: NotStopd id: LLL Lung Sounds t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: O2 Delivery Device t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Pain Location t0: [14:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [14:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position Change t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: RLL Lung Sounds t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [10:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Location t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraints Evaluated t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: BehaviorSubsided st: NotStopd id: Side Rails t0: [10:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Side Rails t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Stool Guaiac t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Stool Management t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Support Systems t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Urine Color/Appear t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Verbal Response t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Po Intake t0: [12:00:00 02/12/2017] el: 1 ai: 103 cg: RN cu: CCU vo: 120 vu: ml id: Stool Out Stool t0: [12:00:00 02/12/2017] el: 1 cg: RN cu: CCU vu: ml es: Small id: Urine Out Void t0: [12:00:00 02/12/2017] el: 1 cg: RN cu: CCU vo: 700 vu: ml
id: Stool Out Total t0: [23:00:00 02/12/2017] el: 2 cg: RN cu: CCU cv: 0 ac: 24 ap: carryForward re: 0
pi: 4088562 hi: 9718 t0: [17:00:00 02/12/2017] tf: [14:00:00 03/12/2017] mn: Micro-K pt: Unit Dose st: Discontinued rt: ORAL fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4088563 hi: 9718 t0: [20:00:00 02/12/2017] tf: [14:00:00 03/12/2017] mn: Micro-K pt: Unit Dose st: Discontinued rt: ORAL fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [15:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [17:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [18:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [17:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: NBP t0: [18:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 97.3333 n1: 97.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 82.6667 n1: 82.6667 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [17:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [18:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 02/12/2017] 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: [17:00:00 02/12/2017] 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 02/12/2017] 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 02/12/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 02/12/2017] 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 02/12/2017] 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 02/12/2017] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [17:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [18:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [15:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fingerstick Glucose t0: [18:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 140 n1: 140 rs: Manual st: NotStopd
id: GI Prophylaxis t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Eye Opening t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Abdominal Assessment t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: O2 Delivery Device t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: RLL Lung Sounds t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Stool Color/Consist t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Brown st: NotStopd id: Stool Management t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Temperature C (calc) t0: [15:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Verbal Response t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Po Intake t0: [18:00:00 02/12/2017] el: 1 ai: 103 cg: RN cu: CCU vo: 120 vu: ml id: Urine Out Void t0: [18:00:00 02/12/2017] el: 1 cg: RN cu: CCU vo: 800 vu: ml
id: Education Topic #1 t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Imp Skin Cleanse #1 t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Rash st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Gluteal, Right st: NotStopd id: Restraint Location t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Support Systems t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Braden Activity t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Service Type t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 02/12/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #2 Insert Date t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 9 n1: 9 v2: 28 n2: 28 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: RL Post Forearm v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Gluteal, Right st: NotStopd id: LLL Lung Sounds t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 90.6667 n1: 90.6667 u1: mmHg st: NotStopd id: Angio Dressing #1 t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Precautions t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 02/12/2017] 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 02/12/2017] 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 02/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Temp. Site t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Verbal Response t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Urine Out Void t0: [20:00:00 02/12/2017] el: 1 cg: RN cu: CCU vo: 850 vu: ml
id: WBC (4-11,000) t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 16.2 n1: 16.2 rs: Final st: NotStopd id: WBC t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 16.2 n1: 16.2 rs: Final st: NotStopd id: Hematocrit t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 10.8 n1: 10.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 94 n1: 94 rs: Final st: NotStopd id: RBC t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 3.68 n1: 3.68 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 16.2 n1: 16.2 rs: Final st: NotStopd
id: PT t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 15.2 n1: 15.2 rs: Final st: NotStopd id: INR t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PTT t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 22.1 n1: 22.1 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 15.2 n1: 15.2 rs: Final st: NotStopd id: PTT(22-35) t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 22.1 n1: 22.1 rs: Final st: NotStopd
