This log is also available as text (110ac.txt) and as a (binary) annotation file (110ac.log).
Generated: Thursday, 23-Apr-2009 00:34:57 EDT
(All dates below are surrogates.)
id: SAPS-I t0: [00:00:00 27/09/2014] el: 0 cg: LCP cu: LCP at MIT n1: 7
id: BSA t0: [23:59:00 27/09/2014] el: 1033 cg: 3029 cu: CSRU id: Admit Wt t0: [23:59:00 27/09/2014] el: 1032 cg: 3029 cu: CSRU id: Allergy 1 t0: [23:59:00 27/09/2014] el: 1020 cg: 3029 cu: CSRU v1: No Known Drug Allergies id: Diagnosis/op t0: [23:59:00 27/09/2014] el: 1023 cg: 3029 cu: CSRU v1: CIRRHOSIS id: Service t0: [23:59:00 27/09/2014] el: 1026 cg: 3029 cu: CSRU v1: MED id: Admit Ht t0: [23:59:00 27/09/2014] el: 1034 cg: 3029 cu: CSRU id: Readmission t0: [23:59:00 27/09/2014] el: 1014 cg: 3029 cu: CSRU id: Marital Status t0: [23:59:00 27/09/2014] el: 1006 cg: 3029 cu: CSRU v1: S id: Religion t0: [23:59:00 27/09/2014] el: 1000 cg: 3029 cu: CSRU v1: U id: Allergy 2 t0: [23:59:00 27/09/2014] el: 1021 cg: 3029 cu: CSRU id: Ext t0: [23:59:00 27/09/2014] el: 1010 cg: 3029 cu: CSRU id: Allergy 3 t0: [23:59:00 27/09/2014] el: 1022 cg: 3029 cu: CSRU
pi: 3886750 hi: 19112 t0: [01:00:00 28/09/2014] tf: [00:00:00 29/09/2014] mn: Ceftazidime pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 3886751 hi: 19112 t0: [01:00:00 28/09/2014] tf: [07:00:00 08/10/2014] mn: Heparin Flush CVL (100 units/ml) pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 3886752 hi: 19112 t0: [01:00:00 28/09/2014] tf: [16:00:00 29/09/2014] mn: Morphine Sulfate pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q3-4H:PRN di: Ongoing xv: 36 xu: Hours pi: 3886753 hi: 19112 t0: [01:00:00 28/09/2014] tf: [07:00:00 08/10/2014] mn: Morphine Sulfate pt: Unit Dose st: Discontinued rt: IV fr: Q3-4H:PRN di: Ongoing xv: 36 xu: Hours pi: 3886754 hi: 19112 t0: [10:00:00 28/09/2014] tf: [15:00:00 29/09/2014] mn: Lactulose pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: QID ds: 10, 14, 18, 22 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 3886755 hi: 19112 t0: [01:00:00 28/09/2014] tf: [04:00:00 28/09/2014] mn: Lactulose pt: Unit Dose st: Inactive (Due to a change order) rt: PR fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 3886756 hi: 19112 t0: [01:00:00 28/09/2014] tf: [07:00:00 08/10/2014] mn: Pantoprazole pt: IV Piggyback st: Discontinued rt: IV fr: Q12H ds: 1, 13 dn: 2 di: Ongoing xu: Enter on Label pi: 3886757 hi: 19112 t0: [10:00:00 28/09/2014] tf: [07:00:00 08/10/2014] mn: Folic Acid pt: IV Piggyback st: Discontinued rt: IV fr: DAILY ds: 10 dn: 1 di: Ongoing xu: Enter on Label pi: 3886758 hi: 19112 t0: [10:00:00 28/09/2014] tf: [07:00:00 08/10/2014] mn: Thiamine HCl pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 3886759 hi: 19112 t0: [01:00:00 28/09/2014] tf: [17:00:00 06/10/2014] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours pi: 3886760 hi: 19112 t0: [22:00:00 28/09/2014] tf: [17:00:00 06/10/2014] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: MSICU st: NotStopd id: Service Type t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: MSICU st: NotStopd id: Code Status t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [23:55:00 27/09/2014] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Readmit <48 hrs t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Diet Type t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: HOB t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: IV #1 Insert Date t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 29 n2: 29 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: Exp Wheeze st: NotStopd id: LUL Lung Sounds t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 164 n1: 164 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: 176 n1: 176 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 108.667 n1: 108.667 u1: mmHg st: NotStopd id: NBP Mean t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Care t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: Pain Location t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Skin Care t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Stool Guaiac t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: Temp. Site t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: Icteric v2: Clear st: NotStopd id: Urine Source t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: 2 Incomp sounds st: NotStopd id: Back Care t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [23:55:00 27/09/2014] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Urine Out Foley t0: [00:00:00 28/09/2014] el: 1 cg: RN cu: CSRU vo: 85 vu: ml
id: Service Type t0: [01:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: MSICU st: NotStopd id: Code Status t0: [01:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [01:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 25 n2: 25 st: NotStopd id: NBP t0: [01:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 175 n1: 175 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 25 n2: 25 st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: INV#1 Cap Change t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 25 n2: 25 st: NotStopd id: calprevflg t0: [01:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [01:00:00 28/09/2014] el: 1 cg: RN cu: CSRU vo: 95 vu: ml
id: WBC (4-11,000) t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 19.4 n1: 19.4 rs: Final st: NotStopd id: WBC t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 19.4 n1: 19.4 rs: Final st: NotStopd id: Hematocrit t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 30.5 n1: 30.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 11.1 n1: 11.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 70 n1: 70 rs: Final st: NotStopd id: RBC t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 3.28 n1: 3.28 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 19.4 n1: 19.4 rs: Final st: NotStopd
id: PT t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 18.4 n1: 18.4 rs: Final st: NotStopd id: INR t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: PTT t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 28.4 n1: 28.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: PT(11-13.5) t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 18.4 n1: 18.4 rs: Final st: NotStopd id: PTT(22-35) t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 28.4 n1: 28.4 rs: Final st: NotStopd
id: BUN t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 73 n1: 73 rs: Final st: NotStopd id: Albumin t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Calcium t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Glucose t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 150 n1: 150 rs: Final st: NotStopd id: Magnesium t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Phosphorous t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Sodium t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd id: ALT t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 49 n1: 49 rs: Final st: NotStopd id: Albumin (>3.2) t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Amylase t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 40 n1: 40 rs: Final st: NotStopd id: BUN (6-20) t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 73 n1: 73 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Chloride (100-112) t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Glucose (70-105) t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 150 n1: 150 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd
id: Service Type t0: [02:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: MSICU st: NotStopd id: Code Status t0: [02:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [02:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [02:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [02:00:00 28/09/2014] el: 1 cg: RN cu: CSRU vo: 165 vu: ml
id: Differential-Bands t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd
id: Total Bili t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 31.9 n1: 31.9 rs: Final st: NotStopd id: Direct Bili (0-0.3) t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 23.2 n1: 23.2 rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [03:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: MSICU st: NotStopd id: Service Type t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: MSICU st: NotStopd id: Code Status t0: [03:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 28/09/2014] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [03:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: HOB t0: [02:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: IV #1 Insert Date t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 29 n2: 29 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [02:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [02:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Motor Response t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [03:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 161 n1: 161 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 91.6667 n1: 91.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Care t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: Pain Location t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [02:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [02:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 25 n2: 25 st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Skin Care t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [03:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: INV#1 Cap Change t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 25 n2: 25 st: NotStopd id: Temp. Site t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [02:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Turn t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Icteric v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Urine Out Foley t0: [04:00:00 28/09/2014] el: 1 cg: RN cu: CSRU vo: 205 vu: ml
pi: 3887007 hi: 19112 t0: [01:00:00 28/09/2014] tf: [00:00:00 29/09/2014] mn: Lactulose pt: Unit Dose st: Expired rt: PR fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [05:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: MSICU st: NotStopd id: Code Status t0: [05:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [05:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 157 n1: 157 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [05:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [05:00:00 28/09/2014] el: 1 cg: RN cu: CSRU vo: 165 vu: ml
id: BATH t0: [06:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: partial id: Service Type t0: [06:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: MSICU st: NotStopd id: Code Status t0: [06:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [06:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [06:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [06:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [06:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [06:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 110.667 n1: 110.667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [06:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [06:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Care t0: [06:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [06:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [06:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Skin Care t0: [06:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [06:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Therapeutic Bed t0: [06:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Back Care t0: [06:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [06:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: lactulose enema t0: [06:00:00 28/09/2014] el: 1 cg: RN cu: CSRU vo: 1000 vu: ml id: Stool Out Rectal Tube t0: [06:00:00 28/09/2014] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Stool Out Total t0: [23:00:00 28/09/2014] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
id: Service Type t0: [07:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: MSICU st: NotStopd id: Code Status t0: [07:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [07:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [07:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 166 n1: 166 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 97.3333 n1: 97.3333 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: calprevflg t0: [07:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [07:00:00 28/09/2014] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Vancomycin/Random t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 17.3 n1: 17.3 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [07:00:00 28/09/2014] el: 0 cg: CoWker cu: CSRU v1: 149 n1: 149 rs: Manual st: NotStopd
id: WBC (4-11,000) t0: [06:34:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 19.1 n1: 19.1 rs: Final st: NotStopd id: WBC t0: [06:34:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 19.1 n1: 19.1 rs: Final st: NotStopd id: Hematocrit t0: [06:34:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 29.9 n1: 29.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [06:34:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 10.9 n1: 10.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [06:34:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 61 n1: 61 rs: Final st: NotStopd id: RBC t0: [06:34:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 3.22 n1: 3.22 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [06:34:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 19.1 n1: 19.1 rs: Final st: NotStopd
id: Pain Assess Method t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: MSICU st: NotStopd id: Code Status t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Daily Wake Up t0: [07:30:00 28/09/2014] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: Heart Rate t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 25 n2: 25 st: NotStopd id: Abdominal Assessment t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: IV #1 D/C Date t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: IV #1 Insert Date t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 29 n2: 29 st: NotStopd id: IV #1 Site/Size t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 166 n1: 166 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 104.667 n1: 104.667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Cavity t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: Pain Location t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: PostTib. Pulses R/L t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 25 n2: 25 st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Location t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [07:00:00 28/09/2014] el: 0 cg: RN cu: CSRU u1: % st: NotStopd id: SpO2 t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [08:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 25 n2: 25 st: NotStopd id: Temp. Site t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Restless st: NotStopd id: Bowel Sounds t0: [07:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Urine Out Foley t0: [07:30:00 28/09/2014] el: 1 cg: RN cu: CSRU vo: 150 vu: ml
id: Code Status t0: [08:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [08:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [08:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [08:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [08:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: calprevflg t0: [08:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [08:00:00 28/09/2014] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
pi: 3887302 hi: 19112 t0: [20:00:00 28/09/2014] tf: [07:00:00 02/10/2014] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q 12H ds: 08, 20 dn: 2 dt: 72 di: Hours xv: 36 xu: Hours pi: 3887306 hi: 19112 t0: [09:00:00 28/09/2014] tf: [08:00:00 29/09/2014] mn: Ceftazidime pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 3887327 hi: 19112 t0: [09:00:00 28/09/2014] tf: [12:00:00 28/09/2014] mn: Octreotide Acetate pt: IV Piggyback st: Discontinued rt: IV DRIP fr: INFUSION di: Ongoing xu: Enter on Label
id: Communication t0: [08:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Follows Commands t0: [08:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: Speech t0: [08:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd
id: Service Type t0: [08:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [08:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [08:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [08:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [08:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [08:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [08:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [08:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [08:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Sandostatin io: D5W 100.0ml + 600mcghr Sandostatin el: 100 cg: RN cu: CSRU am: 600 du: mcghr rt: IV Drip
io: .9% Normal Saline 1500.0ml el: 1 cg: RN cu: CSRU ra: 150 ru: ml/hr io: .9% Normal Saline 1000.0ml el: 1 cg: RN cu: CSRU ra: 150 ru: ml/hr
pi: 3887393 hi: 19112 t0: [10:00:00 28/09/2014] tf: [20:00:00 28/09/2014] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Continuous at 150 ml/hr for 1500 ml ir: 150 it: C ss: N dt: 10 di: Hours xu: Enter on Label pi: 3887394 hi: 19112 t0: [10:00:00 28/09/2014] tf: [09:00:00 29/09/2014] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [09:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [09:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [09:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [09:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: NBP t0: [09:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [09:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 101.333 n1: 101.333 u1: mmHg st: NotStopd id: Precautions t0: [09:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [09:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [09:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [09:30:00 28/09/2014] el: 1 cg: RN cu: CSRU vo: 190 vu: ml
id: Braden Activity t0: [08:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [08:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Service Type t0: [10:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [10:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 175 n1: 175 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [10:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [10:00:00 28/09/2014] el: 1 cg: RN cu: CSRU vo: 70 vu: ml
id: Education Topic #1 t0: [10:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: HOB t0: [10:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [10:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Poor st: NotStopd id: O2 Delivery Device t0: [10:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [10:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Position t0: [10:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [10:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Restraint Location t0: [10:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [10:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [10:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [10:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [10:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [10:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [10:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [10:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Behavior t0: [10:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd
id: D5W 100.0ml t0: [10:30:00 28/09/2014] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: D5W 100.0ml + 600mcghr Sandostatin t0: [10:30:00 28/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 8.3 vu: ml nb: 1 id: Urine Out Foley t0: [10:30:00 28/09/2014] el: 1 cg: RN cu: CSRU vo: 90 vu: ml
pi: 3887823 hi: 19112 t0: [20:00:00 28/09/2014] tf: [09:00:00 02/10/2014] mn: Ceftazidime pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q8H ds: 12, 20, 4 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Fingerstick Glucose t0: [11:00:00 28/09/2014] el: 0 cg: CoWker cu: CSRU v1: 145 n1: 145 rs: Manual st: NotStopd
id: Art.pH t0: [11:51:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Lactic Acid t0: [11:51:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Arterial Base Excess t0: [11:51:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [11:51:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 rs: Final st: NotStopd id: Arterial PaCO2 t0: [11:51:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 39 n1: 39 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [11:51:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 137 n1: 137 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [11:51:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Ionized Calcium t0: [11:51:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 1.12 n1: 1.12 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [11:51:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 rs: Final st: NotStopd
id: IV #1 Reason DC'D t0: [12:00:00 28/09/2014] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 D/C Date t0: [12:00:00 28/09/2014] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV Site Appear #1 t0: [12:00:00 28/09/2014] el: 0 cg: -1 cu: CSRU st: D/C'd
pi: 3887902 hi: 19112 t0: [13:00:00 28/09/2014] tf: [12:00:00 29/09/2014] mn: HydrALAZINE HCl pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 13 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Level t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Unable to score st: NotStopd id: Pain Level/Response t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Unable to score st: NotStopd id: Pain Present t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Range of Motion t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [11:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [11:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Communication t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Daily Wake Up t0: [12:00:00 28/09/2014] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [11:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [11:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: GI#1 Intub Site t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [11:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: Heart Rate t0: [11:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: LLL Lung Sounds t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [11:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 171 n1: 171 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 105.333 n1: 105.333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Cavity t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: Pain Level (Rest) t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Unable to score st: NotStopd id: Pain Management t0: [12:00:00 28/09/2014] el: 1 cg: RN cu: CSRU v1: IV Push v2: Repositioned st: NotStopd id: Pain Type t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Position Change t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [11:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Type t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [11:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Speech t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Support Systems t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [11:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Restless st: NotStopd id: Bowel Sounds t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [12:00:00 28/09/2014] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [12:00:00 28/09/2014] el: 1 cg: RN cu: CSRU vo: 150 vu: ml
id: D5W 100.0ml + 600mcghr Sandostatin t0: [12:00:00 28/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vu: ml st: Stopped
id: Sandostatin t0: [11:00:00 28/09/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: D5W sv: 100 su: ml rt: IV Drip
id: HOB t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 25 n2: 25 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV #1 Insert Date t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 29 n2: 29 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: Position t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 25 n2: 25 st: NotStopd id: Radiologic Study t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: INV#1 Cap Change t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 25 n2: 25 st: NotStopd id: Therapeutic Bed t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd
id: Sandostatin t0: [12:00:00 28/09/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: D5W sv: 100 su: ml rt: IV Drip st: Stopped
id: Service Type t0: [12:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [12:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [12:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [12:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP Mean t0: [12:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 101.333 n1: 101.333 u1: mmHg st: NotStopd id: Precautions t0: [12:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [12:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [12:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 3888086 hi: 19112 t0: [14:00:00 28/09/2014] tf: [13:00:00 29/09/2014] mn: HydrALAZINE HCl pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [13:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [13:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [13:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Heart Rate t0: [13:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 175 n1: 175 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 184 n1: 184 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 104.333 n1: 104.333 u1: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 104.667 n1: 104.667 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [13:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Ultrasound st: NotStopd id: Reason For Restraint t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [13:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [13:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: calprevflg t0: [13:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [14:00:00 28/09/2014] el: 1 cg: RN cu: CSRU vo: 350 vu: ml
id: Diet Type t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Respiratory Pattern t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Urine Source t0: [14:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd
id: CPK/MB t0: [00:41:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd
id: Service Type t0: [14:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [14:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [14:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [14:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 164 n1: 164 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [14:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 103.333 n1: 103.333 u1: mmHg st: NotStopd id: Precautions t0: [14:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [14:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [14:45:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [14:45:00 28/09/2014] el: 1 ai: 103 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [14:45:00 28/09/2014] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: PO/Gastric In Total t0: [23:00:00 28/09/2014] el: 3 cg: RN cu: CSRU cv: 60 ac: 24 ap: none re: 0
id: lactulose enema t0: [15:00:00 28/09/2014] el: 1 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Service Type t0: [15:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [15:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 178 n1: 178 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [15:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [16:00:00 28/09/2014] el: 1 ai: 105 cg: RN cu: CSRU vo: 501 vu: ml
id: Less Restrict Meas. t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Communication t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: GI Prophylaxis t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: GI#1 Intub Site t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: Heart Rate t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: LLL Lung Sounds t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP Mean t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 109.667 n1: 109.667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Cavity t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: Position Change t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Speech t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Support Systems t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Urine Source t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Urine Out Foley t0: [16:00:00 28/09/2014] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: WBC (4-11,000) t0: [15:40:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 16.7 n1: 16.7 rs: Final st: NotStopd id: WBC t0: [15:40:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 16.7 n1: 16.7 rs: Final st: NotStopd id: Hematocrit t0: [15:40:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 31 n1: 31 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [15:40:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 11.1 n1: 11.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [15:40:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 56 n1: 56 rs: Final st: NotStopd id: RBC t0: [15:40:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 3.31 n1: 3.31 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [15:40:00 28/09/2014] el: 0 cg: 3161 cu: CSRU v1: 16.7 n1: 16.7 rs: Final st: NotStopd
id: Pain Level t0: [16:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Unable to score st: NotStopd id: Pain Level/Response t0: [16:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 2-Mild st: NotStopd id: Pain Present t0: [16:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Assess Method t0: [16:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [16:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [16:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Daily Wake Up t0: [16:30:00 28/09/2014] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [16:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [16:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: NBP t0: [16:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 166 n1: 166 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [16:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 97.3333 n1: 97.3333 u1: mmHg st: NotStopd id: Pain Cause t0: [16:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Procedural st: NotStopd id: Pain Level (Rest) t0: [16:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Unable to score st: NotStopd id: Pain Location t0: [16:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Pain Management t0: [16:30:00 28/09/2014] el: 1 cg: RN cu: CSRU v1: IV Push v2: IV Push st: NotStopd id: Pain Type t0: [16:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Position t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [16:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Therapeutic Bed t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [16:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [17:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [17:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 163 n1: 163 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [16:30:00 28/09/2014] el: 0 cg: RN cu: CSRU st: NotStopd id: Respiratory Rate t0: [17:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [17:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [17:00:00 28/09/2014] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
pi: 3888646 hi: 19112 t0: [19:00:00 28/09/2014] tf: [18:00:00 29/09/2014] mn: Midazolam HCl pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 3888647 hi: 19112 t0: [19:00:00 28/09/2014] tf: [18:00:00 29/09/2014] mn: Morphine Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: HOB t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2InsertDate t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Bleeding st: NotStopd id: Activity t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: Imp Skin Cleanse #1 t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Rash st: NotStopd id: ImpSkin Drain/Amt#1 t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Extremities, Lo st: NotStopd id: NBP t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 155 n1: 155 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 91.6667 n1: 91.6667 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Precautions t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV#2 Tubing Change t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: Therapeutic Bed t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Urine Out Foley t0: [18:00:00 28/09/2014] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: INV Line#2 Zero/Cal t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV#2 WaveformAppear t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd
