This log is also available as text (201cc.txt) and as a (binary) annotation file (201cc.log).
Generated: Thursday, 23-Apr-2009 00:34:58 EDT
(All dates below are surrogates.)
id: Service Type t0: [01:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [01:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [01:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: % st: NotStopd id: Ectopy Frequency t0: [01:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Barrier t0: [00:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [00:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [00:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [00:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [00:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [00:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [00:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [00:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Heart Rate t0: [01:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [01:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: IABP setting t0: [01:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [01:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: PAP S/D t0: [01:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [01:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [01:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [01:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Respiratory Rate t0: [01:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: BAEDP t0: [01:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Side Rails t0: [00:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 rails up st: NotStopd id: Skin Integrity t0: [00:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [01:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [00:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Systolic Unloading t0: [01:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: % st: NotStopd id: calprevflg t0: [01:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [00:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 13/04/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 13/04/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 13/04/2018] el: 1 ai: 304 cg: RN cu: CCU vo: 7 vu: ml id: Urine Out Foley t0: [01:00:00 13/04/2018] el: 1 cg: RN cu: CCU vo: 70 vu: ml
id: Heparin t0: [01:00:00 13/04/2018] el: 1 cg: RN cu: CCU vo: 0 do: 700 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [02:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [02:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: mmHg st: NotStopd id: CVP t0: [03:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: mmHg st: NotStopd id: CVP t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 13/04/2018] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: Diet Type t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clear Liquid st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [02:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [02:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [03:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [02:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Parameters Checked t0: [03:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Parameters Checked t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [02:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: IABP setting t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Abdominal Assessment t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: LLL Lung Sounds t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUE Temp/Color t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: O2 Delivery Device t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: Angio Dressing #2 t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [02:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: PAP Mean t0: [03:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: mmHg st: NotStopd id: PAP Mean t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: mmHg st: NotStopd id: PAP S/D t0: [02:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: PAP S/D t0: [03:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: PAP S/D t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [02:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [03:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Augmented Diastole t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg st: NotStopd id: Respiratory Pattern t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: BAEDP t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Side Rails t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 rails up st: NotStopd id: Skin Integrity t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [02:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [03:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Systolic Unloading t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: % st: NotStopd id: INV#1 Cap Change t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Urine Source t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [02:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Appropriate st: NotStopd id: Bowel Sounds t0: [04:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 13/04/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 13/04/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 13/04/2018] el: 1 ai: 304 cg: RN cu: CCU vo: 21 vu: ml id: Urine Out Foley t0: [04:00:00 13/04/2018] el: 1 cg: RN cu: CCU vo: 135 vu: ml
id: Heparin t0: [04:00:00 13/04/2018] el: 1 cg: RN cu: CCU vo: 0 do: 700 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diastolic Unloading t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Ectopy Frequency t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: IABP setting t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: PAP S/D t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Respiratory Rate t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: SpO2 t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Systolic Unloading t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: % st: NotStopd id: calprevflg t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 13/04/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 13/04/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 13/04/2018] el: 1 ai: 304 cg: RN cu: CCU vo: 7 vu: ml id: Urine Out Foley t0: [05:00:00 13/04/2018] el: 1 cg: RN cu: CCU vo: 70 vu: ml