id: BUN t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 rs: Final st: NotStopd id: Calcium t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 rs: Final st: NotStopd id: Creatinine t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 131 n1: 131 rs: Final st: NotStopd id: Magnesium t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Sodium t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 134 n1: 134 rs: Final st: NotStopd id: BUN (6-20) t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride (100-112) t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 131 n1: 131 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 134 n1: 134 rs: Final st: NotStopd
id: Pain Present t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [20:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [21:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: IV #3 Insert Date t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 1 n2: 1 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 20 gauge st: NotStopd id: Activity t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #3 t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Rash st: NotStopd id: ImpSkin Drain/Amt#1 t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Serous v2: Scant st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Red st: NotStopd id: ImpSkin Wth/Lth #1 t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 5 cm v2: 5 cm st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Gluteal, Right st: NotStopd id: LLL Lung Sounds t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: LUL Lung Sounds t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [23:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 137 n1: 137 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 93.6667 n1: 93.6667 u1: mmHg st: NotStopd id: Angio Dressing #1 t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Assistance Device t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [01:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [21:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 03/12/2017] 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 03/12/2017] 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: [21:00:00 02/12/2017] 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 02/12/2017] 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: [23:00:00 02/12/2017] 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 03/12/2017] 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 03/12/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 02/12/2017] 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 02/12/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 02/12/2017] 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 03/12/2017] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: RUL Lung Sounds t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [22:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [23:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Stool Color/Consist t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Golden v2: Loose st: NotStopd id: Temp. Site t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Source t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Verbal Response t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Po Intake t0: [00:00:00 03/12/2017] el: 1 ai: 103 cg: RN cu: CCU vo: 240 vu: ml id: Po Intake t0: [22:00:00 02/12/2017] el: 1 ai: 103 cg: RN cu: CCU vo: 120 vu: ml id: D5W 100.0ml t0: [22:00:00 02/12/2017] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml
id: IV Infusion In Total t0: [23:00:00 02/12/2017] el: 2 cg: RN cu: CCU cv: 834 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 02/12/2017] el: 2 cg: RN cu: CCU cv: 1394 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 02/12/2017] el: 2 cg: RN cu: CCU cv: 560 ac: 24 ap: none re: 0
id: Service Type t0: [02:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 90.6667 n1: 90.6667 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 03/12/2017] 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 03/12/2017] 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 03/12/2017] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: calprevflg t0: [02:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [02:00:00 03/12/2017] el: 1 ai: 103 cg: RN cu: CCU vo: 120 vu: ml id: Urine Out Void t0: [02:00:00 03/12/2017] el: 1 cg: RN cu: CCU vo: 800 vu: ml
id: 24h Total In t0: [23:00:00 03/12/2017] el: 2 cg: RN cu: CCU cv: 480 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 03/12/2017] el: 2 cg: RN cu: CCU cv: 480 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 03/12/2017] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 03/12/2017] el: 2 cg: RN cu: CCU cv: 1150 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 03/12/2017] el: 2 cg: RN cu: CCU cv: -670 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 03/12/2017] el: 2 cg: RN cu: CCU cv: 5533.08 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 03/12/2017] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 03/12/2017] el: 2 cg: RN cu: CCU cv: 1150 ac: 24 ap: carryForward re: 0
id: CPK/MB t0: [00:35:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 12 n1: 12 rs: Final st: NotStopd