id: Fingerstick Glucose t0: [18:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 rs: Manual st: NotStopd
id: Service Type t0: [18:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [18:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [18:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [18:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [18:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [18:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Intub #1/Site t0: [18:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [18:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [18:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: Heart Rate t0: [18:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: LLL Lung Sounds t0: [18:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [18:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: NBP t0: [18:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 162 n1: 162 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [18:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 99.3333 n1: 99.3333 u1: mmHg st: NotStopd id: Precautions t0: [18:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [18:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [18:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [18:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [18:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Urine Color/Appear t0: [16:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Icteric v2: Clear st: NotStopd id: Urine Color/Appear t0: [18:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Icteric st: NotStopd id: Urine Source t0: [18:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [18:30:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [18:30:00 28/09/2014] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
pi: 3888790 hi: 19112 t0: [20:00:00 28/09/2014] tf: [10:00:00 30/09/2014] mn: Rifaximin pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
id: INV Line#1SiteAppear t0: [20:00:00 28/09/2014] el: 0 cg: -1 cu: CSRU st: D/C'd
id: D5W 100.0ml + 600mcghr Sandostatin t0: [20:00:00 28/09/2014] el: 1 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Less Restrict Meas. t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Level t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 4-Mild to Mod st: NotStopd id: Pain Level/Response t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 1-None to Mild st: NotStopd id: Pain Present t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Range of Motion t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: PainLevel Acceptable t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [19:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [21:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: CVP t0: [21:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [21:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Communication t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 28/09/2014] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [19:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [19:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [21:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 D/C Date t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 25 n2: 25 st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Drainage st: NotStopd id: Abdominal Assessment t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [19:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 162 n1: 162 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 169 n1: 169 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP t0: [21:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 156 n1: 156 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 99.3333 n1: 99.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 100.333 n1: 100.333 u1: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Care t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Cause t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Movement/Turning st: NotStopd id: Pain Level (Rest) t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 4-Mild to Mod st: NotStopd id: Pain Location t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Left Shoulder st: NotStopd id: Pain Management t0: [20:00:00 28/09/2014] el: 1 cg: RN cu: CSRU v1: Repositioned st: NotStopd id: Pain Type t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Position t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [21:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 25 n2: 25 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [19:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [21:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Speech t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: INV#1 Cap Change t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 25 n2: 25 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 25 n2: 25 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Icteric v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [19:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [20:00:00 28/09/2014] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 100.0ml t0: [21:00:00 28/09/2014] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [21:00:00 28/09/2014] el: 1 cg: RN cu: CSRU vo: 270 vu: ml
pi: 3889032 hi: 19112 t0: [22:00:00 28/09/2014] tf: [21:00:00 29/09/2014] mn: HydrALAZINE HCl pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [22:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [22:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [22:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [22:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [22:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Position Change t0: [22:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [22:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [22:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [22:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [22:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [22:00:00 28/09/2014] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Service Type t0: [23:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [23:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [23:00:00 28/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [23:00:00 28/09/2014] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: IV Infusion In Total t0: [23:00:00 28/09/2014] el: 3 cg: RN cu: CSRU pv: 150 cv: 3084.3 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 28/09/2014] el: 3 cg: RN cu: CSRU pv: 150 cv: 4144.3 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 28/09/2014] el: 3 cg: RN cu: CSRU pv: 100 cv: 100 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 28/09/2014] el: 3 cg: RN cu: CSRU pv: 100 cv: 2975 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 28/09/2014] el: 3 cg: RN cu: CSRU pv: 50 cv: 1169.3 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 28/09/2014] el: 3 cg: RN cu: CSRU pv: 50 cv: 1169.3 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 28/09/2014] el: 3 cg: RN cu: CSRU pv: 50 cv: 50 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 28/09/2014] el: 3 cg: RN cu: CSRU pv: 100 cv: 2975 ac: 24 ap: carryForward re: 0
id: Pain Level t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 3-Mild to Mod st: NotStopd id: Pain Level/Response t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 2-Mild st: NotStopd id: Pain Present t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: BATH t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: complet id: Pain Assess Method t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: PainLevel Acceptable t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [01:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: CVP t0: [01:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [01:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Communication t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 29/09/2014] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [01:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Blister st: NotStopd id: ImpSkin Drain/Amt#1 t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wth/Lth #1 t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 1 cm v2: 1 cm st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Back, Lower st: NotStopd id: LLL Lung Sounds t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP t0: [01:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 95.3333 n1: 95.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 97.6667 n1: 97.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Care t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Cause t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Movement/Turning st: NotStopd id: Pain Level (Rest) t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 3-Mild to Mod st: NotStopd id: Pain Location t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Left Shoulder st: NotStopd id: Pain Management t0: [00:00:00 29/09/2014] el: 1 cg: RN cu: CSRU v1: Repositioned v2: Backrub st: NotStopd id: Pain Type t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Position t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [01:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 31 n2: 31 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Restraints Evaluated t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Restraint DC'd st: NotStopd id: Side Rails t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [01:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Speech t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: INV#2 Cap Change t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Icteric v2: Sediment st: NotStopd id: Urine Source t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 169 n1: 169 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd
id: Urine Out Foley t0: [01:00:00 29/09/2014] el: 1 cg: RN cu: CSRU vo: 240 vu: ml
id: Service Type t0: [02:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [02:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [02:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [02:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [02:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [02:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [02:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [02:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Therapeutic Bed t0: [02:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [02:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [02:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [02:00:00 29/09/2014] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: Service Type t0: [03:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [03:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90.6667 n1: 90.6667 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [03:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [03:00:00 29/09/2014] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: IV Infusion In Total t0: [23:00:00 29/09/2014] el: 3 cg: RN cu: CSRU pv: 190 cv: 2240 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 29/09/2014] el: 3 cg: RN cu: CSRU pv: 320 cv: 2720 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 29/09/2014] el: 3 cg: RN cu: CSRU pv: 125 cv: 125 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 29/09/2014] el: 3 cg: RN cu: CSRU pv: 125 cv: 2995 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 29/09/2014] el: 3 cg: RN cu: CSRU pv: 195 cv: -275 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 29/09/2014] el: 3 cg: RN cu: CSRU pv: 195 cv: 894.3 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 29/09/2014] el: 3 cg: RN cu: CSRU pv: 195 cv: 195 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 29/09/2014] el: 3 cg: RN cu: CSRU pv: 125 cv: 2995 ac: 24 ap: carryForward re: 0
io: .9% Normal Saline 250.0ml el: 1 cg: RN cu: CSRU ra: 10 ru: ml/hr
id: Pain Level t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 3-Mild to Mod st: NotStopd id: Pain Level/Response t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 2-Mild st: NotStopd id: Pain Present t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Assess Method t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: PainLevel Acceptable t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Communication t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 29/09/2014] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Level of Conscious t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Cavity t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Cause t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Movement/Turning st: NotStopd id: Pain Level (Rest) t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 3-Mild to Mod st: NotStopd id: Pain Location t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Left Shoulder st: NotStopd id: Pain Management t0: [04:00:00 29/09/2014] el: 1 cg: RN cu: CSRU v1: Repositioned st: NotStopd id: Pain Type t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Position t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 31 n2: 31 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Respiratory Pattern t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Speech t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: INV#2 Cap Change t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 36.2222 n1: 36.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 97.2 n1: 97.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Icteric v2: Sediment st: NotStopd id: Urine Source t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [04:00:00 29/09/2014] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 250.0ml t0: [04:00:00 29/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [04:00:00 29/09/2014] el: 1 cg: RN cu: CSRU vo: 90 vu: ml
id: WBC (4-11,000) t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 15.5 n1: 15.5 rs: Final st: NotStopd id: WBC t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 15.5 n1: 15.5 rs: Final st: NotStopd id: Hematocrit t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 30 n1: 30 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 10.8 n1: 10.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 66 n1: 66 rs: Final st: NotStopd id: RBC t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 3.19 n1: 3.19 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 15.5 n1: 15.5 rs: Final st: NotStopd
id: PT t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 18.5 n1: 18.5 rs: Final st: NotStopd id: INR t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: PTT t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 30.5 n1: 30.5 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 18.5 n1: 18.5 rs: Final st: NotStopd id: PTT(22-35) t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 30.5 n1: 30.5 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: BUN t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 66 n1: 66 rs: Final st: NotStopd id: Code Status t0: [05:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [05:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Albumin t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Calcium t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 115 n1: 115 rs: Final st: NotStopd id: Glucose t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 171 n1: 171 rs: Final st: NotStopd id: Magnesium t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Phosphorous t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 4.8 n1: 4.8 rs: Final st: NotStopd id: Sodium t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 149 n1: 149 rs: Final st: NotStopd id: Ectopy Frequency t0: [05:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [05:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: ALT t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 61 n1: 61 rs: Final st: NotStopd id: Albumin (>3.2) t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: BUN (6-20) t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 66 n1: 66 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 115 n1: 115 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 171 n1: 171 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 4.8 n1: 4.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 149 n1: 149 rs: Final st: NotStopd
id: .9% Normal Saline 250.0ml t0: [05:00:00 29/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [05:00:00 29/09/2014] el: 1 cg: RN cu: CSRU vo: 110 vu: ml
id: Total Bili t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 31.8 n1: 31.8 rs: Final st: NotStopd
id: Creatinine t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [06:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [06:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [06:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [06:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 91.3333 n1: 91.3333 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [06:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [06:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [06:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [06:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [06:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [06:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml t0: [06:00:00 29/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [06:00:00 29/09/2014] el: 1 cg: RN cu: CSRU vo: 175 vu: ml
id: Po Intake t0: [00:00:00 29/09/2014] el: 1 ai: 103 cg: RN cu: CSRU vo: 60 vu: ml
id: Service Type t0: [07:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [07:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [07:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 94.3333 n1: 94.3333 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [07:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml t0: [07:00:00 29/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [07:00:00 29/09/2014] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Vancomycin/Random t0: [03:17:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 21.7 n1: 21.7 rs: Final st: NotStopd
id: Pain Level t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Unable to score st: NotStopd id: Pain Level/Response t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Unable to score st: NotStopd id: Pain Present t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Assess Method t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: PainLevel Acceptable t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [08:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Communication t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Daily Wake Up t0: [07:30:00 29/09/2014] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Readiness t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [08:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [08:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Rash st: NotStopd id: ImpSkin Drain/Amt#1 t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yellow st: NotStopd id: ImpSkin Wth/Lth #1 t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Impaired Skin Site#1 t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Extremities, Lo st: NotStopd id: LLL Lung Sounds t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 156 n1: 156 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 96.6667 n1: 96.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Cavity t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Cause t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Unable to score st: NotStopd id: Pain Location t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Left Shoulder st: NotStopd id: Pain Management t0: [07:30:00 29/09/2014] el: 1 cg: RN cu: CSRU v1: Repositioned st: NotStopd id: Position t0: [08:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 31 n2: 31 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [08:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Speech t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Stool Management t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV#2 Tubing Change t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [08:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Icteric v2: Clear st: NotStopd id: Urine Source t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [07:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 250.0ml t0: [07:30:00 29/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml t0: [08:00:00 29/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [08:00:00 29/09/2014] el: 1 cg: RN cu: CSRU vo: 170 vu: ml
id: Service Type t0: [09:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [09:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 152 n1: 152 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [09:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml t0: [09:00:00 29/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 29/09/2014] el: 1 cg: RN cu: CSRU vo: 150 vu: ml
id: Service Type t0: [10:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [11:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [10:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: CVP t0: [11:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [11:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [10:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [11:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP t0: [11:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 101.333 n1: 101.333 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [11:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [11:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [10:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml t0: [11:00:00 29/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [11:00:00 29/09/2014] el: 1 cg: RN cu: CSRU vo: 225 vu: ml
id: Service Type t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 171 n1: 171 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 103.667 n1: 103.667 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [12:00:00 29/09/2014] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 250.0ml t0: [12:00:00 29/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Pain Level t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Unable to score st: NotStopd id: Pain Level/Response t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Unable to score st: NotStopd id: Pain Present t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Assess Method t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: PainLevel Acceptable t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Service Type t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Communication t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Daily Wake Up t0: [12:30:00 29/09/2014] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Glucose t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 rs: Manual st: NotStopd id: Diet Type t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: GI#1 Intub Site t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: Imp Skin Cleanse #1 t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Drain/Amt#1 t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: Impaired Skin Site#1 t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Extremities, Lo st: NotStopd id: LLL Lung Sounds t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 167 n1: 167 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Care t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Cause t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Unable to score st: NotStopd id: Pain Location t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Left Shoulder st: NotStopd id: Pain Management t0: [12:30:00 29/09/2014] el: 1 cg: RN cu: CSRU v1: IV Push v2: Repositioned st: NotStopd id: Position t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Precautions t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 31 n2: 31 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Speech t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Stool Management t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Icteric v2: Clear st: NotStopd id: Urine Source t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Bowel Sounds t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Glucose (70-105) t0: [12:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 rs: Manual st: NotStopd id: Braden Activity t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:30:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 250.0ml t0: [12:30:00 29/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [12:30:00 29/09/2014] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Service Type t0: [13:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [13:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 162 n1: 162 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 103.333 n1: 103.333 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [13:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [13:00:00 29/09/2014] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 250.0ml t0: [13:00:00 29/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [13:00:00 29/09/2014] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Service Type t0: [14:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [14:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 162 n1: 162 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 102.667 n1: 102.667 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [14:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml t0: [14:00:00 29/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [14:00:00 29/09/2014] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
pi: 3891208 hi: 19112 t0: [16:00:00 29/09/2014] tf: [11:00:00 30/09/2014] pt: IV Large Volume st: Inactive (Due to a change order) rt: IV fr: ASDIR iv: 1000 ml D5W Continuous at 90 ml/hr for 3000 ml ir: 90 it: C ss: N dt: 33 di: Hours xu: Enter on Label pi: 3891209 hi: 19112 t0: [16:00:00 29/09/2014] tf: [15:00:00 30/09/2014] mn: HydrALAZINE HCl pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 16 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 3891260 hi: 19112 t0: [18:00:00 29/09/2014] tf: [07:00:00 30/09/2014] mn: Lactulose pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: QID ds: 10, 14, 18, 22 dn: 4 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [15:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [15:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [15:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [15:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [15:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 170 n1: 170 u1: mmHg v2: 91 n2: 91 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 117.333 n1: 117.333 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [15:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [15:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Precautions t0: [15:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [15:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [15:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [15:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml t0: [15:00:00 29/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [15:00:00 29/09/2014] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
io: D5W 3000.0ml el: 1 cg: RN cu: CSRU ra: 90 ru: ml/hr
pi: 3891548 hi: 19112 t0: [17:00:00 29/09/2014] tf: [07:00:00 08/10/2014] mn: Morphine Sulfate pt: Unit Dose st: Discontinued rt: IV fr: Q3-4H:PRN di: Ongoing xv: 36 xu: Hours pi: 3891549 hi: 19112 t0: [17:00:00 29/09/2014] tf: [07:00:00 08/10/2014] mn: Morphine Sulfate pt: Unit Dose st: Discontinued rt: IV fr: Q3-4H:PRN di: Ongoing xv: 36 xu: Hours pi: 3891550 hi: 19112 t0: [17:00:00 29/09/2014] tf: [07:00:00 08/10/2014] mn: Morphine Sulfate pt: Unit Dose st: Discontinued rt: IV fr: Q3-4H:PRN di: Ongoing xv: 36 xu: Hours pi: 3891551 hi: 19112 t0: [17:00:00 29/09/2014] tf: [16:00:00 30/09/2014] mn: Morphine Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Communication t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: GI Prophylaxis t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Rash st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Extremities, Lo st: NotStopd id: LLL Lung Sounds t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 165 n1: 165 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Care t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Precautions t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 31 n2: 31 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Speech t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Stool Color/Consist t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Melena v2: Liquid st: NotStopd id: Stool Management t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Icteric v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Bowel Sounds t0: [16:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [16:00:00 29/09/2014] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 250.0ml t0: [16:00:00 29/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml st: Stopped id: Urine Out Foley t0: [16:00:00 29/09/2014] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: D5W 3000.0ml t0: [16:00:00 29/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 90 vu: ml nb: 1
id: Service Type t0: [17:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [17:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 172 n1: 172 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [17:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [17:00:00 29/09/2014] el: 1 cg: RN cu: CSRU vo: 90 vu: ml id: D5W 3000.0ml t0: [17:00:00 29/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 90 vu: ml
io: Nepro 1000.0str el: 1 cg: RN cu: CSRU ra: 10 ru: ml/hr
id: Service Type t0: [18:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [18:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Glucose t0: [18:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 199 n1: 199 rs: Manual st: NotStopd id: Ectopy Frequency t0: [18:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [18:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 161 n1: 161 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 106.333 n1: 106.333 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [18:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Glucose (70-105) t0: [18:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 199 n1: 199 rs: Manual st: NotStopd
id: Po Intake t0: [06:00:00 29/09/2014] el: 1 ai: 103 cg: RN cu: CSRU vu: ml id: Po Intake t0: [07:00:00 29/09/2014] el: 1 ai: 103 cg: RN cu: CSRU vu: ml id: Po Intake t0: [12:00:00 29/09/2014] el: 1 ai: 103 cg: RN cu: CSRU vu: ml id: Po Intake t0: [14:00:00 29/09/2014] el: 1 ai: 103 cg: RN cu: CSRU vu: ml id: Po Intake t0: [16:00:00 29/09/2014] el: 1 ai: 103 cg: RN cu: CSRU vu: ml id: Gastric Meds t0: [14:00:00 29/09/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Gastric Meds t0: [16:00:00 29/09/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Gastric Meds t0: [18:00:00 29/09/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [18:00:00 29/09/2014] el: 1 cg: RN cu: CSRU vo: 75 vu: ml id: Nepro 1000.0str t0: [18:00:00 29/09/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 10 vu: ml nb: 1 id: D5W 3000.0ml t0: [18:00:00 29/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 90 vu: ml
id: BUN t0: [17:20:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 62 n1: 62 rs: Final st: NotStopd id: Calcium t0: [17:20:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [17:20:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 116 n1: 116 rs: Final st: NotStopd id: Creatinine t0: [17:20:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Glucose t0: [17:20:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 185 n1: 185 rs: Final st: NotStopd id: Magnesium t0: [17:20:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Phosphorous t0: [17:20:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [17:20:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium t0: [17:20:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 149 n1: 149 rs: Final st: NotStopd id: BUN (6-20) t0: [17:20:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 62 n1: 62 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [17:20:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [17:20:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Chloride (100-112) t0: [17:20:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 116 n1: 116 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [17:20:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [17:20:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 185 n1: 185 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [17:20:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [17:20:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [17:20:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [17:20:00 29/09/2014] el: 0 cg: 3161 cu: CSRU v1: 149 n1: 149 rs: Final st: NotStopd