id: Heparin t0: [05:00:00 13/04/2018] el: 1 cg: RN cu: CCU vo: 0 do: 700 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [06:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [06:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [06:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [06:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [06:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: IABP setting t0: [06:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [06:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: PAP S/D t0: [06:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg v2: 24 n2: 24 u2: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [06:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [06:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [06:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Respiratory Rate t0: [06:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: BAEDP t0: [06:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: SpO2 t0: [06:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Systolic Unloading t0: [06:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: % st: NotStopd id: calprevflg t0: [06:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [06:00:00 13/04/2018] el: 1 cg: RN cu: CCU vo: 0 do: 700 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Cardiac Index t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2.87611 n1: 2.87611 u1: ... st: NotStopd id: SVR t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 898.462 n1: 898.462 u1: ... st: NotStopd id: SVRI t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2027.78 n1: 2027.78 u1: ... st: NotStopd id: Mixed Venous O2% Sat t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 rs: Manual st: NotStopd id: C.O. (fick) t0: [05:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 6.47683 n1: 6.47683 u1: L/min st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 13/04/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 13/04/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 13/04/2018] el: 1 ai: 304 cg: RN cu: CCU vo: 7 vu: ml id: Urine Out Foley t0: [06:00:00 13/04/2018] el: 1 cg: RN cu: CCU vo: 85 vu: ml
id: Service Type t0: [07:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [07:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: mmHg st: NotStopd id: CVP t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [07:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [07:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: IABP setting t0: [07:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: IABP setting t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [07:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: mmHg st: NotStopd id: PAP Mean t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: PAP S/D t0: [07:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: PAP S/D t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [07:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: PAP Alarm (Lo/Hi) t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Augmented Diastole t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Respiratory Rate t0: [07:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: BAEDP t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: SpO2 t0: [07:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Systolic Unloading t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: calprevflg t0: [07:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [07:00:00 13/04/2018] el: 1 cg: RN cu: CCU vo: 0 do: 700 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [08:00:00 13/04/2018] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Capillary Refill R/L t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: GI Prophylaxis t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clear Liquid st: NotStopd id: Eye Opening t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUE Temp/Color t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: O2 Delivery Device t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Delivery Device t0: [08:15:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: Angio Dressing #2 t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [08:15:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: RLE Temp/Color t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: SpO2 t0: [08:15:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: INV#1 Cap Change t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Urine Color/Appear t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Bowel Sounds t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 13/04/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 13/04/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 13/04/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 13/04/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [07:00:00 13/04/2018] el: 1 ai: 304 cg: RN cu: CCU vo: 7 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 13/04/2018] el: 1 ai: 304 cg: RN cu: CCU vo: 7 vu: ml id: Urine Out Foley t0: [08:00:00 13/04/2018] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: CVP t0: [09:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Diastolic Unloading t0: [09:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: % st: NotStopd id: Ectopy Type t0: [09:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [09:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg st: NotStopd id: IABP setting t0: [09:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [09:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: mmHg st: NotStopd id: PAP S/D t0: [09:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Assisted Systole t0: [09:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg st: NotStopd id: Augmented Diastole t0: [09:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg st: NotStopd id: Respiratory Rate t0: [09:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: BAEDP t0: [09:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: SpO2 t0: [09:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Systolic Unloading t0: [09:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: % st: NotStopd id: calprevflg t0: [09:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [09:00:00 13/04/2018] el: 1 ai: 103 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 13/04/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 13/04/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 13/04/2018] el: 1 ai: 304 cg: RN cu: CCU vo: 9 vu: ml id: Urine Out Foley t0: [09:00:00 13/04/2018] el: 1 cg: RN cu: CCU vo: 400 vu: ml
pi: 4535612 hi: 25727 t0: [11:00:00 13/04/2018] tf: [22:00:00 13/04/2018] mn: Calcium Gluconate pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: CVP t0: [10:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Ectopy Type t0: [10:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [10:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: IABP setting t0: [10:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: PAP Mean t0: [10:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: mmHg st: NotStopd id: PAP S/D t0: [10:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Assisted Systole t0: [10:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Augmented Diastole t0: [10:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: Respiratory Rate t0: [10:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: BAEDP t0: [10:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: SpO2 t0: [10:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Systolic Unloading t0: [10:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: % st: NotStopd id: calprevflg t0: [10:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 13/04/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 13/04/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 13/04/2018] el: 1 ai: 304 cg: RN cu: CCU vo: 9 vu: ml id: Urine Out Foley t0: [10:00:00 13/04/2018] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Fingerstick Glucose t0: [12:00:00 13/04/2018] el: 0 cg: CoWker cu: CCU v1: 162 n1: 162 rs: Manual st: NotStopd
id: CVP t0: [11:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Ectopy Type t0: [11:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [11:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: IABP setting t0: [11:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: PAP Mean t0: [11:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: mmHg st: NotStopd id: PAP S/D t0: [11:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Assisted Systole t0: [11:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg st: NotStopd id: Augmented Diastole t0: [11:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg st: NotStopd id: Respiratory Rate t0: [11:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [11:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: SpO2 t0: [11:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Systolic Unloading t0: [11:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: % st: NotStopd id: calprevflg t0: [11:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 13/04/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 13/04/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 13/04/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 13/04/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 13/04/2018] el: 1 ai: 304 cg: RN cu: CCU vo: 9 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 13/04/2018] el: 1 ai: 304 cg: RN cu: CCU vo: 9 vu: ml id: Urine Out Foley t0: [11:00:00 13/04/2018] el: 1 cg: RN cu: CCU vo: 240 vu: ml id: Urine Out Foley t0: [12:00:00 13/04/2018] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: Pain Level t0: [11:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Present t0: [11:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Present t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [11:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Pain Assess Method t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Service Type t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Capillary Refill R/L t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: Code Status t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Strong/Palpable v2: Easily Palpable st: NotStopd id: Ectopy Type t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Medications st: NotStopd id: Education Topic #2 t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: HOB t0: [10:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: IABP setting t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: PA line v2: Right Femoral st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: IABP v2: Left Femoral st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUE Temp/Color t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Angio Dressing #1 t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PAP Mean t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: mmHg st: NotStopd id: PAP S/D t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Pain Cause t0: [11:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [11:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 5-Moderate st: NotStopd id: Pain Location t0: [11:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Pain Management t0: [11:00:00 13/04/2018] el: 1 cg: RN cu: CCU v1: PO Med st: NotStopd id: Pain Type t0: [11:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: Arterial BP Mean t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Assisted Systole t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Augmented Diastole t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg st: NotStopd id: Respiratory Pattern t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: BAEDP t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Side Rails t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 rails up st: NotStopd id: Skin Care t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Systolic Unloading t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: % st: NotStopd id: INV#1 Cap Change t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Temp. Site t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Turn t0: [10:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Heparin t0: [09:00:00 13/04/2018] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:00:00 13/04/2018] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [11:00:00 13/04/2018] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [12:00:00 13/04/2018] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Cardiac Index t0: [11:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 3.18584 n1: 3.18584 u1: ... st: NotStopd id: SVR t0: [11:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 900 n1: 900 u1: ... st: NotStopd id: SVRI t0: [11:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2031.35 n1: 2031.35 u1: ... st: NotStopd id: Mixed Venous O2% Sat t0: [11:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 68 n1: 68 rs: Manual st: NotStopd id: C.O. (fick) t0: [11:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 7.17078 n1: 7.17078 u1: L/min st: NotStopd
pi: 4536148 hi: 25727 t0: [14:00:00 13/04/2018] tf: [22:00:00 13/04/2018] mn: Neutra-Phos pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: CVP t0: [13:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Ectopy Type t0: [13:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [13:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg st: NotStopd id: PAP Mean t0: [13:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: mmHg st: NotStopd id: PAP S/D t0: [13:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 137 n1: 137 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Assisted Systole t0: [13:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg st: NotStopd id: Augmented Diastole t0: [13:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg st: NotStopd id: Respiratory Rate t0: [13:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: BAEDP t0: [13:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: SpO2 t0: [13:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Systolic Unloading t0: [13:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: % st: NotStopd id: calprevflg t0: [13:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [11:00:00 13/04/2018] el: 1 ai: 103 cg: RN cu: CCU vo: 60 vu: ml id: Po Intake t0: [13:00:00 13/04/2018] el: 1 ai: 103 cg: RN cu: CCU vo: 360 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 13/04/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 13/04/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 13/04/2018] el: 1 ai: 304 cg: RN cu: CCU vo: 9 vu: ml id: Urine Out Foley t0: [13:00:00 13/04/2018] el: 1 cg: RN cu: CCU vo: 240 vu: ml
pi: 4536382 hi: 25727 t0: [16:00:00 13/04/2018] tf: [18:00:00 15/04/2018] mn: Heparin pt: Unit Dose st: Discontinued via patient discharge rt: SC fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours
id: CVP t0: [14:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Ectopy Type t0: [14:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [14:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [14:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: IABP setting t0: [13:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1:2 st: NotStopd id: IABP setting t0: [14:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1:3 st: NotStopd id: PAP S/D t0: [14:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 35 n1: 35 u1: mmHg v2: 21 n2: 21 u2: mmHg st: NotStopd id: Arterial BP t0: [14:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Assisted Systole t0: [14:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Augmented Diastole t0: [14:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Respiratory Rate t0: [14:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: BAEDP t0: [14:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: SpO2 t0: [14:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Systolic Unloading t0: [14:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 5 n1: 5 u1: % st: NotStopd id: calprevflg t0: [14:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 13/04/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 13/04/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 13/04/2018] el: 1 ai: 304 cg: RN cu: CCU vo: 9 vu: ml id: Urine Out Foley t0: [14:30:00 13/04/2018] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Heparin t0: [13:00:00 13/04/2018] el: 1 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [14:30:00 13/04/2018] el: 1 cg: RN cu: CCU vo: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: PAP Mean t0: [15:00:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: PCWP t0: [15:00:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: C.O. (fick) t0: [15:00:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: C.O.(thermodilution) t0: [15:00:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd
id: CVP t0: [15:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Diastolic Unloading t0: [15:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: % st: NotStopd id: Ectopy Type t0: [15:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [15:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IABP Mean t0: [15:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: IABP setting t0: [15:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1:1 st: NotStopd id: NBP Mean t0: [15:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: PAP S/D t0: [15:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg v2: 23 n2: 23 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 138 n1: 138 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Assisted Systole t0: [15:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg st: NotStopd id: Augmented Diastole t0: [15:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg st: NotStopd id: Respiratory Rate t0: [15:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: BAEDP t0: [15:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: SpO2 t0: [15:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [15:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Systolic Unloading t0: [15:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: % st: NotStopd id: calprevflg t0: [15:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 13/04/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 13/04/2018] el: 2 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [15:30:00 13/04/2018] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: Ectopy Type t0: [15:35:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [15:35:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:35:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [15:35:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: calprevflg t0: [15:35:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Ectopy Type t0: [15:40:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [15:40:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:40:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [15:40:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Respiratory Rate t0: [15:40:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [15:40:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [15:40:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Dorsal PedPulse R/L t0: [15:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Strong/Palpable st: NotStopd id: Angio Appearance #1 t0: [15:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Dressing #1 t0: [15:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Site #1 t0: [15:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd
id: Capillary Refill R/L t0: [16:00:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1 D/C Date t0: [16:00:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1 Type/Site t0: [16:00:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1 Zero/Cal t0: [16:00:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1InsertDate t0: [16:00:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#1SiteAppear t0: [16:00:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2 D/C Date t0: [16:00:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2 Type/Site t0: [16:00:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2 Zero/Cal t0: [16:00:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2InsertDate t0: [16:00:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2SiteAppear t0: [16:00:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#1 WaveformAppear t0: [16:00:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 WaveformAppear t0: [16:00:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#1 Dsg Change t0: [16:00:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 Dsg Change t0: [16:00:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#1 Cap Change t0: [16:00:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#1 Tubing Change t0: [16:00:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 Cap Change t0: [16:00:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 Tubing Change t0: [16:00:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd
id: ABP Alarm (Lo/Hi) t0: [16:01:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: CVP Alarm (Lo/Hi) t0: [16:01:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: PAP Alarm (Lo/Hi) t0: [16:01:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd
id: Pain Present t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Capillary Refill R/L t0: [15:45:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Normal <3 secs v2: Normal <3 secs st: NotStopd id: Code Status t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [15:45:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Dorsal PedPulse R/L t0: [16:15:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Type t0: [15:45:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:15:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [15:45:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [16:15:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:45:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:15:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUE Temp/Color t0: [15:45:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUE Temp/Color t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUE Temp/Color t0: [16:15:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [15:45:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #1 t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #1 t0: [16:15:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [15:45:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [16:15:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [15:45:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP t0: [16:15:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: NBP Mean t0: [16:15:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Angio Dressing #1 t0: [15:45:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #1 t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: O2 Delivery Device t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: Angio Dressing #2 t0: [15:45:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [15:45:00 13/04/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [16:15:00 13/04/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [15:45:00 13/04/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Angio Site #2 t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Angio Site #2 t0: [16:15:00 13/04/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pain Cause t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Pain Management t0: [16:00:00 13/04/2018] el: 1 cg: RN cu: CCU v1: PO Med st: NotStopd id: Pain Type t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: PostTib. Pulses R/L t0: [15:45:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: PostTib. Pulses R/L t0: [16:15:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg v2: 100 n2: 100 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: PAP Alarm (Lo/Hi) t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [15:45:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLE Temp/Color t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLE Temp/Color t0: [16:15:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [15:45:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:15:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Education Barrier t0: [14:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [14:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [14:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [14:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [14:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [14:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [14:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Invasive Lines st: NotStopd id: IV #1 Insert Date t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd
id: Dorsal PedPulse R/L t0: [16:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Type t0: [16:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [16:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: LUE Temp/Color t0: [16:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Angio Appearance #1 t0: [16:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [16:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: NBP t0: [16:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [16:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Angio Site #1 t0: [16:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [16:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [16:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: RLE Temp/Color t0: [16:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Respiratory Rate t0: [16:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [16:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [16:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Dorsal PedPulse R/L t0: [17:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Strong/Palpable v2: Easily Palpable st: NotStopd id: Ectopy Type t0: [17:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: LUE Temp/Color t0: [17:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Angio Appearance #1 t0: [17:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [17:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: NBP t0: [17:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Angio Site #1 t0: [17:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [17:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [17:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: RLE Temp/Color t0: [17:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Respiratory Rate t0: [17:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [17:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Ectopy Type t0: [17:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: HOB t0: [17:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [17:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [17:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [17:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [17:30:00 13/04/2018] el: 0 cg: RN cu: CCU st: NotStopd id: Respiratory Rate t0: [17:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Skin Care t0: [17:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [17:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: Therapeutic Bed t0: [17:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [17:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Back Care t0: [17:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [17:30:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Dorsal PedPulse R/L t0: [18:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Strong/Palpable v2: Easily Palpable st: NotStopd id: Ectopy Type t0: [18:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: LUE Temp/Color t0: [18:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Angio Appearance #1 t0: [18:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [18:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: NBP t0: [18:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Angio Site #1 t0: [18:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [18:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [18:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: RLE Temp/Color t0: [18:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Respiratory Rate t0: [18:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Skin Integrity t0: [16:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [18:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [18:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Hematocrit t0: [17:42:00 13/04/2018] el: 0 cg: 1663 cu: CCU v1: 31.9 n1: 31.9 u1: % rs: Final st: NotStopd
id: Potassium t0: [17:42:00 13/04/2018] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [17:42:00 13/04/2018] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd
id: Dorsal PedPulse R/L t0: [19:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Strong/Palpable v2: Easily Palpable st: NotStopd id: Ectopy Type t0: [19:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Angio Appearance #1 t0: [19:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [19:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: NBP t0: [19:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Angio Site #1 t0: [19:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [19:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [19:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Respiratory Rate t0: [19:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [19:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [19:00:00 13/04/2018] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Cardiac Index t0: [20:00:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Diastolic Unloading t0: [20:00:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: IABP Mean t0: [20:00:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: IABP setting t0: [20:00:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Assisted Systole t0: [20:00:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Augmented Diastole t0: [20:00:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: SVR t0: [20:00:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: BAEDP t0: [20:00:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd id: Systolic Unloading t0: [20:00:00 13/04/2018] el: 0 cg: -1 cu: CCU st: D/C'd
id: D5W 50.0ml t0: [20:00:00 13/04/2018] el: 1 ai: 109 cg: -1 cu: CCU vo: 0 st: D/C'd id: .9% Normal Saline 1000.0ml t0: [20:00:00 13/04/2018] el: 2 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd id: D5W 250.0ml t0: [20:00:00 13/04/2018] el: 1 ai: 110 cg: -1 cu: CCU vo: 0 st: D/C'd id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 13/04/2018] el: 1 ai: 304 cg: -1 cu: CCU vo: 0 st: D/C'd
pi: 4537515 hi: 25727 t0: [20:00:00 13/04/2018] tf: [12:00:00 14/04/2018] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: NAS/Low Cholest st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GCS Total t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Right Antecub v2: 18 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUE Temp/Color t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Angio Appearance #1 t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: Motor Response t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Angio Dressing #1 t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: O2 Delivery Device t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: Angio Dressing #2 t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Angio Site #1 t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Pain Cause t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Pain Type t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 rails up st: NotStopd id: Skin Integrity t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Temp. Site t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Insulin Guideline t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: On Guideline st: NotStopd id: Bowel Sounds t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: No Impairment st: NotStopd
id: Po Intake t0: [20:00:00 13/04/2018] el: 1 ai: 103 cg: RN cu: CCU vo: 120 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 13/04/2018] el: 1 ai: 107 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [20:00:00 13/04/2018] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: IV Infusion In Total t0: [23:00:00 13/04/2018] el: 2 cg: RN cu: -1 cv: 437 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 13/04/2018] el: 2 cg: RN cu: -1 cv: 1097 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 13/04/2018] el: 2 cg: RN cu: -1 cv: 660 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 13/04/2018] el: 2 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 13/04/2018] el: 2 cg: RN cu: -1 cv: 2630 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 13/04/2018] el: 2 cg: RN cu: -1 cv: -1533 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 13/04/2018] el: 2 cg: RN cu: -1 cv: -476.256 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 13/04/2018] el: 2 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 13/04/2018] el: 2 cg: RN cu: -1 cv: 2630 ac: 24 ap: none re: 0
id: Code Status t0: [21:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [21:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: Heart Rate t0: [21:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [21:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Angio Appearance #1 t0: [21:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [21:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Clean and Dry v2: Ecchymotic st: NotStopd id: NBP t0: [21:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Angio Dressing #1 t0: [21:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Angio Dressing #2 t0: [21:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Transparent st: NotStopd id: Oral Care t0: [21:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Angio Site #1 t0: [21:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [21:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position t0: [21:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [21:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Respiratory Rate t0: [21:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Skin Care t0: [21:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [21:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Therapeutic Bed t0: [21:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Back Care t0: [21:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [21:00:00 13/04/2018] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4537894 hi: 25727 t0: [23:00:00 13/04/2018] tf: [18:00:00 15/04/2018] mn: Heparin Flush CVL (100 units/ml) pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4537895 hi: 25727 t0: [23:00:00 13/04/2018] tf: [22:00:00 13/04/2018] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
ci: 38851 t0: [08:41:00 12/04/2018] cu: CCU de: Regular ward dt: 2247
ci: 38886 t0: [22:10:00 13/04/2018] cu: CCU de: Regular ward dt: 25
pi: 4538309 hi: 25727 t0: [02:00:00 14/04/2018] tf: [01:00:00 15/04/2018] mn: Neutra-Phos pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 2 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4539418 hi: 25727 t0: [10:00:00 14/04/2018] tf: [18:00:00 15/04/2018] mn: Lisinopril pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4539419 hi: 25727 t0: [20:00:00 14/04/2018] tf: [18:00:00 15/04/2018] mn: Metoprolol pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4539534 hi: 25727 t0: [14:00:00 14/04/2018] tf: [13:00:00 15/04/2018] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4539935 hi: 25727 t0: [20:00:00 14/04/2018] tf: [18:00:00 15/04/2018] mn: MetFORMIN (Glucophage) pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4540760 hi: 25727 t0: [01:00:00 15/04/2018] tf: [18:00:00 15/04/2018] mn: PNEUMOcoccal Vac Polyvalent pt: Unit Dose st: Discontinued via patient discharge rt: IM fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4540761 hi: 25727 t0: [01:00:00 15/04/2018] tf: [18:00:00 15/04/2018] mn: Influenza Virus Vaccine pt: Unit Dose st: Discontinued via patient discharge rt: IM fr: ASDIR dn: 1 di: Ongoing xv: 36 xu: Hours