id: bath t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: done id: Service Type t0: [03:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [05:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [05:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [22:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [22:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Given st: NotStopd id: Education Learner t0: [22:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [22:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [22:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [22:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [22:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: IV Therapy st: NotStopd id: Education Topic #2 t0: [22:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Care t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [03:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [05:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [03:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP t0: [05:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 90.6667 n1: 90.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Angio Dressing #1 t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Precautions t0: [03:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [05:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 03/12/2017] 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 03/12/2017] 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: [05:00:00 03/12/2017] 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 03/12/2017] 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 03/12/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 03/12/2017] 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 03/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Side Rails t0: [02:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [06:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Care t0: [21:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [05:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: % st: NotStopd id: Stool Color/Consist t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Golden v2: Loose st: NotStopd id: Stool Guaiac t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Temp. Site t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Verbal Response t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [00:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [21:00:00 02/12/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
pi: 4089691 hi: 9718 t0: [07:00:00 03/12/2017] tf: [14:00:00 03/12/2017] mn: Oxycodone-Acetaminophen pt: Unit Dose st: Discontinued rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4089692 hi: 9718 t0: [07:00:00 03/12/2017] tf: [14:00:00 03/12/2017] mn: Potassium Chloride pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4089693 hi: 9718 t0: [07:00:00 03/12/2017] tf: [14:00:00 03/12/2017] mn: Potassium Chloride pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: HOB t0: [03:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: HOB t0: [05:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Activity Tolerance t0: [03:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [05:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [01:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [03:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [05:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [07:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Compress Sleeves v2: On st: NotStopd id: Assistance Device t0: [03:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [05:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Skin Care t0: [03:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Care t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Care t0: [05:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [01:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [02:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Therapeutic Bed t0: [03:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [05:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Turn t0: [05:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [03:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [04:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [05:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Po Intake t0: [05:00:00 03/12/2017] el: 1 ai: 103 cg: RN cu: CCU vo: 120 vu: ml
pi: 4089868 hi: 9718 t0: [16:00:00 03/12/2017] tf: [14:00:00 03/12/2017] mn: Metronidazole pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [09:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [09:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [09:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 93.6667 n1: 93.6667 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 03/12/2017] 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 03/12/2017] 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 03/12/2017] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [09:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [10:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 88.3333 n1: 88.3333 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 03/12/2017] 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 03/12/2017] 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 03/12/2017] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [09:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [09:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [09:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: calprevflg t0: [10:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Daily Wake Up t0: [08:00:00 03/12/2017] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Education Barrier t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Abdominal Assessment t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Imp Skin Cleanse #1 t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Drain/Amt#1 t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Gluteal, Right st: NotStopd id: LLL Lung Sounds t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Clean and Dry st: NotStopd id: Motor Response t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: O2 Delivery Device t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Pain Location t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: RLL Lung Sounds t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Stool Color/Consist t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Golden v2: Loose st: NotStopd id: Support Systems t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Relative st: NotStopd id: Urine Color/Appear t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Voids st: NotStopd id: Verbal Response t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Stool Out Stool t0: [08:00:00 03/12/2017] el: 1 cg: RN cu: CCU vu: ml es: Small id: Urine Out Void t0: [08:00:00 03/12/2017] el: 1 cg: RN cu: CCU vo: 350 vu: ml
id: Stool Out Total t0: [23:00:00 03/12/2017] el: 2 cg: RN cu: -1 cv: 0 ac: 24 ap: carryForward re: 0
id: Fingerstick Glucose t0: [11:00:00 03/12/2017] el: 0 cg: CoWork cu: CCU v1: 107 n1: 107 rs: Manual st: NotStopd