id: Service Type t0: [19:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [19:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [19:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [19:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [19:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2InsertDate t0: [19:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [19:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [19:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: NBP t0: [19:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 186 n1: 186 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 106.667 n1: 106.667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [19:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [19:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Precautions t0: [19:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [19:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 31 n2: 31 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: INV#2 Cap Change t0: [19:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV#2 Tubing Change t0: [19:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: calprevflg t0: [19:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nepro 1000.0str t0: [19:00:00 29/09/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 3000.0ml t0: [19:00:00 29/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 90 vu: ml
id: Service Type t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 29/09/2014] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: Risk for Falls t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 172 n1: 172 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 103.333 n1: 103.333 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [20:00:00 29/09/2014] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [20:00:00 29/09/2014] el: 1 cg: RN cu: CSRU vo: 210 vu: ml id: Nepro 1000.0str t0: [20:00:00 29/09/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 3000.0ml t0: [20:00:00 29/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 90 vu: ml
pi: 3892200 hi: 19112 t0: [10:00:00 29/09/2014] tf: [11:00:00 30/09/2014] mn: Nadolol pt: Unit Dose st: Discontinued rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Communication t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: GI Prophylaxis t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Topic #1 t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: Activity t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Extremities, Lo st: NotStopd id: Level of Conscious t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pupil Response R/L t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: Respiratory Pattern t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Speech t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Support Systems t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Urine Color/Appear t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Icteric v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 2 Incomp sounds st: NotStopd id: Behavior t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Bowel Sounds t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
pi: 3892396 hi: 19112 t0: [22:00:00 29/09/2014] tf: [08:00:00 30/09/2014] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Continuous at 100 ml/hr for 1000 ml ir: 100 it: C ss: N dt: 10 di: Hours xu: Enter on Label
id: Service Type t0: [21:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [21:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [21:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 171 n1: 171 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 100.333 n1: 100.333 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [21:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nepro 1000.0str t0: [21:00:00 29/09/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 3000.0ml t0: [21:00:00 29/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 90 vu: ml
id: Urine Out Foley t0: [21:00:00 29/09/2014] el: 1 cg: RN cu: CSRU vo: 135 vu: ml
id: Service Type t0: [22:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: CVP t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Communication t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: GI Prophylaxis t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [22:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [22:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [22:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Feeding v2: Bilious st: NotStopd id: GI#1 Tube Stat/Drain t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [22:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2InsertDate t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Extremities, Lo st: NotStopd id: LLL Lung Sounds t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LLL Lung Sounds t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: NBP t0: [22:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 98.6667 n1: 98.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [22:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [22:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Care t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: AntiEmbDevice/Status t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 31 n2: 31 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RLL Lung Sounds t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [22:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [22:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Speech t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Stool Color/Consist t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Melena v2: Liquid st: NotStopd id: Stool Color/Consist t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Melena v2: Liquid st: NotStopd id: Stool Management t0: [20:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Stool Management t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV#2 Tubing Change t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: Therapeutic Bed t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Icteric v2: Clear st: NotStopd id: Urine Source t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 2 Incomp sounds st: NotStopd id: Back Care t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [22:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Bowel Sounds t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Gastric Meds t0: [20:00:00 29/09/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Gastric Meds t0: [23:00:00 29/09/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 120 vu: ml id: Stool Out Rectal Tube t0: [22:00:00 29/09/2014] el: 1 cg: RN cu: CSRU vu: ml es: Large id: Urine Out Foley t0: [22:00:00 29/09/2014] el: 1 cg: RN cu: CSRU vo: 125 vu: ml id: Urine Out Foley t0: [23:00:00 29/09/2014] el: 1 cg: RN cu: CSRU vo: 125 vu: ml id: Nepro 1000.0str t0: [22:00:00 29/09/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 1000.0str t0: [23:00:00 29/09/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 3000.0ml t0: [22:00:00 29/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 90 vu: ml id: D5W 3000.0ml t0: [23:00:00 29/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 90 vu: ml
id: PO/Gastric In Total t0: [23:00:00 29/09/2014] el: 3 cg: RN cu: CSRU pv: 120 cv: 420 ac: 24 ap: none re: 0 id: Stool Out Total t0: [23:00:00 29/09/2014] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0 id: Tube Feeds In Total t0: [23:00:00 29/09/2014] el: 3 cg: RN cu: CSRU pv: 10 cv: 60 ac: 24 ap: none re: 0
id: Service Type t0: [00:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [00:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 30/09/2014] el: 1 cg: RN cu: CSRU v1: No/Hemodyn Issue st: NotStopd id: Risk for Falls t0: [00:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [00:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ImpSkin Treatment #1 t0: [23:00:00 29/09/2014] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: NBP t0: [00:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [00:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml t0: [00:00:00 30/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 250.0ml t0: [21:00:00 29/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 250.0ml t0: [22:00:00 29/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 250.0ml t0: [23:00:00 29/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml id: Nepro 1000.0str t0: [00:00:00 30/09/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 3000.0ml t0: [00:00:00 30/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 90 vu: ml
id: Glucose t0: [00:00:00 30/09/2014] el: 0 cg: CoWker cu: CSRU v1: 214 n1: 214 rs: Manual st: NotStopd id: Glucose (70-105) t0: [00:00:00 30/09/2014] el: 0 cg: CoWker cu: CSRU v1: 214 n1: 214 rs: Manual st: NotStopd
id: Temp. Site t0: [00:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd
id: D5W 100.0ml t0: [00:00:00 30/09/2014] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [00:00:00 30/09/2014] el: 1 cg: RN cu: CSRU vo: 125 vu: ml
id: Service Type t0: [01:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [01:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 152 n1: 152 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90.6667 n1: 90.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [01:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [01:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Precautions t0: [01:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [01:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml t0: [01:00:00 30/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [01:00:00 30/09/2014] el: 1 cg: RN cu: CSRU vo: 125 vu: ml id: D5W 3000.0ml t0: [01:00:00 30/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 90 vu: ml
id: Service Type t0: [02:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [02:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [02:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [02:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 164 n1: 164 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [02:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml t0: [02:00:00 30/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 30/09/2014] el: 1 cg: RN cu: CSRU vo: 75 vu: ml id: D5W 3000.0ml t0: [02:00:00 30/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 90 vu: ml
id: BATH t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: done id: Service Type t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [04:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [04:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [04:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Communication t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [04:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 30/09/2014] el: 1 cg: RN cu: CSRU v1: No/Other Remarks st: NotStopd id: GI Prophylaxis t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [04:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [04:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2InsertDate t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Treatment #1 t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: Impaired Skin Site#1 t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Extremities, Lo st: NotStopd id: LLL Lung Sounds t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: NBP t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 174 n1: 174 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 168 n1: 168 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 97.3333 n1: 97.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 101.333 n1: 101.333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Care t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: AntiEmbDevice/Status t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Precautions t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [04:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 31 n2: 31 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [04:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Speech t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Stool Color/Consist t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Melena v2: Liquid st: NotStopd id: Stool Management t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV#2 Tubing Change t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [04:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Icteric v2: Clear st: NotStopd id: Urine Source t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Bowel Sounds t0: [03:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 250.0ml t0: [03:00:00 30/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml t0: [04:00:00 30/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [03:00:00 30/09/2014] el: 1 cg: RN cu: CSRU vo: 125 vu: ml id: Urine Out Foley t0: [04:00:00 30/09/2014] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Nepro 1000.0str t0: [01:00:00 30/09/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro 1000.0str t0: [02:00:00 30/09/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro 1000.0str t0: [03:00:00 30/09/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro 1000.0str t0: [04:00:00 30/09/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 3000.0ml t0: [03:00:00 30/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 90 vu: ml id: D5W 3000.0ml t0: [04:00:00 30/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 90 vu: ml
id: D5W 100.0ml t0: [04:00:00 30/09/2014] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: WBC (4-11,000) t0: [03:44:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 13.8 n1: 13.8 rs: Final st: NotStopd id: WBC t0: [03:44:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 13.8 n1: 13.8 rs: Final st: NotStopd id: Hematocrit t0: [03:44:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 30.5 n1: 30.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:44:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 11.1 n1: 11.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:44:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 69 n1: 69 rs: Final st: NotStopd id: RBC t0: [03:44:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:44:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 13.8 n1: 13.8 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [05:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [05:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 101.333 n1: 101.333 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [05:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml t0: [05:00:00 30/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [05:00:00 30/09/2014] el: 1 cg: RN cu: CSRU vo: 180 vu: ml id: Nepro 1000.0str t0: [05:00:00 30/09/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 3000.0ml t0: [05:00:00 30/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 90 vu: ml
id: BUN t0: [03:44:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 59 n1: 59 rs: Final st: NotStopd id: Albumin t0: [03:44:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Calcium t0: [03:44:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Glucose t0: [03:44:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 173 n1: 173 rs: Final st: NotStopd id: Magnesium t0: [03:44:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Phosphorous t0: [03:44:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: ALT t0: [03:44:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 58 n1: 58 rs: Final st: NotStopd id: Albumin (>3.2) t0: [03:44:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: BUN (6-20) t0: [03:44:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 59 n1: 59 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:44:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:44:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:44:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 173 n1: 173 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:44:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:44:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd
id: Potassium t0: [03:44:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Total Bili t0: [03:44:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 31.3 n1: 31.3 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:44:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd
id: Creatinine t0: [03:44:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:44:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd
id: PT t0: [03:44:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 18.6 n1: 18.6 rs: Final st: NotStopd id: INR t0: [03:44:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: PTT t0: [03:44:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:44:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:44:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 18.6 n1: 18.6 rs: Final st: NotStopd id: PTT(22-35) t0: [03:44:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 rs: Final st: NotStopd
id: Glucose t0: [06:00:00 30/09/2014] el: 0 cg: CoWker cu: CSRU v1: 165 n1: 165 rs: Manual st: NotStopd id: Glucose (70-105) t0: [06:00:00 30/09/2014] el: 0 cg: CoWker cu: CSRU v1: 165 n1: 165 rs: Manual st: NotStopd
id: Service Type t0: [06:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [06:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [06:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 172 n1: 172 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 100.667 n1: 100.667 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [06:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Nepro 1000.0str t0: [06:00:00 30/09/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 30 vu: ml id: D5W 3000.0ml t0: [06:00:00 30/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 120 vu: ml
id: Urine Out Foley t0: [06:00:00 30/09/2014] el: 1 cg: RN cu: CSRU vo: 115 vu: ml id: Urine Out Foley t0: [07:00:00 30/09/2014] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Nepro 1000.0str t0: [07:00:00 30/09/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 30 vu: ml id: D5W 3000.0ml t0: [07:00:00 30/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 120 vu: ml
pi: 3893379 hi: 19112 t0: [08:00:00 30/09/2014] tf: [12:00:00 04/10/2014] mn: Lactulose pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q3H ds: 8, 11, 14, 17, 20, 23, 2, 5 dn: 8 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Communication t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: GI Prophylaxis t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Type t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Impaired Skin Site#1 t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Extremities, Lo st: NotStopd id: LLL Lung Sounds t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 159 n1: 159 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 97.6667 n1: 97.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Cavity t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Precautions t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 31 n2: 31 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Stool Color/Consist t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Melena v2: Liquid st: NotStopd id: Stool Management t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV#2 Tubing Change t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: Urine Color/Appear t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Icteric v2: Clear st: NotStopd id: Urine Source t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Uncomfortable st: NotStopd id: Bowel Sounds t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Consist. Moist st: NotStopd id: Braden Nutrition t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: Service Type t0: [08:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [08:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 30/09/2014] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [08:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [08:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [08:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [08:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [08:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 168 n1: 168 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 103.333 n1: 103.333 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: calprevflg t0: [08:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [08:00:00 30/09/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 120 vu: ml id: Gastric Meds t0: [08:00:00 30/09/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: GT Flush t0: [08:00:00 30/09/2014] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [08:00:00 30/09/2014] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: Nepro 1000.0str t0: [08:00:00 30/09/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 30 vu: ml
id: D5W 100.0ml t0: [08:00:00 30/09/2014] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [09:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [09:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [09:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [09:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP Mean t0: [09:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 101.667 n1: 101.667 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [09:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [09:00:00 30/09/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 120 vu: ml id: Stool Out Rectal Tube t0: [09:00:00 30/09/2014] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [09:00:00 30/09/2014] el: 1 cg: RN cu: CSRU vo: 125 vu: ml id: Nepro 1000.0str t0: [09:00:00 30/09/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 30 vu: ml
pi: 3893861 hi: 19112 t0: [14:00:00 30/09/2014] tf: [19:00:00 01/10/2014] mn: Rifaximin pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 3893863 hi: 19112 t0: [11:00:00 30/09/2014] tf: [17:00:00 06/10/2014] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours pi: 3893864 hi: 19112 t0: [22:00:00 30/09/2014] tf: [17:00:00 06/10/2014] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: NBP t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 165 n1: 165 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 96.3333 n1: 96.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Care t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Skin Care t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Turn t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [08:00:00 30/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vu: ml id: .9% Normal Saline t0: [09:00:00 30/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vu: ml id: D5W 6000.0ml t0: [10:00:00 30/09/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 120 vu: ml id: Urine Out Foley t0: [10:00:00 30/09/2014] el: 1 cg: RN cu: CSRU vo: 125 vu: ml id: Nepro 1000.0str t0: [10:00:00 30/09/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 30 vu: ml
id: ImpSkin Character #1 t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Blister st: NotStopd id: ImpSkin Drain/Amt#1 t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [07:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd
io: .9% Normal Saline el: 1 cg: RN cu: CSRU ru: ml/hr
pi: 3893926 hi: 19112 t0: [12:00:00 30/09/2014] tf: [14:00:00 30/09/2014] pt: IV Large Volume st: Inactive (Due to a change order) rt: IV fr: ASDIR iv: 1000 ml D5W Continuous at 20 ml/hr for 6000 ml ir: 20 it: C ss: N dt: 300 di: Hours xu: Enter on Label pi: 3893927 hi: 19112 t0: [12:00:00 30/09/2014] tf: [11:00:00 01/10/2014] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 3893928 hi: 19112 t0: [14:00:00 30/09/2014] tf: [11:00:00 03/10/2014] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [11:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [11:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [11:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [11:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [11:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 98.3333 n1: 98.3333 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [11:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [11:00:00 30/09/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 500 vu: ml id: D5W 6000.0ml t0: [11:00:00 30/09/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 120 vu: ml id: Urine Out Foley t0: [11:00:00 30/09/2014] el: 1 cg: RN cu: CSRU vo: 125 vu: ml id: Nepro 1000.0str t0: [11:00:00 30/09/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 30 vu: ml
id: TF Residual t0: [08:00:00 30/09/2014] el: 1 ai: 416 cg: RN cu: CSRU vo: 20 vu: ml
io: D5W 6000.0ml el: 1 cg: RN cu: CSRU ra: 200 ru: ml/hr
id: Service Type t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Communication t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Type t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Blister st: NotStopd id: ImpSkin Drain/Amt#1 t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Extremities, Lo st: NotStopd id: LLL Lung Sounds t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 152 n1: 152 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 101.333 n1: 101.333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Cavity t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Precautions t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 31 n2: 31 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Speech t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Stool Color/Consist t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Melena v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Icteric v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Uncomfortable st: NotStopd id: Bowel Sounds t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: D5W 100.0ml t0: [12:00:00 30/09/2014] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 6000.0ml t0: [12:00:00 30/09/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 200 vu: ml id: Gastric Meds t0: [12:00:00 30/09/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: GT Flush t0: [12:00:00 30/09/2014] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: Stool Out Rectal Tube t0: [12:00:00 30/09/2014] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [12:00:00 30/09/2014] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Nepro 1000.0str t0: [12:00:00 30/09/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Fingerstick Glucose t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 230 n1: 230 rs: Manual st: NotStopd
id: Service Type t0: [13:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Code Status t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Communication t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [13:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [13:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Type t0: [13:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [13:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: Level of Conscious t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [13:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 92.6667 n1: 92.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 89.6667 n1: 89.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Care t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Assistance Device t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: Respiratory Pattern t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Skin Care t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [13:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Speech t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Stool Color/Consist t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Melena v2: Liquid st: NotStopd id: Stool Management t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Fecal Incont Bag st: NotStopd id: Therapeutic Bed t0: [10:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Therapeutic Bed t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Icteric v2: Clear st: NotStopd id: Urine Source t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 2 Incomp sounds st: NotStopd id: Back Care t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [13:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [13:00:00 30/09/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 200 vu: ml id: D5W 6000.0ml t0: [14:00:00 30/09/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [13:00:00 30/09/2014] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [14:00:00 30/09/2014] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Nepro 1000.0str t0: [13:00:00 30/09/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro 1000.0str t0: [14:00:00 30/09/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
pi: 3894568 hi: 19112 t0: [15:00:00 30/09/2014] tf: [21:00:00 01/10/2014] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 1000 ml D5W Continuous at 200 ml/hr for 6000 ml ir: 200 it: C ss: N dt: 30 di: Hours xu: Enter on Label
id: Service Type t0: [15:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [15:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [15:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [15:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 91.3333 n1: 91.3333 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [15:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [15:00:00 30/09/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 200 vu: ml id: TF Residual t0: [14:00:00 30/09/2014] el: 1 ai: 416 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [15:00:00 30/09/2014] el: 1 cg: RN cu: CSRU vo: 125 vu: ml id: Nepro 1000.0str t0: [15:00:00 30/09/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: BUN t0: [15:03:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 55 n1: 55 rs: Final st: NotStopd id: Calcium t0: [15:03:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [15:03:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 120 n1: 120 rs: Final st: NotStopd id: Creatinine t0: [15:03:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Glucose t0: [15:03:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 279 n1: 279 rs: Final st: NotStopd id: Magnesium t0: [15:03:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Phosphorous t0: [15:03:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [15:03:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [15:03:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 150 n1: 150 rs: Final st: NotStopd id: BUN (6-20) t0: [15:03:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 55 n1: 55 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [15:03:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [15:03:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [15:03:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 120 n1: 120 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [15:03:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [15:03:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 279 n1: 279 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [15:03:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [15:03:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [15:03:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [15:03:00 30/09/2014] el: 0 cg: 3161 cu: CSRU v1: 150 n1: 150 rs: Final st: NotStopd
id: Pain Assess Method t0: [12:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Pain Assess Method t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Communication t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 30/09/2014] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Type t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [15:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Family Communication t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Blister st: NotStopd id: ImpSkin Drain/Amt#1 t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Extremities, Lo st: NotStopd id: LLL Lung Sounds t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Cavity t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Precautions t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Speech t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Stool Color/Consist t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Melena v2: Liquid st: NotStopd id: Stool Management t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [15:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Icteric v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: D5W 6000.0ml t0: [16:00:00 30/09/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 200 vu: ml id: Stool Out Rectal Tube t0: [16:00:00 30/09/2014] el: 1 cg: RN cu: CSRU vo: 300 vu: ml id: Urine Out Foley t0: [16:00:00 30/09/2014] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Nepro 1000.0str t0: [16:00:00 30/09/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: INV#2 Dsg Change t0: [16:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 1 n2: 1 st: NotStopd
id: Service Type t0: [17:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [17:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [17:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [17:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90.3333 n1: 90.3333 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [17:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [17:00:00 30/09/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 200 vu: ml id: Gastric Meds t0: [17:00:00 30/09/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: GT Flush t0: [17:00:00 30/09/2014] el: 1 ai: 416 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [17:00:00 30/09/2014] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Nepro 1000.0str t0: [17:00:00 30/09/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Type t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI Intub #1/Site t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Poor st: NotStopd id: Level of Conscious t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: NBP t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 96.6667 n1: 96.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Care t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Assistance Device t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Skin Care t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Stool Color/Consist t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Melena v2: Liquid st: NotStopd id: Therapeutic Bed t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Icteric v2: Clear st: NotStopd id: Urine Source t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Back Care t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 277 n1: 277 rs: Manual st: NotStopd
id: D5W 6000.0ml t0: [18:00:00 30/09/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [18:00:00 30/09/2014] el: 1 cg: RN cu: CSRU vo: 75 vu: ml id: Nepro 1000.0str t0: [18:00:00 30/09/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Communication t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Eye Opening t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: Motor Response t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pupil Response R/L t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: Speech t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Stool Management t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Rectal Tube st: NotStopd id: Support Systems t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Verbal Response t0: [18:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 2 Incomp sounds st: NotStopd
id: Stool Out Rectal Tube t0: [18:00:00 30/09/2014] el: 1 cg: RN cu: CSRU vo: 400 vu: ml
id: Stool Out Total t0: [23:00:00 30/09/2014] el: 3 cg: RN cu: CSRU cv: 950 ac: 24 ap: none re: 0
id: Service Type t0: [19:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [19:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [19:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [19:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Family Communication t0: [19:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Heart Rate t0: [19:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [19:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 74.3333 n1: 74.3333 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [19:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: calprevflg t0: [19:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [19:00:00 30/09/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [19:00:00 30/09/2014] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro 1000.0str t0: [19:00:00 30/09/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Temp. Site t0: [19:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [19:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [19:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd
id: Pain Present t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Communication t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: GI Prophylaxis t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: GI#1 Intub Site t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Family Communication t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 157 n1: 157 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 96.3333 n1: 96.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Care t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Precautions t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 1 n2: 1 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Speech t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Stool Color/Consist t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Icteric v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [20:00:00 30/09/2014] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 6000.0ml t0: [20:00:00 30/09/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 200 vu: ml id: TF Residual t0: [20:00:00 30/09/2014] el: 1 ai: 416 cg: RN cu: CSRU vo: 15 vu: ml id: Gastric Meds t0: [20:00:00 30/09/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [20:00:00 30/09/2014] el: 1 cg: RN cu: CSRU vo: 75 vu: ml id: Nepro 1000.0str t0: [20:00:00 30/09/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [21:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [21:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 86.3333 n1: 86.3333 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [21:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [21:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 38.1111 n1: 38.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [21:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 100.6 n1: 100.6 u1: Deg. F st: NotStopd id: calprevflg t0: [21:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [21:00:00 30/09/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [21:00:00 30/09/2014] el: 1 cg: RN cu: CSRU vo: 75 vu: ml id: Nepro 1000.0str t0: [21:00:00 30/09/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Procedures t0: [21:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Blood Cultured st: NotStopd
pi: 3896316 hi: 19112 t0: [23:00:00 30/09/2014] tf: [07:00:00 08/10/2014] mn: Acetaminophen pt: Unit Dose st: Discontinued rt: PO fr: ONCE:PRN di: Ongoing xv: 36 xu: Hours
id: Fingerstick Glucose t0: [22:00:00 30/09/2014] el: 0 cg: CoWker cu: CSRU v1: 298 n1: 298 rs: Manual st: NotStopd
id: Service Type t0: [22:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [22:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [22:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 38.1111 n1: 38.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 100.6 n1: 100.6 u1: Deg. F st: NotStopd id: calprevflg t0: [22:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [22:00:00 30/09/2014] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: Gastric Meds t0: [22:00:00 30/09/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [22:00:00 30/09/2014] el: 1 cg: RN cu: CSRU vo: 75 vu: ml id: Nepro 1000.0str t0: [22:00:00 30/09/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [23:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 88.3333 n1: 88.3333 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [23:00:00 30/09/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 200 vu: ml id: Gastric Meds t0: [23:00:00 30/09/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [23:00:00 30/09/2014] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro 1000.0str t0: [23:00:00 30/09/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: IV Infusion In Total t0: [23:00:00 30/09/2014] el: 3 cg: RN cu: CSRU pv: 200 cv: 4660 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 30/09/2014] el: 3 cg: RN cu: CSRU pv: 280 cv: 5850 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 30/09/2014] el: 3 cg: RN cu: CSRU pv: 40 cv: 420 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 30/09/2014] el: 3 cg: RN cu: CSRU pv: 45 cv: 45 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 30/09/2014] el: 3 cg: RN cu: CSRU pv: 40 cv: 770 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 30/09/2014] el: 3 cg: RN cu: CSRU pv: 45 cv: 2530 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 30/09/2014] el: 3 cg: RN cu: CSRU pv: 235 cv: 2370 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 30/09/2014] el: 3 cg: RN cu: CSRU pv: 235 cv: 3264.3 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 30/09/2014] el: 3 cg: RN cu: CSRU pv: 235 cv: 235 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 30/09/2014] el: 3 cg: RN cu: CSRU pv: 45 cv: 3480 ac: 24 ap: none re: 0
id: Temp. Site t0: [23:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [23:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 38.1111 n1: 38.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [23:00:00 30/09/2014] el: 0 cg: RN cu: CSRU v1: 100.6 n1: 100.6 u1: Deg. F st: NotStopd
id: Service Type t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Risk for Falls t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Health Care Proxy t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: Heart Rate t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Orientation t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Precautions t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Speech t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Temp. Site t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 38.1667 n1: 38.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 100.7 n1: 100.7 u1: Deg. F st: NotStopd id: Verbal Response t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [00:00:00 01/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [00:00:00 01/10/2014] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Nepro 1000.0str t0: [00:00:00 01/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: GI Prophylaxis t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: GI#1 Intub Site t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Follows Commands t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GI Intub #1/Site t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: Activity t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Extremities, Lo st: NotStopd id: LLL Lung Sounds t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Oral Care t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Assistance Device t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Pupil Response R/L t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Side Rails t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Stool Color/Consist t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Icteric v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Behavior t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Restless st: NotStopd id: Bowel Sounds t0: [00:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Service Type t0: [01:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 94.6667 n1: 94.6667 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [01:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [01:00:00 01/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [01:00:00 01/10/2014] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro 1000.0str t0: [01:00:00 01/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [02:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [02:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [02:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [02:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 38.3333 n1: 38.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: Deg. F st: NotStopd id: calprevflg t0: [02:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [02:00:00 01/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 200 vu: ml id: Gastric Meds t0: [02:00:00 01/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [02:00:00 01/10/2014] el: 1 cg: RN cu: CSRU vo: 75 vu: ml id: Nepro 1000.0str t0: [02:00:00 01/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: PO/Gastric In Total t0: [23:00:00 01/10/2014] el: 3 cg: RN cu: CSRU pv: 310 cv: 830 ac: 24 ap: none re: 0
id: Service Type t0: [03:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [03:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [03:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 38.1111 n1: 38.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [03:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 100.6 n1: 100.6 u1: Deg. F st: NotStopd id: calprevflg t0: [03:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [03:00:00 01/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [03:00:00 01/10/2014] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Nepro 1000.0str t0: [03:00:00 01/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: IV Infusion In Total t0: [23:00:00 01/10/2014] el: 3 cg: RN cu: CSRU pv: 10 cv: 3720 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 01/10/2014] el: 3 cg: RN cu: CSRU pv: 360 cv: 5510 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 01/10/2014] el: 3 cg: RN cu: CSRU pv: 15 cv: 15 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 01/10/2014] el: 3 cg: RN cu: CSRU pv: 40 cv: 960 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 01/10/2014] el: 3 cg: RN cu: CSRU pv: 15 cv: 820 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 01/10/2014] el: 3 cg: RN cu: CSRU pv: 345 cv: 3490 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 01/10/2014] el: 3 cg: RN cu: CSRU pv: 345 cv: 6754.3 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 01/10/2014] el: 3 cg: RN cu: CSRU pv: 345 cv: 345 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 01/10/2014] el: 3 cg: RN cu: CSRU pv: 15 cv: 2020 ac: 24 ap: none re: 0
id: Pain Present t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Assess Method t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: GI#1 Intub Site t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: Activity t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Extremities, Lo st: NotStopd id: LLL Lung Sounds t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Care t0: [02:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Management t0: [04:00:00 01/10/2014] el: 1 cg: RN cu: CSRU v1: IV Push st: NotStopd id: Assistance Device t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Precautions t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Side Rails t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Speech t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Stool Color/Consist t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Temp. Site t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 38.1667 n1: 38.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 100.7 n1: 100.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Icteric v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Restless st: NotStopd id: Bowel Sounds t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 6000.0ml t0: [04:00:00 01/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 200 vu: ml id: TF Residual t0: [04:00:00 01/10/2014] el: 1 ai: 416 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [04:00:00 01/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [04:00:00 01/10/2014] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Nepro 1000.0str t0: [04:00:00 01/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: WBC (4-11,000) t0: [03:45:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 14.2 n1: 14.2 rs: Final st: NotStopd id: WBC t0: [03:45:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 14.2 n1: 14.2 rs: Final st: NotStopd id: Hematocrit t0: [03:45:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 30.9 n1: 30.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:45:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 10.9 n1: 10.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:45:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 83 n1: 83 rs: Final st: NotStopd id: RBC t0: [03:45:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:45:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 14.2 n1: 14.2 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 152 n1: 152 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [05:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [05:00:00 01/10/2014] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 6000.0ml t0: [05:00:00 01/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [05:00:00 01/10/2014] el: 1 cg: RN cu: CSRU vo: 75 vu: ml id: Nepro 1000.0str t0: [05:00:00 01/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Gastric Meds t0: [05:00:00 01/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 40 vu: ml
id: BUN t0: [03:45:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 57 n1: 57 rs: Final st: NotStopd id: Calcium t0: [03:45:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:45:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 116 n1: 116 rs: Final st: NotStopd id: Glucose t0: [03:45:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 311 n1: 311 rs: Final st: NotStopd id: Magnesium t0: [03:45:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Phosphorous t0: [03:45:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:45:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [03:45:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd id: ALT t0: [03:45:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 47 n1: 47 rs: Final st: NotStopd id: BUN (6-20) t0: [03:45:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 57 n1: 57 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:45:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:45:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:45:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 116 n1: 116 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:45:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 311 n1: 311 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:45:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:45:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:45:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:45:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd
id: Total Bili t0: [03:45:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 rs: Final st: NotStopd
id: PT t0: [03:45:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 18.6 n1: 18.6 rs: Final st: NotStopd id: INR t0: [03:45:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: PTT t0: [03:45:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 33.6 n1: 33.6 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:45:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:45:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 18.6 n1: 18.6 rs: Final st: NotStopd id: PTT(22-35) t0: [03:45:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 33.6 n1: 33.6 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 01/10/2014] el: 0 cg: CoWker cu: CSRU v1: 300 n1: 300 rs: Manual st: NotStopd
id: Service Type t0: [06:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 157 n1: 157 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 94.3333 n1: 94.3333 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [06:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 38.2778 n1: 38.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 100.9 n1: 100.9 u1: Deg. F st: NotStopd id: calprevflg t0: [06:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [06:00:00 01/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 200 vu: ml id: Gastric Meds t0: [06:00:00 01/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [06:00:00 01/10/2014] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Nepro 1000.0str t0: [06:00:00 01/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Stool Guaiac t0: [06:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd
id: Stool Out Rectal Tube t0: [06:00:00 01/10/2014] el: 1 cg: RN cu: CSRU vo: 500 vu: ml
id: Service Type t0: [07:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [07:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [07:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [07:00:00 01/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 200 vu: ml id: Nepro 1000.0str t0: [07:00:00 01/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Pain Present t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 152 n1: 152 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 89.3333 n1: 89.3333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Precautions t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [08:00:00 01/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [08:00:00 01/10/2014] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: Nepro 1000.0str t0: [08:00:00 01/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Communication t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: GI Prophylaxis t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: GCS Total t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Extremities, Lo st: NotStopd id: LLL Lung Sounds t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 1 n2: 1 st: NotStopd id: RLL Lung Sounds t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Side Rails t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Speech t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Slurred st: NotStopd id: Stool Color/Consist t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: Therapeutic Bed t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Icteric v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Bowel Sounds t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
pi: 3897631 hi: 19112 t0: [20:00:00 01/10/2014] tf: [07:00:00 02/10/2014] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q 12H ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [09:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [09:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [10:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP t0: [10:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90.6667 n1: 90.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 93.3333 n1: 93.3333 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [10:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [10:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [09:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [09:00:00 01/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 200 vu: ml id: D5W 6000.0ml t0: [10:00:00 01/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [10:00:00 01/10/2014] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro 1000.0str t0: [09:00:00 01/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro 1000.0str t0: [10:00:00 01/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Temp. Site t0: [10:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [10:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [10:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd
pi: 3897734 hi: 19112 t0: [12:00:00 01/10/2014] tf: [11:00:00 02/10/2014] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml 1/2NS Bolus 500 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [11:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [11:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [11:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [11:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .45% Normal Saline 1000.0ml t0: [11:00:00 01/10/2014] el: 1 ai: 189 cg: RN cu: CSRU vo: 500 vu: ml id: Urine Out Foley t0: [11:00:00 01/10/2014] el: 1 cg: RN cu: CSRU vo: 27 vu: ml
id: D5W 6000.0ml t0: [11:00:00 01/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 200 vu: ml id: Nepro 1000.0str t0: [11:00:00 01/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Fingerstick Glucose t0: [12:00:00 01/10/2014] el: 0 cg: CoOPst cu: CSRU v1: 295 n1: 295 rs: Manual st: NotStopd
id: Service Type t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 01/10/2014] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 157 n1: 157 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 89.6667 n1: 89.6667 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [12:00:00 01/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [12:00:00 01/10/2014] el: 1 cg: RN cu: CSRU vo: 32 vu: ml id: Nepro 1000.0str t0: [12:00:00 01/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Pain Present t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Communication t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: GI Prophylaxis t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: GI#1 Intub Site t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Follows Commands t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Extremities, Lo st: NotStopd id: LLL Lung Sounds t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: O2 Delivery Device t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Care t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 1 n2: 1 st: NotStopd id: Pupil Response R/L t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Response R/L t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [08:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: Pupil Size R/L t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Side Rails t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Speech t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Slurred st: NotStopd id: Stool Color/Consist t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: Therapeutic Bed t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Icteric v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Bowel Sounds t0: [12:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Service Type t0: [13:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [13:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 84.6667 n1: 84.6667 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [13:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [14:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [14:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 88.6667 n1: 88.6667 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [14:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [13:00:00 01/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 01/10/2014] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Nepro 1000.0str t0: [13:00:00 01/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Pain Present t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [15:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: CVP t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [15:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [15:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 94.6667 n1: 94.6667 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 38.8333 n1: 38.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 101.9 n1: 101.9 u1: Deg. F st: NotStopd id: calprevflg t0: [15:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: BUN t0: [15:34:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 66 n1: 66 rs: Final st: NotStopd id: Calcium t0: [15:34:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Glucose t0: [15:34:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 263 n1: 263 rs: Final st: NotStopd id: Magnesium t0: [15:34:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Phosphorous t0: [15:34:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 u1: mEq/L rs: Final st: NotStopd id: BUN (6-20) t0: [15:34:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 66 n1: 66 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [15:34:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [15:34:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Glucose (70-105) t0: [15:34:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 263 n1: 263 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [15:34:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [15:34:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 u1: mEq/L rs: Final st: NotStopd
id: Pain Assess Method t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Level of Conscious t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: O2 Delivery Device t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd
id: D5W 6000.0ml t0: [14:00:00 01/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 6000.0ml t0: [15:00:00 01/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 6000.0ml t0: [16:00:00 01/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [14:00:00 01/10/2014] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [15:00:00 01/10/2014] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [16:00:00 01/10/2014] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro 1000.0str t0: [14:00:00 01/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro 1000.0str t0: [15:00:00 01/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro 1000.0str t0: [16:00:00 01/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Diet Type t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Motor Response t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Orientation t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Respiratory Pattern t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Urine Source t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd
id: Creatinine t0: [15:34:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [15:34:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 rs: Final st: NotStopd
id: Chloride t0: [15:34:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 116 n1: 116 rs: Final st: NotStopd id: Potassium t0: [15:34:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [15:34:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd id: Chloride (100-112) t0: [15:34:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 116 n1: 116 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [15:34:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [15:34:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd
id: Communication t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Speech t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Slurred st: NotStopd
id: GI Prophylaxis t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Abdominal Assessment t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Blister st: NotStopd id: ImpSkin Drain/Amt#1 t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Extremities, Lo st: NotStopd id: LLL Lung Sounds t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Oral Cavity t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: RLL Lung Sounds t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Side Rails t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Stool Color/Consist t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Urine Color/Appear t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Icteric v2: Clear st: NotStopd id: Bowel Sounds t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: HOB t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Oral Care t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 1 n2: 1 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: Therapeutic Bed t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd
id: Service Type t0: [17:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [18:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [18:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [17:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Follows Commands t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 95.3333 n1: 95.3333 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [18:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [16:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: Respiratory Rate t0: [17:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [18:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [18:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [18:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 38.0556 n1: 38.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 100.5 n1: 100.5 u1: Deg. F st: NotStopd id: calprevflg t0: [17:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [17:00:00 01/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 6000.0ml t0: [18:00:00 01/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 01/10/2014] el: 1 cg: RN cu: CSRU vo: 24 vu: ml id: Nepro 1000.0str t0: [17:00:00 01/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro 1000.0str t0: [18:00:00 01/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: NBP t0: [18:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 89.6667 n1: 89.6667 u1: mmHg st: NotStopd
id: Stool Out Rectal Tube t0: [18:00:00 01/10/2014] el: 1 cg: RN cu: CSRU vo: 700 vu: ml
id: Stool Out Total t0: [23:00:00 01/10/2014] el: 3 cg: RN cu: CSRU cv: 1200 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [18:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 201 n1: 201 rs: Manual st: NotStopd
id: D5W 6000.0ml t0: [19:00:00 01/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: .45% Normal Saline 1000.0ml t0: [19:00:00 01/10/2014] el: 1 ai: 189 cg: RN cu: CSRU vo: 500 vu: ml id: Nepro 1000.0str t0: [19:00:00 01/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
pi: 3899268 hi: 19112 t0: [20:00:00 01/10/2014] tf: [07:00:00 08/10/2014] mn: Rifaximin pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [19:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [19:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [19:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 88.6667 n1: 88.6667 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [19:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: BSA t0: [19:29:00 01/10/2014] el: 1033 cg: -1 cu: CSRU id: Admit Wt t0: [19:29:00 01/10/2014] el: 1032 cg: -1 cu: CSRU v1: 159.9 n1: 159.9 u1: kg id: Allergy 1 t0: [19:29:00 01/10/2014] el: 1020 cg: -1 cu: CSRU v1: No Known Drug Allergies id: Diagnosis/op t0: [19:29:00 01/10/2014] el: 1023 cg: -1 cu: CSRU v1: CIRRHOSIS id: Service t0: [19:29:00 01/10/2014] el: 1026 cg: -1 cu: CSRU v1: MED id: Admit Ht t0: [19:29:00 01/10/2014] el: 1034 cg: -1 cu: CSRU id: Readmission t0: [19:29:00 01/10/2014] el: 1014 cg: -1 cu: CSRU id: Marital Status t0: [19:29:00 01/10/2014] el: 1006 cg: -1 cu: CSRU v1: S id: Religion t0: [19:29:00 01/10/2014] el: 1000 cg: -1 cu: CSRU v1: U id: Allergy 2 t0: [19:29:00 01/10/2014] el: 1021 cg: -1 cu: CSRU id: Ext t0: [19:29:00 01/10/2014] el: 1010 cg: -1 cu: CSRU id: Allergy 3 t0: [19:29:00 01/10/2014] el: 1022 cg: -1 cu: CSRU
id: Service Type t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 81.3333 n1: 81.3333 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [19:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Urine Culture st: NotStopd id: Procedures t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Blood Cultured st: NotStopd id: Respiratory Rate t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 37.8889 n1: 37.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 100.2 n1: 100.2 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [20:00:00 01/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [20:00:00 01/10/2014] el: 1 cg: RN cu: CSRU vo: 35 vu: ml id: Nepro 1000.0str t0: [20:00:00 01/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: TF Residual t0: [20:00:00 01/10/2014] el: 1 ai: 416 cg: RN cu: CSRU vo: 35 vu: ml id: Free Water Bolus t0: [20:00:00 01/10/2014] el: 1 ai: 274 cg: RN cu: CSRU vo: 250 vu: ml
id: D5W 100.0ml t0: [20:00:00 01/10/2014] el: 1 ai: 105 cg: RN cu: CSRU vo: 250 vu: ml
id: Po Intake t0: [21:00:00 01/10/2014] el: 1 ai: 103 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Pain Present t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [21:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Daily Wake Up t0: [20:00:00 01/10/2014] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [21:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [21:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [21:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Extremities, Lo st: NotStopd id: LLL Lung Sounds t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [21:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Care t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 1 n2: 1 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [21:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [21:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Speech t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Slurred st: NotStopd id: Stool Color/Consist t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: Therapeutic Bed t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Orange v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [21:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd
id: D5W 6000.0ml t0: [21:00:00 01/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [21:00:00 01/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [21:00:00 01/10/2014] el: 1 cg: RN cu: CSRU vo: 12 vu: ml id: Nepro 1000.0str t0: [21:00:00 01/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [22:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Precautions t0: [22:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [22:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Vancomycin/Random t0: [20:13:00 01/10/2014] el: 0 cg: 3161 cu: CSRU v1: 25.7 n1: 25.7 rs: Final st: NotStopd
id: Service Type t0: [23:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 72.3333 n1: 72.3333 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [23:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 231 n1: 231 rs: Manual st: NotStopd
id: D5W 6000.0ml t0: [22:00:00 01/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 6000.0ml t0: [23:00:00 01/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [22:00:00 01/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Gastric Meds t0: [23:00:00 01/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Free Water Bolus t0: [23:00:00 01/10/2014] el: 1 ai: 274 cg: RN cu: CSRU vo: 250 vu: ml id: Urine Out Foley t0: [23:00:00 01/10/2014] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Nepro 1000.0str t0: [22:00:00 01/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro 1000.0str t0: [23:00:00 01/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
pi: 3900086 hi: 19112 t0: [01:00:00 02/10/2014] tf: [00:00:00 03/10/2014] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 75.6667 n1: 75.6667 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [23:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [23:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [23:00:00 01/10/2014] el: 0 cg: RN cu: CSRU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [00:00:00 02/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [00:00:00 02/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Nepro 1000.0str t0: [00:00:00 02/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: .9% Normal Saline t0: [00:00:00 02/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 500 vu: ml
id: Service Type t0: [01:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [02:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [03:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [02:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [03:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [01:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP t0: [02:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 75.3333 n1: 75.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 56.3333 n1: 56.3333 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [02:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [03:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [02:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [03:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [02:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [02:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: calprevflg t0: [01:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [01:00:00 02/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 6000.0ml t0: [02:00:00 02/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 6000.0ml t0: [03:00:00 02/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [02:00:00 02/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [03:00:00 02/10/2014] el: 1 cg: RN cu: CSRU vo: 8 vu: ml id: Nepro 1000.0str t0: [01:00:00 02/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro 1000.0str t0: [02:00:00 02/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro 1000.0str t0: [03:00:00 02/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: IV Infusion In Total t0: [23:00:00 02/10/2014] el: 3 cg: RN cu: CSRU pv: 10 cv: 2062.3 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 02/10/2014] el: 3 cg: RN cu: CSRU pv: 90 cv: 5446.3 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 02/10/2014] el: 3 cg: RN cu: CSRU pv: 40 cv: 830 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 02/10/2014] el: 3 cg: RN cu: CSRU pv: 0 cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 02/10/2014] el: 3 cg: RN cu: CSRU pv: 40 cv: 1000 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 02/10/2014] el: 3 cg: RN cu: CSRU pv: 0 cv: 41 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 02/10/2014] el: 3 cg: RN cu: CSRU pv: 90 cv: 3880.3 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 02/10/2014] el: 3 cg: RN cu: CSRU pv: 90 cv: 10634.6 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 02/10/2014] el: 3 cg: RN cu: CSRU pv: 90 cv: 90 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 02/10/2014] el: 3 cg: RN cu: CSRU pv: 0 cv: 1566 ac: 24 ap: none re: 0
id: NBP t0: [03:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd
id: Service Type t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Precautions t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [04:00:00 02/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 02/10/2014] el: 1 cg: RN cu: CSRU vo: 2 vu: ml id: Nepro 1000.0str t0: [04:00:00 02/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: WBC (4-11,000) t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 14.5 n1: 14.5 rs: Final st: NotStopd id: WBC t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 14.5 n1: 14.5 rs: Final st: NotStopd id: Hematocrit t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 28.9 n1: 28.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 10.1 n1: 10.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 84 n1: 84 rs: Final st: NotStopd id: RBC t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 14.5 n1: 14.5 rs: Final st: NotStopd
id: D5W 6000.0ml t0: [05:00:00 02/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: TF Residual t0: [04:00:00 02/10/2014] el: 1 ai: 416 cg: RN cu: CSRU vo: 70 vu: ml id: Gastric Meds t0: [04:00:00 02/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Free Water Bolus t0: [04:00:00 02/10/2014] el: 1 ai: 274 cg: RN cu: CSRU vo: 250 vu: ml id: GT Flush t0: [02:00:00 02/10/2014] el: 1 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml id: Stool Out Rectal Tube t0: [05:00:00 02/10/2014] el: 1 cg: RN cu: CSRU vo: 775 vu: ml id: Urine Out Foley t0: [05:00:00 02/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Nepro 1000.0str t0: [05:00:00 02/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [05:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 59.6667 n1: 59.6667 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [05:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: PT t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 21.4 n1: 21.4 rs: Final st: NotStopd id: INR t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: PTT t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 38.7 n1: 38.7 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 21.4 n1: 21.4 rs: Final st: NotStopd id: PTT(22-35) t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 38.7 n1: 38.7 rs: Final st: NotStopd
id: BUN t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 75 n1: 75 rs: Final st: NotStopd id: Albumin t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: Calcium t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 116 n1: 116 rs: Final st: NotStopd id: Glucose t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 197 n1: 197 rs: Final st: NotStopd id: Magnesium t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Phosphorous t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 5.4 n1: 5.4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 148 n1: 148 rs: Final st: NotStopd id: Total Bili t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 26.1 n1: 26.1 rs: Final st: NotStopd id: ALT t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 43 n1: 43 rs: Final st: NotStopd id: Albumin (>3.2) t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: BUN (6-20) t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 75 n1: 75 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 116 n1: 116 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 197 n1: 197 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 5.4 n1: 5.4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:34:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 148 n1: 148 rs: Final st: NotStopd
id: CVP t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [05:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd
id: Service Type t0: [06:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: NBP t0: [06:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 61.3333 n1: 61.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [06:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [06:00:00 02/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 1000.0str t0: [06:00:00 02/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [07:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [07:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [07:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [07:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [07:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Rate t0: [07:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [07:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [07:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [07:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: calprevflg t0: [07:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [07:00:00 02/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: Stool Out Rectal Tube t0: [07:00:00 02/10/2014] el: 1 cg: RN cu: CSRU vo: 750 vu: ml id: Urine Out Foley t0: [07:00:00 02/10/2014] el: 1 cg: RN cu: CSRU vo: 4 vu: ml id: Nepro 1000.0str t0: [07:00:00 02/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Stool Out Total t0: [23:00:00 02/10/2014] el: 3 cg: RN cu: CSRU cv: 1525 ac: 24 ap: none re: 0
id: Pain Present t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Present t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Pain Assess Method t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 02/10/2014] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: O2 Delivery Device t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Pain Location t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Location t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 1 n2: 1 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 1 n2: 1 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd
id: BATH t0: [02:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: bath id: Communication t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Communication t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: GI Prophylaxis t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: GI Prophylaxis t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Diet Type t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Intub Site t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Eye Opening t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Eye Opening t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Follows Commands t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: Follows Commands t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: points st: NotStopd id: GCS Total t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI Intub #1/Site t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: Abdominal Assessment t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: Activity t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: Activity Tolerance t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: Imp Skin Cleanse #1 t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: Imp Skin Cleanse #1 t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Blister st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Blister st: NotStopd id: ImpSkin Drain/Amt#1 t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Sanguinous v2: Small st: NotStopd id: ImpSkin Drain/Amt#1 t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Sanguinous v2: Small st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wound Base#1 t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wth/Lth #1 t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 cm v2: 1 cm st: NotStopd id: ImpSkin Wth/Lth #1 t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 cm v2: 1 cm st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Back, Lower st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Back, Lower st: NotStopd id: LLL Lung Sounds t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LLL Lung Sounds t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Level of Conscious t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Motor Response t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [02:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Oral Cavity t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: Orientation t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Pupil Response R/L t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Response R/L t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: Pupil Size R/L t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RLL Lung Sounds t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Pattern t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Side Rails t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [02:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Integrity t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Speech t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Slurred st: NotStopd id: Speech t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Stool Color/Consist t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Color/Consist t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Stool Management t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Therapeutic Bed t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Orange v2: Clear st: NotStopd id: Urine Color/Appear t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Orange v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Verbal Response t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Back Care t0: [02:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Back Care t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Behavior t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Behavior t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Bowel Sounds t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Bowel Sounds t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Activity t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Frict/Shear t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Mobility t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Moisture t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Nutrition t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: number st: NotStopd id: Braden Score t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd id: Braden SensoryPercep t0: [04:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd
id: Pain Present t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 02/10/2014] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Readiness t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: No Understanding st: NotStopd id: Education Topic #1 t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Blister st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Back, Lower st: NotStopd id: LLL Lung Sounds t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 60.6667 n1: 60.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Care t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: Pain Location t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Speech t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Stool Color/Consist t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Urine Color/Appear t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Orange v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Bowel Sounds t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd
id: D5W 100.0ml t0: [08:00:00 02/10/2014] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 6000.0ml t0: [08:00:00 02/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: TF Residual t0: [08:00:00 02/10/2014] el: 1 ai: 416 cg: RN cu: CSRU vo: 5 vu: ml id: Gastric Meds t0: [08:00:00 02/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 40 vu: ml id: Free Water Bolus t0: [08:00:00 02/10/2014] el: 1 ai: 274 cg: RN cu: CSRU vo: 250 vu: ml id: Urine Out Foley t0: [08:00:00 02/10/2014] el: 1 cg: RN cu: CSRU vo: 1 vu: ml id: Nepro 1000.0str t0: [08:00:00 02/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Activity t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Turn t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd
pi: 3900958 hi: 19112 t0: [10:00:00 02/10/2014] tf: [12:00:00 02/10/2014] mn: Ceftazidime pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q12H ds: 10, 22 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [09:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [09:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Risk for Falls t0: [09:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [09:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [09:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [09:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [09:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [09:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [09:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Orientation t0: [09:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Precautions t0: [09:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Speech t0: [09:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Verbal Response t0: [09:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [09:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [09:00:00 02/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 02/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Nepro 1000.0str t0: [09:00:00 02/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [10:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 61.3333 n1: 61.3333 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 10 n2: 10 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [10:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [10:00:00 02/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 02/10/2014] el: 1 cg: RN cu: CSRU vo: 1 vu: ml id: Nepro 1000.0str t0: [10:00:00 02/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Levophed-k io: D5W 250.0ml + 8mcgkgmin Levophed-k el: 100 cg: RN cu: CSRU am: 8 du: mcgkgmin rt: IV Drip
id: Fingerstick Glucose t0: [12:00:00 02/10/2014] el: 0 cg: CoOPst cu: CSRU v1: 200 n1: 200 rs: Manual st: NotStopd
id: Service Type t0: [11:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [11:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 56.3333 n1: 56.3333 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: calprevflg t0: [11:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 3901324 hi: 19112 t0: [13:00:00 02/10/2014] tf: [01:00:00 08/10/2014] mn: Norepinephrine pt: IV Piggyback st: Inactive (Due to a change order) rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label pi: 3901389 hi: 19112 t0: [13:00:00 02/10/2014] tf: [07:00:00 08/10/2014] mn: Ceftazidime pt: IV Piggyback st: Discontinued rt: IV fr: Q48H dn: 0 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [12:10:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:10:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:10:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:10:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [12:10:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: NBP t0: [12:10:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: NBP Mean t0: [12:10:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 60.3333 n1: 60.3333 u1: mmHg st: NotStopd id: Precautions t0: [12:10:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:10:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:10:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:10:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:10:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:10:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [12:10:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [12:10:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [12:10:00 02/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 21.6667 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [12:10:00 02/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Nepro 1000.0str t0: [12:10:00 02/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 86.6667 vu: ml
id: Pain Present t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 02/10/2014] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Alarms t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: O2 Delivery Device t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Pain Location t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Procedures t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Line Placement st: NotStopd
id: Gastric Meds t0: [12:00:00 02/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro 1000.0str t0: [12:00:00 02/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vu: ml st: Stopped
id: D5W 100.0ml t0: [11:00:00 02/10/2014] el: 1 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml id: D5W 100.0ml t0: [12:00:00 02/10/2014] el: 1 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml id: D5W 6000.0ml t0: [12:18:00 02/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 1.33333 vu: ml id: Nepro 1000.0str t0: [11:00:00 02/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro 1000.0str t0: [12:18:00 02/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 5.33333 vu: ml
id: Levophed-k t0: [12:00:00 02/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0.028 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: INV#1Chg o/Wire Date t0: [12:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: Communication t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: GI Prophylaxis t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Education Barrier t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Patient/Family st: NotStopd id: Education Method t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Readiness t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [10:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Flat in Bed st: NotStopd id: INV Line#1 Site Date t0: [12:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [12:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: A-Line v2: Right Radial st: NotStopd id: INV Line#1InsertDate t0: [12:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2 Type/Site t0: [12:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2InsertDate t0: [12:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2SiteAppear t0: [12:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: Activity t0: [10:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Imp Skin Cleanse #1 t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Saline st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Blister st: NotStopd id: ImpSkin Drain/Amt#1 t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yellow st: NotStopd id: ImpSkin Wth/Lth #1 t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 cm v2: 1 cm st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Back, Lower st: NotStopd id: LLL Lung Sounds t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [10:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [10:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [12:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 1 n2: 1 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 1 n2: 1 st: NotStopd id: INV#2 Dsg Change t0: [12:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 1 n2: 1 st: NotStopd id: Pupil Response R/L t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Speech t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Stool Color/Consist t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [12:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [12:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV#2 Cap Change t0: [12:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV#2 Tubing Change t0: [12:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: Therapeutic Bed t0: [10:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Therapeutic Bed t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [10:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Orange v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Behavior t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Bowel Sounds t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd
id: Activity t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Turn t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd
id: Levophed-k t0: [12:10:00 02/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0.0280175 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [12:18:00 02/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vu: ml
id: CVP t0: [11:00:00 02/10/2014] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [12:10:00 02/10/2014] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 02/10/2014] el: 0 cg: RN cu: CSRU u1: mmHg u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:10:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd
id: Ectopy Frequency t0: [12:10:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:10:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rhythm t0: [12:10:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd
pi: 3901577 hi: 19112 t0: [14:00:00 02/10/2014] tf: [08:00:00 03/10/2014] pt: IV Large Volume st: Discontinued rt: DIALYS fr: ASDIR iv: Prismasate (B22 K4) Continuous at 500 ml/hr ir: 500 it: C ss: N di: Ongoing xu: Enter on Label pi: 3901593 hi: 19112 t0: [14:00:00 02/10/2014] tf: [08:00:00 03/10/2014] pt: IV Piggyback st: Discontinued rt: IV fr: ASDIR iv: Potassium Chloride 10 mEq / 100 mL SW (CRRT Only) Continuous at 20 ml/hr it: C ss: Y di: Ongoing xv: 36 xu: Hours pi: 3901594 hi: 19112 t0: [14:00:00 02/10/2014] tf: [14:00:00 02/10/2014] mn: Potassium Chloride pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: PRN di: Ongoing xv: 36 xu: Hours pi: 3901595 hi: 19112 t0: [14:00:00 02/10/2014] tf: [14:00:00 02/10/2014] mn: Potassium Chloride pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [13:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [13:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [13:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [13:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [13:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [13:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [13:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [13:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP t0: [13:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 70.6667 n1: 70.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [13:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Arterial BP t0: [13:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Precautions t0: [13:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [13:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [13:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [13:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [13:00:00 02/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0.0280175 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [13:30:00 02/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0.0280175 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [13:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [13:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [13:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [13:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [13:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 72.6667 n1: 72.6667 u1: mmHg st: NotStopd id: Arterial BP t0: [13:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [13:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [13:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [13:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [13:45:00 02/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0.0133417 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 3901903 hi: 19112 t0: [15:00:00 02/10/2014] tf: [07:00:00 08/10/2014] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: PRN di: Ongoing xv: 36 xu: Hours pi: 3901904 hi: 19112 t0: [15:00:00 02/10/2014] tf: [07:00:00 08/10/2014] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 69.6667 n1: 69.6667 u1: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [14:00:00 02/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 17 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [14:00:00 02/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vo: 14.3 vu: ml id: Urine Out Foley t0: [11:00:00 02/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [12:00:00 02/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [13:00:00 02/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [14:00:00 02/10/2014] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 1000.0str t0: [14:00:00 02/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 68 vu: ml
id: Levophed-k t0: [14:00:00 02/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0.0133417 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Daily Wake Up t0: [15:00:00 02/10/2014] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Readiness t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Zero/Cal t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1SiteAppear t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Impaired Skin Site#1 t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Back, Lower st: NotStopd id: LLL Lung Sounds t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Cavity t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Pain Location t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Position t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 1 n2: 1 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Speech t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Stool Color/Consist t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV#2 Tubing Change t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Orange v2: Clear st: NotStopd id: Urine Source t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Bowel Sounds t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [15:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd
id: D5W 6000.0ml t0: [15:00:00 02/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [15:00:00 02/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [15:00:00 02/10/2014] el: 1 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro 1000.0str t0: [15:00:00 02/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Levophed-k t0: [15:00:00 02/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0.0133417 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [15:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [15:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [15:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [15:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP Mean t0: [15:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 66.6667 n1: 66.6667 u1: mmHg st: NotStopd id: Arterial BP t0: [15:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [15:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [15:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Ultrasound st: NotStopd id: Respiratory Rate t0: [15:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [15:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [15:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [15:15:00 02/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0.0133417 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: NBP t0: [16:00:00 02/10/2014] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Art.pH t0: [16:37:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 7.35 n1: 7.35 rs: Final st: NotStopd id: Lactic Acid t0: [16:37:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Arterial Base Excess t0: [16:37:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: -4 n1: -4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:37:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:37:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 36 n1: 36 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:37:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 49 n1: 49 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:37:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 7.35 n1: 7.35 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [16:37:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 rs: Final st: NotStopd
id: BATH t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Done id: Service Type t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Oral Care t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Position t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Skin Care t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [17:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Precautions t0: [17:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [17:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [16:00:00 02/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 6000.0ml t0: [17:00:00 02/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 02/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [17:00:00 02/10/2014] el: 1 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro 1000.0str t0: [16:00:00 02/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro 1000.0str t0: [17:00:00 02/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Art.pH t0: [17:08:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: Arterial Base Excess t0: [17:08:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [17:08:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [17:08:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 31 n1: 31 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [17:08:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [17:08:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 7.42 n1: 7.42 rs: Final st: NotStopd
id: BUN t0: [16:00:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 84 n1: 84 rs: Final st: NotStopd id: Calcium t0: [16:00:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [16:00:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 117 n1: 117 rs: Final st: NotStopd id: Glucose t0: [16:00:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 135 n1: 135 rs: Final st: NotStopd id: Magnesium t0: [16:00:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Phosphorous t0: [16:00:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 6.7 n1: 6.7 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [16:00:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [16:00:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 148 n1: 148 rs: Final st: NotStopd id: BUN (6-20) t0: [16:00:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 84 n1: 84 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [16:00:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [16:00:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Chloride (100-112) t0: [16:00:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 117 n1: 117 rs: Final st: NotStopd id: Glucose (70-105) t0: [16:00:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 135 n1: 135 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [16:00:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [16:00:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 6.7 n1: 6.7 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [16:00:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [16:00:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 148 n1: 148 rs: Final st: NotStopd
id: Creatinine t0: [16:00:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 5.4 n1: 5.4 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [16:00:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 5.4 n1: 5.4 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [18:00:00 02/10/2014] el: 0 cg: CoOPst cu: CSRU v1: 143 n1: 143 rs: Manual st: NotStopd
id: Blood Products t0: [18:00:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: Y rs: Final st: NotStopd
id: Service Type t0: [18:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Temperature C (calc) t0: [18:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: calprevflg t0: [18:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [17:30:00 02/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 6000.0ml t0: [18:00:00 02/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 5 vu: ml id: Fresh Frozen Plasma t0: [17:30:00 02/10/2014] el: 1 ai: 160 cg: RN cu: CSRU vo: 258 vu: ml uu: Units nb: 1 id: Fresh Frozen Plasma t0: [18:00:00 02/10/2014] el: 1 ai: 160 cg: RN cu: CSRU vo: 288 vu: ml uu: Units nb: 1 id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [17:30:00 02/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vo: 2 vu: ml id: Nepro 1000.0str t0: [17:30:00 02/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro 1000.0str t0: [18:00:00 02/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 20 vu: ml
id: Service Type t0: [19:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [19:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [19:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [18:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [18:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [17:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP t0: [19:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position t0: [18:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [18:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [19:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [18:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [18:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: calprevflg t0: [19:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [19:00:00 02/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [15:00:00 02/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [16:00:00 02/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [17:00:00 02/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [18:00:00 02/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vu: ml id: Urine Out Foley t0: [18:00:00 02/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [19:00:00 02/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Nepro 1000.0str t0: [19:00:00 02/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: INV#1Chg o/Wire Date t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Site Date t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [14:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 1 n2: 1 st: NotStopd id: INV#1 Cap Change t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd
id: Temp. Site t0: [19:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [19:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [19:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd
id: Packed RBC's t0: [19:00:00 02/10/2014] el: 1 ai: 106 cg: RN cu: CSRU vo: 375 vu: ml uu: Units nb: 1 id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [19:00:00 02/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vo: 6 vu: ml
id: PTT t0: [18:30:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 36.3 n1: 36.3 rs: Final st: NotStopd id: PTT(22-35) t0: [18:30:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 36.3 n1: 36.3 rs: Final st: NotStopd
id: PT t0: [18:30:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 18.8 n1: 18.8 rs: Final st: NotStopd id: INR t0: [18:30:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [18:30:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: PT(11-13.5) t0: [18:30:00 02/10/2014] el: 0 cg: 3161 cu: CSRU v1: 18.8 n1: 18.8 rs: Final st: NotStopd
id: Pain Present t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [19:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [19:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [19:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: CVP t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [19:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [19:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 02/10/2014] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [19:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [19:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [19:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [19:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [19:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [19:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [19:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Back, Lower st: NotStopd id: LLL Lung Sounds t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: O2 Delivery Device t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Arterial BP t0: [19:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP t0: [19:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [19:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [19:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [19:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [19:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 1 n2: 1 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [19:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [19:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Speech t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Stool Color/Consist t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [19:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temp. Site t0: [19:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temp. Site t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [19:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [19:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [19:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: Temperature F t0: [19:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: Temperature F t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Orange v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [19:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:45:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd
id: D5W 6000.0ml t0: [20:00:00 02/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 1000.0str t0: [20:00:00 02/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: D5W 100.0ml t0: [20:00:00 02/10/2014] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [20:00:00 02/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: Service Type t0: [20:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [20:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [20:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [20:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [20:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [20:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [20:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [20:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [20:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: calprevflg t0: [20:15:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fresh Frozen Plasma t0: [20:00:00 02/10/2014] el: 1 ai: 160 cg: RN cu: CSRU vo: 309 vu: ml uu: Units id: Fresh Frozen Plasma t0: [20:15:00 02/10/2014] el: 1 ai: 160 cg: RN cu: CSRU vo: 324 vu: ml uu: Units
id: Blood Products Total t0: [23:00:00 02/10/2014] el: 3 cg: RN cu: CSRU cv: 1554 ac: 24 ap: none re: 0
id: Service Type t0: [20:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [21:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [21:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [20:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [20:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [20:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [21:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [20:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [20:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [21:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [20:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [21:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [20:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [20:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: calprevflg t0: [20:30:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [21:00:00 02/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: TF Residual t0: [20:00:00 02/10/2014] el: 1 ai: 416 cg: RN cu: CSRU vo: 5 vu: ml id: Gastric Meds t0: [20:00:00 02/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Nepro 1000.0str t0: [21:00:00 02/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [22:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [22:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [22:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [22:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [22:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [20:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [22:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [22:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position t0: [22:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [22:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Skin Care t0: [22:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [22:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Therapeutic Bed t0: [22:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [22:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [22:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [22:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [22:00:00 02/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [21:00:00 02/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [22:00:00 02/10/2014] el: 1 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro 1000.0str t0: [22:00:00 02/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [23:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [23:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [23:00:00 02/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [23:00:00 02/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [23:00:00 02/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro 1000.0str t0: [23:00:00 02/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Pain Present t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: BATH t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: DONE id: INV#1Chg o/Wire Date t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 03/10/2014] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Back, Lower st: NotStopd id: LLL Lung Sounds t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: O2 Delivery Device t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Care t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 1 n2: 1 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Speech t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Stool Color/Consist t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: D5W 6000.0ml t0: [00:00:00 03/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [00:00:00 03/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [23:00:00 02/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Nepro 1000.0str t0: [00:00:00 03/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [01:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [02:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [02:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [02:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [02:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [01:00:00 03/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 6000.0ml t0: [02:00:00 03/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [02:00:00 03/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [01:00:00 03/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [02:00:00 03/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Nepro 1000.0str t0: [01:00:00 03/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro 1000.0str t0: [02:00:00 03/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: PO/Gastric In Total t0: [23:00:00 03/10/2014] el: 3 cg: RN cu: CSRU pv: 60 cv: 650 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 03/10/2014] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 03/10/2014] el: 3 cg: RN cu: CSRU cv: 20 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 03/10/2014] el: 3 cg: RN cu: CSRU cv: 2470 ac: 24 ap: none re: 0
id: Service Type t0: [03:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [03:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [03:00:00 03/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 1000.0str t0: [03:00:00 03/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: IV Infusion In Total t0: [23:00:00 03/10/2014] el: 3 cg: RN cu: CSRU pv: 10 cv: 265 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 03/10/2014] el: 3 cg: RN cu: CSRU pv: 110 cv: 1555 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 03/10/2014] el: 3 cg: RN cu: CSRU pv: 40 cv: 640 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 03/10/2014] el: 3 cg: RN cu: CSRU pv: 110 cv: -915 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 03/10/2014] el: 3 cg: RN cu: CSRU pv: 110 cv: 9719.6 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 03/10/2014] el: 3 cg: RN cu: CSRU pv: 110 cv: 110 ac: 1 ap: none re: 0
id: Art.pH t0: [04:21:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:21:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:21:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:21:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 31 n1: 31 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:21:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:21:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 7.43 n1: 7.43 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 10 n1: 10 rs: Final st: NotStopd id: WBC t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 10 n1: 10 rs: Final st: NotStopd id: Hematocrit t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 27.8 n1: 27.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 9.9 n1: 9.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 84 n1: 84 rs: Final st: NotStopd id: RBC t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 2.89 n1: 2.89 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 10 n1: 10 rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [05:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [05:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 03/10/2014] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [05:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [05:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [05:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Back, Lower st: NotStopd id: LLL Lung Sounds t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: O2 Delivery Device t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Care t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [05:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 1 n2: 1 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Side Rails t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [05:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Speech t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Stool Color/Consist t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: Temp. Site t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [04:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: D5W 6000.0ml t0: [04:00:00 03/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 6000.0ml t0: [05:00:00 03/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [00:00:00 03/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [01:00:00 03/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [02:00:00 03/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [03:00:00 03/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [20:00:00 02/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [21:00:00 02/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [22:00:00 02/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [23:00:00 02/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vu: ml id: Nepro 1000.0str t0: [04:00:00 03/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro 1000.0str t0: [05:00:00 03/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vu: ml st: Stopped
id: BUN t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 96 n1: 96 rs: Final st: NotStopd id: Albumin t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Calcium t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 116 n1: 116 rs: Final st: NotStopd id: Glucose t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 132 n1: 132 rs: Final st: NotStopd id: Magnesium t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Phosphorous t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 149 n1: 149 rs: Final st: NotStopd id: ALT t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 69 n1: 69 rs: Final st: NotStopd id: Albumin (>3.2) t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: BUN (6-20) t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 96 n1: 96 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 116 n1: 116 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 132 n1: 132 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 149 n1: 149 rs: Final st: NotStopd
id: Total Bili t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 32.6 n1: 32.6 rs: Final st: NotStopd
id: Creatinine t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 6.4 n1: 6.4 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 6.4 n1: 6.4 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [06:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 6000.0ml t0: [06:00:00 03/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [03:00:00 03/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [04:00:00 03/10/2014] el: 1 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [05:00:00 03/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [06:00:00 03/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: D5W 100.0ml t0: [04:00:00 03/10/2014] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: Gastric Meds t0: [05:00:00 03/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 40 vu: ml id: Stool Out Rectal Tube t0: [05:00:00 03/10/2014] el: 1 cg: RN cu: CSRU vo: 700 vu: ml
id: PT t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 19.5 n1: 19.5 rs: Final st: NotStopd id: INR t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: PTT t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 36.4 n1: 36.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 19.5 n1: 19.5 rs: Final st: NotStopd id: PTT(22-35) t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 36.4 n1: 36.4 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [00:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 194 n1: 194 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [06:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 rs: Manual st: NotStopd
id: Pain Present t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [07:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 03/10/2014] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Patient/Family st: NotStopd id: Education Method t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Readiness t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Invasive Lines st: NotStopd id: Education Topic #2 t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Pre-Op st: NotStopd id: Eye Care t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Fam Talked to MD st: NotStopd id: Follows Commands t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Back, Lower st: NotStopd id: LLL Lung Sounds t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: O2 Delivery Device t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Care t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [07:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [07:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [07:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Speech t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Stool Color/Consist t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 2 n2: 2 st: NotStopd id: Temp. Site t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Icteric v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [07:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Mobility t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden SensoryPercep t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 6000.0ml t0: [08:00:00 03/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 20 vu: ml st: Stopped id: Gastric Meds t0: [08:00:00 03/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 120 vu: ml id: Urine Out Foley t0: [08:00:00 03/10/2014] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Vancomycin/Random t0: [04:06:00 03/10/2014] el: 0 cg: 3161 cu: CSRU v1: 40 n1: 40 rs: Final st: NotStopd
id: INV#1Chg o/Wire Date t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: Service Type t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1SiteAppear t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: INV Line#3SiteAppear t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Assistance Device t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: INV#3 Dsg Change t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Skin Care t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: INV#1 Cap Change t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 2 n2: 2 st: NotStopd id: INV#3 Cap Change t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: Therapeutic Bed t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Back Care t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [10:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [10:30:00 03/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1
pi: 3904746 hi: 19112 t0: [20:00:00 03/10/2014] tf: [11:00:00 03/10/2014] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 3904747 hi: 19112 t0: [14:00:00 03/10/2014] tf: [11:00:00 06/10/2014] mn: Calcium Carbonate pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 3904761 hi: 19112 t0: [20:00:00 03/10/2014] tf: [20:00:00 04/10/2014] mn: Metoprolol pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [11:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [11:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [11:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [11:00:00 03/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Fingerstick Glucose t0: [12:00:00 03/10/2014] el: 0 cg: Co-wor cu: CSRU v1: 137 n1: 137 rs: Manual st: NotStopd
id: Pain Present t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Invasive Lines st: NotStopd id: Eye Care t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Feeding v2: Bilious st: NotStopd id: HOB t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: Activity t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Sanguinous v2: Scant st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Back, Lower st: NotStopd id: LLL Lung Sounds t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Care t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Position t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Speech t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Stool Color/Consist t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 2 n2: 2 st: NotStopd id: INV#3 Cap Change t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: Temp. Site t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Urine Source t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Frict/Shear t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden Score t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline t0: [12:00:00 03/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: TF Residual t0: [12:00:00 03/10/2014] el: 1 ai: 416 cg: RN cu: CSRU vo: 50 vu: ml id: Gastric Meds t0: [12:00:00 03/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 90 vu: ml id: Nepro 1000.0str t0: [12:00:00 03/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 0 vu: ml st: Restart
id: Service Type t0: [13:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [13:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [13:00:00 03/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 1000.0str t0: [13:00:00 03/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [14:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [14:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [14:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [14:00:00 03/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [14:00:00 03/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 100 vu: ml id: Nepro 1000.0str t0: [14:00:00 03/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [15:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [15:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [15:00:00 03/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 1000.0str t0: [15:00:00 03/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Pain Present t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Invasive Lines st: NotStopd id: Eye Care t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Sanguinous v2: Scant st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: ImpSkin Wound Base#1 t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Back, Lower st: NotStopd id: LLL Lung Sounds t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Care t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Speech t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Stool Color/Consist t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 2 n2: 2 st: NotStopd id: INV#3 Cap Change t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: Temp. Site t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline t0: [16:00:00 03/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: TF Residual t0: [16:00:00 03/10/2014] el: 1 ai: 416 cg: RN cu: CSRU vo: 80 vu: ml id: Stool Out Rectal Tube t0: [16:00:00 03/10/2014] el: 1 cg: RN cu: CSRU vo: 1200 vu: ml id: Nepro 1000.0str t0: [16:00:00 03/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [17:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [17:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Invasive Lines st: NotStopd id: Family Communication t0: [17:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Family Communication t0: [17:05:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Fam Talked to MD st: NotStopd id: Heart Rate t0: [17:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Impaired Skin Site#1 t0: [17:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Back, Lower st: NotStopd id: Arterial BP t0: [17:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Side Rails t0: [17:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [17:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [17:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: calprevflg t0: [17:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [17:00:00 03/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [17:00:00 03/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 80 vu: ml id: Nepro 1000.0str t0: [17:00:00 03/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Fingerstick Glucose t0: [18:00:00 03/10/2014] el: 0 cg: Co-wor cu: CSRU v1: 181 n1: 181 rs: Manual st: NotStopd
id: Service Type t0: [18:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [18:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [18:00:00 03/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 1000.0str t0: [18:00:00 03/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Pain Present t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU st: NotStopd id: Daily Wake Up t0: [20:00:00 03/10/2014] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Readmit <48 hrs t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Diet Type t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Invasive Lines st: NotStopd id: Eye Opening t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [20:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Back, Lower st: NotStopd id: LLL Lung Sounds t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: LUL Lung Sounds t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Level of Conscious t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: O2 Delivery Device t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Care t0: [20:30:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Arterial BP t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: RUL Lung Sounds t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Respiratory Pattern t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Speech t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Stool Color/Consist t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 2 n2: 2 st: NotStopd id: INV#3 Cap Change t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: Temp. Site t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Icteric v2: Cloudy st: NotStopd id: Urine Source t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 176 n1: 176 rs: Manual st: NotStopd id: Bowel Sounds t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline t0: [20:00:00 03/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro 1000.0str t0: [20:00:00 03/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 80 vu: ml
id: Service Type t0: [21:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [21:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [20:30:00 03/10/2014] el: 0 cg: RN cu: CSRU st: NotStopd id: Activity t0: [21:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:30:00 03/10/2014] el: 0 cg: RN cu: CSRU st: NotStopd id: Activity Tolerance t0: [21:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Wound Base#1 t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Arterial BP t0: [21:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Position t0: [20:30:00 03/10/2014] el: 0 cg: RN cu: CSRU st: NotStopd id: Assistance Device t0: [20:30:00 03/10/2014] el: 0 cg: RN cu: CSRU st: NotStopd id: Assistance Device t0: [21:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Precautions t0: [21:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Skin Integrity t0: [20:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [21:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Therapeutic Bed t0: [20:30:00 03/10/2014] el: 0 cg: RN cu: CSRU st: NotStopd id: Therapeutic Bed t0: [21:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:30:00 03/10/2014] el: 0 cg: RN cu: CSRU st: NotStopd id: Turn t0: [21:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [20:30:00 03/10/2014] el: 0 cg: RN cu: CSRU st: NotStopd id: Back Care t0: [21:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [21:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [21:00:00 03/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 1000.0str t0: [21:00:00 03/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [22:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [22:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [22:00:00 03/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [20:00:00 03/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Gastric Meds t0: [22:00:00 03/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Stool Out Rectal Tube t0: [20:00:00 03/10/2014] el: 1 cg: RN cu: CSRU vo: 400 vu: ml id: Stool Out Rectal Tube t0: [22:00:00 03/10/2014] el: 1 cg: RN cu: CSRU vo: 150 vu: ml id: Nepro 1000.0str t0: [22:00:00 03/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Stool Out Total t0: [23:00:00 03/10/2014] el: 3 cg: RN cu: CSRU cv: 2450 ac: 24 ap: none re: 0
id: Service Type t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Hemodialysis st st: NotStopd id: Respiratory Rate t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [23:00:00 03/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [23:00:00 03/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Nepro 1000.0str t0: [23:00:00 03/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: BATH t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: done id: Service Type t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: GI Prophylaxis t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Invasive Lines st: NotStopd id: Eye Care t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: Activity t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Back, Lower st: NotStopd id: LLL Lung Sounds t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Precautions t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Speech t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Stool Color/Consist t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Icteric v2: Cloudy st: NotStopd id: Urine Source t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 2 Incomp sounds st: NotStopd id: Back Care t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 184 n1: 184 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline t0: [00:00:00 04/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [00:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Nepro 1000.0str t0: [00:00:00 04/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [01:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [01:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [01:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: Total Hourly Output t0: [23:00:00 04/10/2014] el: 3 cg: RN cu: CSRU pv: 144 cv: 144 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 04/10/2014] el: 3 cg: RN cu: CSRU pv: 10 cv: 20 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 04/10/2014] el: 3 cg: RN cu: CSRU pv: 144 cv: 2457 ac: 24 ap: none re: 0
id: Levophed-k t0: [01:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0.035 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: CVP t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: GI Prophylaxis t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Invasive Lines st: NotStopd id: Eye Opening t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: Activity t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Back, Lower st: NotStopd id: LLL Lung Sounds t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Precautions t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Side Rails t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Support Systems t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 2 Incomp sounds st: NotStopd id: Back Care t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline t0: [01:00:00 04/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [02:00:00 04/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [03:00:00 04/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 1000.0str t0: [01:00:00 04/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro 1000.0str t0: [02:00:00 04/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro 1000.0str t0: [03:00:00 04/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Levophed-k t0: [02:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0.035 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [03:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0.03 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 04/10/2014] el: 3 cg: RN cu: CSRU pv: 165 cv: 958.782 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 04/10/2014] el: 3 cg: RN cu: CSRU pv: 205 cv: 2148.78 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 04/10/2014] el: 3 cg: RN cu: CSRU pv: 40 cv: 960 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 04/10/2014] el: 3 cg: RN cu: CSRU pv: 61 cv: -308.218 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 04/10/2014] el: 3 cg: RN cu: CSRU pv: 61 cv: 9411.38 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 04/10/2014] el: 3 cg: RN cu: CSRU pv: 61 cv: 61 ac: 1 ap: none re: 0
id: Service Type t0: [04:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [04:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [04:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [04:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [04:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [04:00:00 04/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 1000.0str t0: [04:00:00 04/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Levophed-k t0: [04:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0.03 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 8.9 n1: 8.9 rs: Final st: NotStopd id: WBC t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 8.9 n1: 8.9 rs: Final st: NotStopd id: Hematocrit t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 10 n1: 10 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 104 n1: 104 rs: Final st: NotStopd id: RBC t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 2.94 n1: 2.94 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 8.9 n1: 8.9 rs: Final st: NotStopd
id: PT t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 20.6 n1: 20.6 rs: Final st: NotStopd id: INR t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: PTT t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 45.4 n1: 45.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 20.6 n1: 20.6 rs: Final st: NotStopd id: PTT(22-35) t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 45.4 n1: 45.4 rs: Final st: NotStopd
id: BUN t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 97 n1: 97 rs: Final st: NotStopd id: Albumin t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Calcium t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 117 n1: 117 rs: Final st: NotStopd id: Glucose t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 177 n1: 177 rs: Final st: NotStopd id: Phosphorous t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 149 n1: 149 rs: Final st: NotStopd id: ALT t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 90 n1: 90 rs: Final st: NotStopd id: Albumin (>3.2) t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: BUN (6-20) t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 97 n1: 97 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 117 n1: 117 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 177 n1: 177 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 149 n1: 149 rs: Final st: NotStopd
id: Total Bili t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 32.1 n1: 32.1 rs: Final st: NotStopd
id: Magnesium t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [07:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [07:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [07:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: GI Prophylaxis t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [05:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [07:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Glucose t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 196 n1: 196 rs: Manual st: NotStopd id: Diet Type t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [05:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [07:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Health Care Proxy t0: [05:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [07:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Invasive Lines st: NotStopd id: Eye Opening t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [05:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [07:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [07:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: Activity t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [07:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Back, Lower st: NotStopd id: LLL Lung Sounds t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [03:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [05:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [05:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [07:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [05:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Side Rails t0: [07:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [05:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [07:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Speech t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Support Systems t0: [07:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [05:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [07:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [07:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Glucose (70-105) t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 196 n1: 196 rs: Manual st: NotStopd
id: .9% Normal Saline t0: [07:00:00 04/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [07:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Nepro 1000.0str t0: [07:00:00 04/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 120 vu: ml
id: Levophed-k t0: [05:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0.03 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [06:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0.03 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [07:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0.03 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [01:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Present t0: [04:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Present t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Present t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#1Chg o/Wire Date t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#1Chg o/Wire Date t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [01:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Pain Assess Method t0: [04:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Pain Assess Method t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Pain Assess Method t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Riker-SAS Scale t0: [01:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [04:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [01:00:00 04/10/2014] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 04/10/2014] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Daily Wake Up t0: [06:00:00 04/10/2014] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Daily Wake Up t0: [23:00:00 03/10/2014] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: INV Line#1 Site Date t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Site Date t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Site Date t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Type/Site t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Type/Site t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1InsertDate t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1InsertDate t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1SiteAppear t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#1SiteAppear t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#1SiteAppear t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2 Type/Site t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2 Type/Site t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2InsertDate t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2InsertDate t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2SiteAppear t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2SiteAppear t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3 Type/Site t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3 Type/Site t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: INV Line#3InsertDate t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: INV Line#3InsertDate t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: INV Line#3SiteAppear t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3SiteAppear t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#1 WaveformAppear t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#1 WaveformAppear t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#1 Dsg Change t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#1 Dsg Change t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#1 Dsg Change t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: INV#2 Dsg Change t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: INV#2 Dsg Change t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: INV#3 Dsg Change t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: INV#3 Dsg Change t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: INV#3 Dsg Change t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: INV#1 Cap Change t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#1 Cap Change t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#1 Cap Change t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 2 n2: 2 st: NotStopd id: INV#2 Cap Change t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 2 n2: 2 st: NotStopd id: INV#2 Cap Change t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 2 n2: 2 st: NotStopd id: INV#3 Cap Change t0: [02:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: INV#3 Cap Change t0: [06:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: INV#3 Cap Change t0: [23:00:00 03/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd
id: Vancomycin/Random t0: [04:53:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 31.2 n1: 31.2 rs: Final st: NotStopd
id: Pain Present t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 04/10/2014] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Method t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Readiness t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Back, Lower st: NotStopd id: LLL Lung Sounds t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: O2 Delivery Device t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Position t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Precautions t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Stool Color/Consist t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 2 n2: 2 st: NotStopd id: INV#3 Cap Change t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: Temp. Site t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Brown v2: Sediment st: NotStopd id: Urine Source t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline t0: [08:00:00 04/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [08:00:00 04/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Stool Out Rectal Tube t0: [08:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 1000 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [01:00:00 04/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vo: 9 vu: ml st: Restart id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [02:00:00 04/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vo: 9 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [03:00:00 04/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vo: 9 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [04:00:00 04/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vo: 9 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [05:00:00 04/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vo: 9 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [06:00:00 04/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vo: 9 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [07:00:00 04/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vo: 9 vu: ml id: Urine Out Foley t0: [08:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 1000.0str t0: [08:00:00 04/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Levophed-k t0: [08:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0.03 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [09:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [09:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [09:00:00 04/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Nepro 1000.0str t0: [09:00:00 04/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Levophed-k t0: [09:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0.03 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 3907723 hi: 19112 t0: [11:00:00 04/10/2014] tf: [17:00:00 06/10/2014] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours pi: 3907724 hi: 19112 t0: [22:00:00 04/10/2014] tf: [17:00:00 06/10/2014] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [10:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [10:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [10:00:00 04/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Nepro 1000.0str t0: [10:00:00 04/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Levophed-k t0: [10:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0.03 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 3907901 hi: 19112 t0: [12:00:00 04/10/2014] tf: [13:00:00 08/10/2014] pt: IV Large Volume st: Discontinued rt: DIALYS fr: ASDIR iv: Prismasate (B32 K2) Continuous at 500 ml/hr ir: 500 it: C ss: N di: Ongoing xu: Enter on Label pi: 3907902 hi: 19112 t0: [12:00:00 04/10/2014] tf: [12:00:00 05/10/2014] pt: IV Large Volume st: Inactive (Due to a change order) rt: REPLACE fr: ASDIR iv: Prismasate (B32 K2) Continuous at 1500 ml/hr ir: 1500 it: C ss: N di: Ongoing xu: Enter on Label pi: 3907903 hi: 19112 t0: [12:00:00 04/10/2014] tf: [23:00:00 08/10/2014] pt: IV Large Volume st: Discontinued via patient discharge rt: IV fr: ASDIR iv: 20 gm Calcium Gluconate/ 500 ML D5W Continuous at 30 ml/hr ir: 30 it: C ss: Y di: Ongoing xu: Enter on Label pi: 3907904 hi: 19112 t0: [12:00:00 04/10/2014] tf: [23:00:00 08/10/2014] pt: IV Piggyback st: Discontinued via patient discharge rt: IV fr: ASDIR iv: Potassium Chloride 10 mEq / 100 mL SW (CRRT Only) Continuous at 20 ml/hr it: C ss: Y di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [11:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [11:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [11:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [11:00:00 04/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [11:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Nepro 1000.0str t0: [11:00:00 04/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Levophed-k t0: [11:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0.03 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 3907986 hi: 19112 t0: [13:00:00 04/10/2014] tf: [11:00:00 07/10/2014] mn: Lactulose pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q4H ds: 13, 17, 21, 1, 5, 9 dn: 6 di: Ongoing xv: 36 xu: Hours pi: 3907989 hi: 19112 t0: [13:00:00 04/10/2014] tf: [17:00:00 06/10/2014] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours pi: 3907990 hi: 19112 t0: [22:00:00 04/10/2014] tf: [17:00:00 06/10/2014] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [13:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [13:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [13:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [13:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [13:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [13:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [13:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [12:00:00 04/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [13:00:00 04/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [12:00:00 04/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [12:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [13:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Nepro 1000.0str t0: [12:00:00 04/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro 1000.0str t0: [13:00:00 04/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Levophed-k t0: [12:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0.03 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [13:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0.03 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: CVP t0: [08:00:00 04/10/2014] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [09:00:00 04/10/2014] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [10:00:00 04/10/2014] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [11:00:00 04/10/2014] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [13:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Communication t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Bladder Pressure t0: [13:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Daily Wake Up t0: [12:00:00 04/10/2014] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Alarms t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Topic #1 t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [10:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [10:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: HOB t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Site Date t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [10:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Back, Lower st: NotStopd id: LLL Lung Sounds t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: O2 Delivery Device t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: Oral Care t0: [10:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [10:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: Assistance Device t0: [10:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Assistance Device t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: Pupil Response R/L t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Speech t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Stool Color/Consist t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 2 n2: 2 st: NotStopd id: INV#3 Cap Change t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: Temp. Site t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [10:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Therapeutic Bed t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [10:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 2 Incomp sounds st: NotStopd id: Behavior t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Bowel Sounds t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [08:00:00 04/10/2014] el: 1 ai: 416 cg: RN cu: CSRU vo: 70 vu: ml id: TF Residual t0: [12:00:00 04/10/2014] el: 1 ai: 416 cg: RN cu: CSRU vo: 110 vu: ml
id: Service Type t0: [14:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [14:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [14:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [14:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [14:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [14:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Position t0: [14:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [14:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Precautions t0: [14:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [14:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [14:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [14:00:00 04/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [14:00:00 04/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [14:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Nepro 1000.0str t0: [14:00:00 04/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Levophed-k t0: [14:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0.03 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [16:02:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Arterial Base Excess t0: [16:02:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: -4 n1: -4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:02:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:02:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:02:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 100 n1: 100 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:02:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Ionized Calcium t0: [16:02:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 1.04 n1: 1.04 rs: Final st: NotStopd
id: Service Type t0: [15:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [15:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: calprevflg t0: [15:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [15:00:00 04/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [16:00:00 04/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline t0: [17:00:00 04/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [16:00:00 04/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [15:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [16:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [17:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Nepro 1000.0str t0: [15:00:00 04/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro 1000.0str t0: [16:00:00 04/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml id: Nepro 1000.0str t0: [17:00:00 04/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Levophed-k t0: [15:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0.03 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [16:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0.03 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [17:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0.03 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Catheter Insert Date t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v2: 4 n2: 4 st: NotStopd id: Catheter Insert Date t0: [16:40:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: Current Goal t0: [16:40:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: -50 n1: -50 st: NotStopd id: Dialysate Flow ml/hr t0: [16:40:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 500 n1: 500 u1: ml/hr st: NotStopd id: Dialysate Infusing t0: [16:40:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dialysis Access Site t0: [16:40:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Right IJ st: NotStopd id: Dialysis Access Type t0: [16:40:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Permacath st: NotStopd id: Dialysis Site Appear t0: [16:40:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Dialysis Type t0: [16:40:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: CVVHD st: NotStopd id: Effluent Press mmHg t0: [16:40:00 04/10/2014] el: 1 cg: RN cu: CSRU v1: -28 n1: -28 st: NotStopd id: Filter Pressure mmHg t0: [16:40:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Access mmHg t0: [16:40:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: -50 n1: -50 st: NotStopd id: Replace Rate ml/hr t0: [16:40:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1500 n1: 1500 u1: ml/hr st: NotStopd id: Replace.Fluid Infuse t0: [16:40:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Return Pressure mmHg t0: [16:40:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: System Integrity t0: [16:40:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Initiated st: NotStopd id: Blood Flow ml/min t0: [16:40:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: cc/min st: NotStopd
id: BUN t0: [15:39:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Calcium t0: [15:39:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [15:39:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 119 n1: 119 rs: Final st: NotStopd id: Glucose t0: [15:39:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 197 n1: 197 rs: Final st: NotStopd id: Magnesium t0: [15:39:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Phosphorous t0: [15:39:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 8.7 n1: 8.7 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [15:39:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium t0: [15:39:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 150 n1: 150 rs: Final st: NotStopd id: BUN (6-20) t0: [15:39:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [15:39:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [15:39:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Chloride (100-112) t0: [15:39:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 119 n1: 119 rs: Final st: NotStopd id: Glucose (70-105) t0: [15:39:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 197 n1: 197 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [15:39:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [15:39:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 8.7 n1: 8.7 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [15:39:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [15:39:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 150 n1: 150 rs: Final st: NotStopd
id: Calcium Gluconate io: D5W 500.0ml el: 100 cg: RN cu: CSRU am: 20 du: mg rt: Intravenous Push id: KCL io: Sterile Water 100.0ml el: 100 cg: RN cu: CSRU am: 10 du: mEq rt: Intravenous Push
io: Sterile Water 100.0ml el: 1 cg: RN cu: CSRU ra: 20 ru: ml/hr io: D5W 500.0ml el: 1 cg: RN cu: CSRU ra: 35 ru: ml/hr
id: Catheter Insert Date t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: Current Goal t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: -50 n1: -50 st: NotStopd id: Dialysate Flow ml/hr t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 500 n1: 500 u1: ml/hr st: NotStopd id: Dialysate Infusing t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dialysis Access Site t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Right IJ st: NotStopd id: Dialysis Access Type t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Permacath st: NotStopd id: Dialysis Site Appear t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Dialysis Type t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: CVVHD st: NotStopd id: Effluent Press mmHg t0: [17:00:00 04/10/2014] el: 1 cg: RN cu: CSRU v1: -42 n1: -42 st: NotStopd id: Filter Pressure mmHg t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Access mmHg t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: -46 n1: -46 st: NotStopd id: Replace Rate ml/hr t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1500 n1: 1500 u1: ml/hr st: NotStopd id: Replace.Fluid Infuse t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Return Pressure mmHg t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 59 n1: 59 u1: mmHg st: NotStopd id: System Integrity t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Active st: NotStopd id: Blood Flow ml/min t0: [17:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: cc/min st: NotStopd
id: Ultrafiltrate Ultrafiltrate t0: [16:40:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 19 vu: ml id: Stool Out Rectal Tube t0: [17:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 600 vu: ml
id: Sterile Water 100.0ml t0: [17:00:00 04/10/2014] el: 1 ai: 416 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: D5W 500.0ml t0: [17:00:00 04/10/2014] el: 1 ai: -1 cg: RN cu: CSRU vo: 0 vu: ml nb: 1
id: Pain Present t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: Pain Assess Method t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Communication t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Daily Wake Up t0: [16:00:00 04/10/2014] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: GI#1 Intub Site t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Topic #1 t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Site Date t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Back, Lower st: NotStopd id: LLL Lung Sounds t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: O2 Delivery Device t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Care t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Strong/Palpable v2: Strong/Palpable st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: Pupil Response R/L t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Speech t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Stool Color/Consist t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 2 n2: 2 st: NotStopd id: INV#3 Cap Change t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: Therapeutic Bed t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Other/Remarks v2: Other/Remarks st: NotStopd id: Urine Source t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 2 Incomp sounds st: NotStopd id: Back Care t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Behavior t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Bowel Sounds t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: Catheter Insert Date t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: Current Goal t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: -50 n1: -50 st: NotStopd id: Dialysate Flow ml/hr t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 500 n1: 500 u1: ml/hr st: NotStopd id: Dialysate Infusing t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dialysis Access Site t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Right IJ st: NotStopd id: Dialysis Access Type t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Permacath st: NotStopd id: Dialysis Site Appear t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Dialysis Type t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: CVVHD st: NotStopd id: Replace Rate ml/hr t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1500 n1: 1500 u1: ml/hr st: NotStopd id: Replace.Fluid Infuse t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: System Integrity t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Active st: NotStopd id: Blood Flow ml/min t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: cc/min st: NotStopd
id: Ultrafiltrate Ultrafiltrate t0: [17:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 102 vu: ml
id: Service Type t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Effluent Press mmHg t0: [18:00:00 04/10/2014] el: 1 cg: RN cu: CSRU v1: -39 n1: -39 st: NotStopd id: Filter Pressure mmHg t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Heart Rate t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Access mmHg t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: -47 n1: -47 st: NotStopd id: Arterial BP t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Return Pressure mmHg t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: SpO2 t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [18:00:00 04/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Sterile Water 100.0ml t0: [18:00:00 04/10/2014] el: 1 ai: 416 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 500.0ml t0: [18:00:00 04/10/2014] el: 1 ai: -1 cg: RN cu: CSRU vo: 35 vu: ml id: Nepro 1000.0str t0: [18:00:00 04/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Levophed-k t0: [18:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0.03 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 3908952 hi: 19112 t0: [20:00:00 04/10/2014] tf: [14:00:00 06/10/2014] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 1000 ml D5W Continuous at 100 ml/hr ir: 100 it: C ss: N di: Ongoing xu: Enter on Label
id: INV#1Chg o/Wire Date t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Site Date t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1SiteAppear t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2InsertDate t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#3 Type/Site t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: INV#1 WaveformAppear t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#1 Dsg Change t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: INV#3 Dsg Change t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: INV#1 Cap Change t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 5 n2: 5 st: NotStopd id: INV#2 Cap Change t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 5 n2: 5 st: NotStopd id: INV#3 Cap Change t0: [18:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd
id: Creatinine t0: [15:39:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 8.8 n1: 8.8 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [15:39:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 8.8 n1: 8.8 rs: Final st: NotStopd
id: Service Type t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Catheter Insert Date t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: Code Status t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Dialysate Flow ml/hr t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 500 n1: 500 u1: ml/hr st: NotStopd id: Dialysate Infusing t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dialysis Access Site t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Right IJ st: NotStopd id: Dialysis Access Type t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Permacath st: NotStopd id: Dialysis Site Appear t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Dialysis Type t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: CVVHD st: NotStopd id: Ectopy Frequency t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Replace Rate ml/hr t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1500 n1: 1500 u1: ml/hr st: NotStopd id: Replace.Fluid Infuse t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Respiratory Rate t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: System Integrity t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Active st: NotStopd id: calprevflg t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Blood Flow ml/min t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: cc/min st: NotStopd
id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [08:00:00 04/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vo: 4.3 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [09:00:00 04/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vo: 4.3 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [10:00:00 04/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vo: 4.3 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [11:00:00 04/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vo: 4.3 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [12:00:00 04/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vo: 4.3 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [13:00:00 04/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vo: 4.3 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [14:00:00 04/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vo: 4.3 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [15:00:00 04/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vo: 4.3 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [16:00:00 04/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vo: 4.3 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [17:00:00 04/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vo: 4.3 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [18:00:00 04/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vo: 4.3 vu: ml
id: Levophed-k t0: [19:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0.03 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Effluent Press mmHg t0: [19:00:00 04/10/2014] el: 1 cg: RN cu: CSRU v1: -30 n1: -30 st: NotStopd id: Filter Pressure mmHg t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Access mmHg t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: -50 n1: -50 st: NotStopd id: Return Pressure mmHg t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd
id: Ultrafiltrate Ultrafiltrate t0: [18:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 157 vu: ml
io: D5W el: 1 cg: RN cu: CSRU ra: 100 ru: ml/hr
id: D5W 6000.0ml t0: [20:00:00 04/10/2014] el: 1 ai: 168 cg: -1 cu: CSRU vo: 0 st: D/C'd id: .45% Normal Saline 1000.0ml t0: [20:00:00 04/10/2014] el: 1 ai: 189 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Service Type t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [20:00:00 04/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Sterile Water 100.0ml t0: [20:00:00 04/10/2014] el: 1 ai: 416 cg: RN cu: CSRU vo: 40 vu: ml id: D5W 500.0ml t0: [20:00:00 04/10/2014] el: 1 ai: -1 cg: RN cu: CSRU vo: 70 vu: ml id: Stool Out Rectal Tube t0: [19:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [20:00:00 04/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vo: 17.9888 vu: ml id: Urine Out Foley t0: [19:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Nepro 1000.0str t0: [20:00:00 04/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 80 vu: ml
id: Catheter Insert Date t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: Dialysate Flow ml/hr t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 500 n1: 500 u1: ml/hr st: NotStopd id: Dialysate Infusing t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dialysis Access Site t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Right IJ st: NotStopd id: Dialysis Access Type t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Permacath st: NotStopd id: Dialysis Site Appear t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Dialysis Type t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: CVVHD st: NotStopd id: Effluent Press mmHg t0: [20:00:00 04/10/2014] el: 1 cg: RN cu: CSRU v1: -24 n1: -24 st: NotStopd id: Filter Pressure mmHg t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Access mmHg t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: -45 n1: -45 st: NotStopd id: Replace Rate ml/hr t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1500 n1: 1500 u1: ml/hr st: NotStopd id: Replace.Fluid Infuse t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Return Pressure mmHg t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 52 n1: 52 u1: mmHg st: NotStopd id: System Integrity t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Active st: NotStopd id: Blood Flow ml/min t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: cc/min st: NotStopd
id: Ultrafiltrate Ultrafiltrate t0: [19:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 18 vu: ml
id: .9% Normal Saline t0: [20:30:00 04/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Sterile Water 100.0ml t0: [20:30:00 04/10/2014] el: 1 ai: 416 cg: RN cu: CSRU vo: 10 vu: ml id: D5W t0: [20:30:00 04/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: D5W 500.0ml t0: [20:30:00 04/10/2014] el: 1 ai: -1 cg: RN cu: CSRU vo: 17.5 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [20:30:00 04/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vo: 4.49719 vu: ml id: Nepro 1000.0str t0: [20:30:00 04/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 20 vu: ml
id: Pain Present t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV#1Chg o/Wire Date t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: Service Type t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: CVP t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Communication t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: Riker-SAS Scale t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [21:00:00 04/10/2014] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Readiness t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: Abdominal Assessment t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Back, Lower st: NotStopd id: LLL Lung Sounds t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Level of Conscious t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Disoriented st: NotStopd id: Arterial BP t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Position t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Respiratory Pattern t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Speech t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Stool Color/Consist t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 5 n2: 5 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 5 n2: 5 st: NotStopd id: INV#3 Cap Change t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: Temp. Site t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Brown st: NotStopd id: Urine Source t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Bowel Sounds t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline t0: [22:00:00 04/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: Sterile Water 100.0ml t0: [22:00:00 04/10/2014] el: 1 ai: 416 cg: RN cu: CSRU vo: 30 vu: ml id: Gastric Meds t0: [22:00:00 04/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 20 vu: ml id: D5W t0: [22:00:00 04/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 150 vu: ml id: D5W 500.0ml t0: [22:00:00 04/10/2014] el: 1 ai: -1 cg: RN cu: CSRU vo: 52.5 vu: ml id: Stool Out Rectal Tube t0: [21:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [22:00:00 04/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vo: 5.99625 vu: ml id: Nepro 1000.0str t0: [22:00:00 04/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 60 vu: ml
id: Levophed-k t0: [20:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0.02 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [21:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0.01 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [22:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 04/10/2014] el: 3 cg: RN cu: CSRU cv: 230 ac: 24 ap: none re: 0 id: Stool Out Total t0: [23:00:00 04/10/2014] el: 3 cg: RN cu: CSRU cv: 2000 ac: 24 ap: none re: 0
id: Catheter Insert Date t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: Catheter Insert Date t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: Dialysate Flow ml/hr t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 500 n1: 500 u1: ml/hr st: NotStopd id: Dialysate Flow ml/hr t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 500 n1: 500 u1: ml/hr st: NotStopd id: Dialysate Infusing t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dialysate Infusing t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dialysis Access Site t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Right IJ st: NotStopd id: Dialysis Access Site t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Right IJ st: NotStopd id: Dialysis Access Type t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Permacath st: NotStopd id: Dialysis Access Type t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Permacath st: NotStopd id: Dialysis Site Appear t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Dialysis Site Appear t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Dialysis Type t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: CVVHD st: NotStopd id: Dialysis Type t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: CVVHD st: NotStopd id: Effluent Press mmHg t0: [21:00:00 04/10/2014] el: 1 cg: RN cu: CSRU v1: -33 n1: -33 st: NotStopd id: Effluent Press mmHg t0: [22:00:00 04/10/2014] el: 1 cg: RN cu: CSRU v1: -30 n1: -30 st: NotStopd id: Filter Pressure mmHg t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Filter Pressure mmHg t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Access mmHg t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: -49 n1: -49 st: NotStopd id: Access mmHg t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: -42 n1: -42 st: NotStopd id: Replace Rate ml/hr t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1500 n1: 1500 u1: ml/hr st: NotStopd id: Replace Rate ml/hr t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1500 n1: 1500 u1: ml/hr st: NotStopd id: Replace.Fluid Infuse t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Replace.Fluid Infuse t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Return Pressure mmHg t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Return Pressure mmHg t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 56 n1: 56 u1: mmHg st: NotStopd id: System Integrity t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Active st: NotStopd id: Blood Flow ml/min t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: cc/min st: NotStopd id: Blood Flow ml/min t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: cc/min st: NotStopd
id: Ultrafiltrate Ultrafiltrate t0: [20:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Ultrafiltrate Ultrafiltrate t0: [21:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 6 vu: ml
id: .9% Normal Saline t0: [23:00:00 04/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Sterile Water 100.0ml t0: [23:00:00 04/10/2014] el: 1 ai: 416 cg: RN cu: CSRU vo: 20 vu: ml id: D5W t0: [23:00:00 04/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 500.0ml t0: [23:00:00 04/10/2014] el: 1 ai: -1 cg: RN cu: CSRU vo: 35 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [23:00:00 04/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [23:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 1000.0str t0: [23:00:00 04/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Catheter Insert Date t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: Code Status t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Current Goal t0: [19:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 st: NotStopd id: Current Goal t0: [20:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 st: NotStopd id: Current Goal t0: [21:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 st: NotStopd id: Current Goal t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 st: NotStopd id: Current Goal t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: -50 n1: -50 st: NotStopd id: Dialysate Flow ml/hr t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 500 n1: 500 u1: ml/hr st: NotStopd id: Dialysate Infusing t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dialysis Access Site t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Right IJ st: NotStopd id: Dialysis Access Type t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Permacath st: NotStopd id: Dialysis Site Appear t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Dialysis Type t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: CVVHD st: NotStopd id: Ectopy Frequency t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Effluent Press mmHg t0: [23:00:00 04/10/2014] el: 1 cg: RN cu: CSRU v1: -45 n1: -45 st: NotStopd id: Filter Pressure mmHg t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Heart Rate t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Access mmHg t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: -44 n1: -44 st: NotStopd id: Arterial BP t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Replace Rate ml/hr t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1500 n1: 1500 u1: ml/hr st: NotStopd id: Replace.Fluid Infuse t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Respiratory Rate t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Return Pressure mmHg t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: SpO2 t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Blood Flow ml/min t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: cc/min st: NotStopd
id: Ultrafiltrate Ultrafiltrate t0: [22:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 1 vu: ml
id: Levophed-k t0: [23:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [23:19:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 7.39 n1: 7.39 rs: Final st: NotStopd id: Arterial Base Excess t0: [23:19:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: -5 n1: -5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [23:19:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Arterial PaCO2 t0: [23:19:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 30 n1: 30 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [23:19:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 102 n1: 102 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [23:19:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 7.39 n1: 7.39 rs: Final st: NotStopd id: Ionized Calcium t0: [23:19:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 1.11 n1: 1.11 rs: Final st: NotStopd
id: System Integrity t0: [22:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Active st: NotStopd id: System Integrity t0: [23:00:00 04/10/2014] el: 0 cg: RN cu: CSRU v1: Clots Present st: NotStopd
id: BUN t0: [23:00:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 98 n1: 98 rs: Final st: NotStopd id: Calcium t0: [23:00:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [23:00:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 114 n1: 114 rs: Final st: NotStopd id: Creatinine t0: [23:00:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 rs: Final st: NotStopd id: Glucose t0: [23:00:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 191 n1: 191 rs: Final st: NotStopd id: Magnesium t0: [23:00:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Phosphorous t0: [23:00:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 7.2 n1: 7.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [23:00:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium t0: [23:00:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 148 n1: 148 rs: Final st: NotStopd id: BUN (6-20) t0: [23:00:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 98 n1: 98 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [23:00:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [23:00:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Chloride (100-112) t0: [23:00:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 114 n1: 114 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [23:00:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [23:00:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 191 n1: 191 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [23:00:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [23:00:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 7.2 n1: 7.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [23:00:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [23:00:00 04/10/2014] el: 0 cg: 3161 cu: CSRU v1: 148 n1: 148 rs: Final st: NotStopd
id: Service Type t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Catheter Insert Date t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: Code Status t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Current Goal t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: -50 n1: -50 st: NotStopd id: Dialysate Flow ml/hr t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 500 n1: 500 u1: ml/hr st: NotStopd id: Dialysate Infusing t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dialysis Access Site t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Right IJ st: NotStopd id: Dialysis Access Type t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Permacath st: NotStopd id: Dialysis Site Appear t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Dialysis Type t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: CVVHD st: NotStopd id: Ectopy Frequency t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Effluent Press mmHg t0: [00:00:00 05/10/2014] el: 1 cg: RN cu: CSRU v1: -37 n1: -37 st: NotStopd id: Filter Pressure mmHg t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Heart Rate t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Access mmHg t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: -50 n1: -50 st: NotStopd id: Arterial BP t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Replace Rate ml/hr t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 1500 n1: 1500 u1: ml/hr st: NotStopd id: Replace.Fluid Infuse t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Respiratory Rate t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Return Pressure mmHg t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: SpO2 t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: System Integrity t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Initiated st: NotStopd id: calprevflg t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Blood Flow ml/min t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: cc/min st: NotStopd
id: .9% Normal Saline t0: [00:00:00 05/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Sterile Water 100.0ml t0: [00:00:00 05/10/2014] el: 1 ai: 416 cg: RN cu: CSRU vo: 20 vu: ml id: D5W t0: [00:00:00 05/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 100 vu: ml id: Ultrafiltrate Ultrafiltrate t0: [23:00:00 04/10/2014] el: 1 cg: RN cu: CSRU vo: 134 vu: ml id: D5W 500.0ml t0: [00:00:00 05/10/2014] el: 1 ai: -1 cg: RN cu: CSRU vo: 35 vu: ml id: Stool Out Rectal Tube t0: [00:00:00 05/10/2014] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [00:00:00 05/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [00:00:00 05/10/2014] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Nepro 1000.0str t0: [00:00:00 05/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Levophed-k t0: [00:00:00 05/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: UltrafiltrateTotal t0: [23:00:00 04/10/2014] el: 3 cg: RN cu: CSRU pv: 134 cv: 437 ac: 24 ap: none re: 0
id: Communication t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Verbal st: NotStopd id: GI Prophylaxis t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: Education Topic #1 t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: Abdominal Assessment t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Imp Skin Cleanse #1 t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Back, Lower st: NotStopd id: LLL Lung Sounds t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Cavity t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: PostTib. Pulses R/L t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Pupil Response R/L t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Side Rails t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Speech t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Garbled st: NotStopd id: Stool Color/Consist t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Urine Color/Appear t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Brown v2: Cloudy st: NotStopd id: Urine Source t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Bowel Sounds t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: BATH t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: done id: INV#1Chg o/Wire Date t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: Service Type t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Catheter Insert Date t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: Code Status t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Current Goal t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: -50 n1: -50 st: NotStopd id: Dialysate Flow ml/hr t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 500 n1: 500 u1: ml/hr st: NotStopd id: Dialysate Infusing t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dialysis Access Site t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Right IJ st: NotStopd id: Dialysis Access Type t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Permacath st: NotStopd id: Dialysis Site Appear t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Dialysis Type t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: CVVHD st: NotStopd id: Ectopy Frequency t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Effluent Press mmHg t0: [01:00:00 05/10/2014] el: 1 cg: RN cu: CSRU v1: -31 n1: -31 st: NotStopd id: Filter Pressure mmHg t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg st: NotStopd id: HOB t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Site Date t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV Line#1SiteAppear t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 v2: 30 n2: 30 st: NotStopd id: INV Line#2SiteAppear t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Dialysis Line v2: Right IJ st: NotStopd id: INV Line#3InsertDate t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: INV Line#3SiteAppear t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Access mmHg t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: -50 n1: -50 st: NotStopd id: Activity t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Position t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: INV#3 Dsg Change t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 150 n2: 150 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Replace Rate ml/hr t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 1500 n1: 1500 u1: ml/hr st: NotStopd id: Replace.Fluid Infuse t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Respiratory Rate t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Return Pressure mmHg t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Skin Care t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: System Integrity t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: No Clot Present st: NotStopd id: INV#1 Cap Change t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 3 n2: 3 st: NotStopd id: INV#1 Tubing Change t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 5 n2: 5 st: NotStopd id: INV#2 Cap Change t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 5 n2: 5 st: NotStopd id: INV#2 Tubing Change t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 5 n2: 5 st: NotStopd id: INV#3 Cap Change t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 v2: 4 n2: 4 st: NotStopd id: Temp. Site t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 36.0556 n1: 36.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 96.9 n1: 96.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Blood Flow ml/min t0: [01:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: cc/min st: NotStopd
id: .9% Normal Saline t0: [01:00:00 05/10/2014] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Sterile Water 100.0ml t0: [01:00:00 05/10/2014] el: 1 ai: 416 cg: RN cu: CSRU vo: 20 vu: ml id: D5W t0: [01:00:00 05/10/2014] el: 1 ai: 168 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 500.0ml t0: [01:00:00 05/10/2014] el: 1 ai: -1 cg: RN cu: CSRU vo: 35 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [01:00:00 05/10/2014] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [01:00:00 05/10/2014] el: 1 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 1000.0str t0: [01:00:00 05/10/2014] el: 1 ai: 154 cg: RN cu: CSRU vo: 40 vu: ml
id: Levophed-k t0: [01:00:00 05/10/2014] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [00:00:00 05/10/2014] el: 0 cg: RN cu: CSRU v1: 208 n1: 208 rs: Manual st: NotStopd