id: Potassium t0: [10:47:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [10:47:00 03/12/2017] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 rs: Final st: NotStopd
id: BSA t0: [12:19:00 03/12/2017] el: 1033 cg: -1 cu: CCU v1: 2.06596 n1: 2.06596 u1: m2 id: Admit Wt t0: [12:19:00 03/12/2017] el: 1032 cg: -1 cu: CCU v1: 80 n1: 80 u1: kg id: Allergy 1 t0: [12:19:00 03/12/2017] el: 1020 cg: -1 cu: CCU v1: No Known Drug Allergies id: Diagnosis/op t0: [12:19:00 03/12/2017] el: 1023 cg: -1 cu: CCU v1: CORONARY ARTERY DISEASE id: Service t0: [12:19:00 03/12/2017] el: 1026 cg: -1 cu: CCU v1: CME id: Admit Ht t0: [12:19:00 03/12/2017] el: 1034 cg: -1 cu: CCU v1: 78 n1: 78 u1: inches id: Readmission t0: [12:19:00 03/12/2017] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [12:19:00 03/12/2017] el: 1006 cg: -1 cu: CCU v1: S id: Religion t0: [12:19:00 03/12/2017] el: 1000 cg: -1 cu: CCU v1: RCA id: Allergy 2 t0: [12:19:00 03/12/2017] el: 1021 cg: -1 cu: CCU id: Ext t0: [12:19:00 03/12/2017] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [12:19:00 03/12/2017] el: 1022 cg: -1 cu: CCU
id: Service Type t0: [11:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [11:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Precautions t0: [11:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [12:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 03/12/2017] 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 03/12/2017] 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 03/12/2017] 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 03/12/2017] 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 03/12/2017] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [11:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 03/12/2017] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
ci: 35457 t0: [19:39:00 25/11/2017] cu: CCU de: Regular ward dt: 12596
pi: 4090614 hi: 9718 t0: [15:00:00 03/12/2017] tf: [14:00:00 03/12/2017] mn: Morphine Sulfate pt: Unit Dose st: Discontinued rt: IV fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4090615 hi: 9718 t0: [15:00:00 03/12/2017] tf: [14:00:00 03/12/2017] mn: Morphine Sulfate pt: Unit Dose st: Discontinued rt: IV fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4090616 hi: 9718 t0: [15:00:00 03/12/2017] tf: [14:00:00 03/12/2017] mn: Morphine Sulfate pt: Unit Dose st: Discontinued rt: IV fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4090617 hi: 9718 t0: [18:00:00 03/12/2017] tf: [17:00:00 04/12/2017] mn: Calcium Carbonate pt: Unit Dose st: Discontinued rt: PO fr: QID ds: 10, 14, 18, 22 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 4090618 hi: 9718 t0: [15:00:00 03/12/2017] tf: [22:00:00 03/12/2017] mn: Morphine Sulfate IR pt: Unit Dose st: Discontinued rt: PO fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4090619 hi: 9718 t0: [20:00:00 03/12/2017] tf: [14:00:00 03/12/2017] mn: Lorazepam pt: Unit Dose st: Discontinued rt: IV fr: BID ds: 08, 20 dn: 2 dt: 2 di: Doses xv: 36 xu: Hours pi: 4090620 hi: 9718 t0: [10:00:00 03/12/2017] tf: [14:00:00 03/12/2017] mn: Prednisone 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: 4090621 hi: 9718 t0: [15:00:00 03/12/2017] tf: [22:00:00 07/12/2017] 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: 4090622 hi: 9718 t0: [20:00:00 03/12/2017] tf: [22:00:00 07/12/2017] mn: Metronidazole 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: 4090624 hi: 9718 t0: [20:00:00 03/12/2017] tf: [14:00:00 03/12/2017] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q 12H ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4090625 hi: 9718 t0: [15:00:00 03/12/2017] tf: [14:00:00 03/12/2017] mn: Piperacillin-Tazobactam Na pt: IV Piggyback st: Discontinued rt: IV fr: Q8H ds: 15, 23, 7 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4090682 hi: 9718 t0: [10:00:00 03/12/2017] tf: [10:00:00 06/12/2017] mn: Prednisone 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: 4090686 hi: 9718 t0: [15:00:00 03/12/2017] tf: [22:00:00 07/12/2017] mn: Albuterol 0.083% Neb Soln pt: Unit Dose st: Discontinued via patient discharge rt: IH fr: Q2H:PRN di: Ongoing xv: 36 xu: Hours
pi: 4091573 hi: 9718 t0: [23:00:00 03/12/2017] tf: [13:00:00 07/12/2017] mn: Oxycodone-Acetaminophen pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours
pi: 4093765 hi: 9718 t0: [16:00:00 04/12/2017] tf: [15:00:00 05/12/2017] mn: Vancomycin HCl pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 16 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4095609 hi: 9718 t0: [03:00:00 05/12/2017] tf: [02:00:00 06/12/2017] mn: DiphenhydrAMINE HCl pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 3 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4096200 hi: 9718 t0: [10:00:00 05/12/2017] tf: [09:00:00 06/12/2017] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4097259 hi: 9718 t0: [10:00:00 05/12/2017] tf: [10:00:00 06/12/2017] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: DAILY ds: 10 dn: 1 dt: 24 di: Hours xv: 36 xu: Hours
pi: 4100305 hi: 9718 t0: [10:00:00 06/12/2017] tf: [23:00:00 06/12/2017] mn: Potassium Chloride pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 dt: 24 di: Hours xv: 36 xu: Hours pi: 4100306 hi: 9718 t0: [10:00:00 06/12/2017] tf: [23:00:00 06/12/2017] mn: Potassium Chloride pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 dt: 24 di: Hours xv: 36 xu: Hours pi: 4100307 hi: 9718 t0: [10:00:00 06/12/2017] tf: [22:00:00 07/12/2017] mn: Prednisone pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4101778 hi: 9718 t0: [20:00:00 06/12/2017] tf: [22:00:00 07/12/2017] mn: Hydrocortisone Acetate Ointment 1% pt: Unit Dose st: Discontinued via patient discharge rt: PR fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4101808 hi: 9718 t0: [20:00:00 06/12/2017] tf: [22:00:00 07/12/2017] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued via patient discharge rt: IV fr: Q 12H ds: 08, 20 dn: 2 dt: 48 di: Hours xv: 36 xu: Hours
pi: 4102897 hi: 9718 t0: [10:00:00 07/12/2017] tf: [22:00:00 07/12/2017] mn: Potassium Chloride pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 dt: 24 di: Hours xv: 36 xu: Hours
pi: 4104409 hi: 9718 t0: [14:00:00 07/12/2017] tf: [22:00:00 07/12/2017] mn: Oxycodone-Acetaminophen pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours