This log is also available as text (211bc.txt) and as a (binary) annotation file (211bc.log).
Generated: Thursday, 23-Apr-2009 00:35:10 EDT
(All dates below are surrogates.)
io: .45% Normal Saline 1000.0ml el: 1 cg: RN cu: CCU ra: 125 ru: ml/hr
pi: 4094966 hi: 9859 t0: [22:00:00 28/09/2015] tf: [04:00:00 01/10/2015] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4094967 hi: 9859 t0: [22:00:00 28/09/2015] tf: [18:00:00 07/10/2015] mn: Oxycodone-Acetaminophen pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
id: Hematocrit t0: [21:01:00 28/09/2015] el: 0 cg: 1663 cu: CCU v1: 30.8 n1: 30.8 u1: % rs: Final st: NotStopd id: Platelets t0: [21:01:00 28/09/2015] el: 0 cg: 1663 cu: CCU v1: 184 n1: 184 rs: Final st: NotStopd
id: Diet Type t0: [20:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [21:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Easily Palpable st: NotStopd id: Dorsal PedPulse R/L t0: [21:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Easily Palpable st: NotStopd id: Education Barrier t0: [20:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [20:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [20:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [20:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [20:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: HOB t0: [20:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Flat in Bed st: NotStopd id: Heart Rate t0: [21:15:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rate t0: [21:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Abdominal Assessment t0: [20:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [20:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: LLE Temp/Color t0: [20:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLE Temp/Color t0: [20:45:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLE Temp/Color t0: [21:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLE Temp/Color t0: [21:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Angio Appearance #1 t0: [21:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Hematoma st: NotStopd id: Angio Appearance #1 t0: [21:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Hematoma st: NotStopd id: Angio Appearance #2 t0: [21:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Angio Appearance #2 t0: [21:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Angio Dressing #1 t0: [21:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Pressure st: NotStopd id: Angio Dressing #1 t0: [21:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Pressure st: NotStopd id: Oral Cavity t0: [20:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Angio Site #1 t0: [21:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [21:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [21:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Angio Site #2 t0: [21:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Arterial BP t0: [21:15:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 145 n1: 145 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [21:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 138 n1: 138 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:15:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [21:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [21:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Doppler st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Gluteal, Right st: NotStopd id: Previous WeightF t0: [21:15:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: kg st: NotStopd id: Previous WeightF t0: [21:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: kg st: NotStopd id: RLE Temp/Color t0: [20:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLE Temp/Color t0: [20:45:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLE Temp/Color t0: [21:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLE Temp/Color t0: [21:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Respiratory Rate t0: [21:15:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [20:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [21:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Urine Color/Appear t0: [20:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: calprevflg t0: [21:15:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [20:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden SensoryPercep t0: [20:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Packed RBC's t0: [21:00:00 28/09/2015] el: 1 ai: 304 cg: RN cu: CCU vu: ml uu: Units nb: 1 id: .45% Normal Saline 1000.0ml t0: [21:00:00 28/09/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 0 vu: ml nb: 1
id: PT t0: [21:01:00 28/09/2015] el: 0 cg: 1663 cu: CCU v1: 15.3 n1: 15.3 rs: Final st: NotStopd id: INR t0: [21:01:00 28/09/2015] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Previous Weight t0: [21:15:00 28/09/2015] el: 0 cg: 1663 cu: CCU v1: 97.8 n1: 97.8 u1: kg st: NotStopd id: Previous Weight t0: [21:30:00 28/09/2015] el: 0 cg: 1663 cu: CCU v1: 97.8 n1: 97.8 u1: kg st: NotStopd id: INR (2-4 ref. range) t0: [21:01:00 28/09/2015] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [21:01:00 28/09/2015] el: 0 cg: 1663 cu: CCU v1: 15.3 n1: 15.3 rs: Final st: NotStopd
id: Blood Products Total t0: [23:00:00 28/09/2015] el: 2 cg: 1663 cu: CCU cv: 375 ac: 24 ap: none re: 0
id: BUN t0: [21:01:00 28/09/2015] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Calcium t0: [21:01:00 28/09/2015] el: 0 cg: 1663 cu: CCU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [21:01:00 28/09/2015] el: 0 cg: 1663 cu: CCU v1: 101 n1: 101 rs: Final st: NotStopd id: Creatinine t0: [21:01:00 28/09/2015] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [21:01:00 28/09/2015] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd id: Magnesium t0: [21:01:00 28/09/2015] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [21:01:00 28/09/2015] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [21:01:00 28/09/2015] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium t0: [21:01:00 28/09/2015] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd id: BUN (6-20) t0: [21:01:00 28/09/2015] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [21:01:00 28/09/2015] el: 0 cg: 1663 cu: CCU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [21:01:00 28/09/2015] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Chloride (100-112) t0: [21:01:00 28/09/2015] el: 0 cg: 1663 cu: CCU v1: 101 n1: 101 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [21:01:00 28/09/2015] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [21:01:00 28/09/2015] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [21:01:00 28/09/2015] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [21:01:00 28/09/2015] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [21:01:00 28/09/2015] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium (135-148) t0: [21:01:00 28/09/2015] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd
id: PTT t0: [21:01:00 28/09/2015] el: 0 cg: 1663 cu: CCU v1: 50.1 n1: 50.1 rs: Final st: NotStopd id: PTT(22-35) t0: [21:01:00 28/09/2015] el: 0 cg: 1663 cu: CCU v1: 50.1 n1: 50.1 rs: Final st: NotStopd
id: Ectopy Frequency t0: [21:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rhythm t0: [21:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd
id: .45% Normal Saline 1000.0ml t0: [22:00:00 28/09/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 125 vu: ml id: Urine Out Other t0: [21:30:00 28/09/2015] el: 1 cg: RN cu: CCU vo: 35 vu: ml id: Urine Out Other t0: [22:30:00 28/09/2015] el: 1 cg: RN cu: CCU vo: 35 vu: ml
id: Dorsal PedPulse R/L t0: [22:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Dorsal PedPulse R/L t0: [22:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Dorsal PedPulse R/L t0: [23:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [22:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [22:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [23:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [22:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [22:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [23:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: HOB t0: [23:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Reverse T-Berg st: NotStopd id: Heart Rate t0: [22:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rate t0: [22:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: LLE Temp/Color t0: [22:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLE Temp/Color t0: [22:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLE Temp/Color t0: [23:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Angio Appearance #1 t0: [22:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Hematoma st: NotStopd id: Angio Appearance #1 t0: [22:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Hematoma st: NotStopd id: Angio Appearance #1 t0: [23:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Hematoma st: NotStopd id: Angio Appearance #2 t0: [22:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Angio Appearance #2 t0: [22:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Angio Dressing #1 t0: [22:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Pressure st: NotStopd id: Angio Dressing #1 t0: [22:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Pressure st: NotStopd id: Angio Dressing #1 t0: [23:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Pressure st: NotStopd id: Angio Site #1 t0: [22:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [22:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [23:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [22:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Angio Site #2 t0: [22:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Angio Site #2 t0: [23:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Arterial BP t0: [22:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 159 n1: 159 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP t0: [22:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 158 n1: 158 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 151 n1: 151 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [22:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [22:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [23:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Previous WeightF t0: [22:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: kg st: NotStopd id: Previous WeightF t0: [22:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: kg st: NotStopd id: Previous WeightF t0: [23:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: kg st: NotStopd id: RLE Temp/Color t0: [22:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLE Temp/Color t0: [22:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLE Temp/Color t0: [23:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Respiratory Rate t0: [22:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Turn t0: [23:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: calprevflg t0: [22:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:30:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .45% Normal Saline 1000.0ml t0: [23:00:00 28/09/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 125 vu: ml id: Urine Out Other t0: [23:00:00 28/09/2015] el: 1 cg: RN cu: CCU vo: 45 vu: ml
id: IV Infusion In Total t0: [23:00:00 28/09/2015] el: 2 cg: RN cu: CCU pv: 125 cv: 250 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 28/09/2015] el: 2 cg: RN cu: CCU pv: 125 cv: 745 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 28/09/2015] el: 2 cg: RN cu: CCU pv: 80 cv: 80 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 28/09/2015] el: 2 cg: RN cu: CCU pv: 80 cv: 365 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 28/09/2015] el: 2 cg: RN cu: CCU pv: 45 cv: 380 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 28/09/2015] el: 2 cg: RN cu: CCU pv: 45 cv: 380 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 28/09/2015] el: 2 cg: RN cu: CCU pv: 45 cv: 45 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 28/09/2015] el: 2 cg: RN cu: CCU pv: 80 cv: 365 ac: 24 ap: none re: 0
pi: 4095412 hi: 9859 t0: [01:00:00 29/09/2015] tf: [00:00:00 30/09/2015] mn: Morphine Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE MR1 ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4095444 hi: 9859 t0: [10:00:00 29/09/2015] tf: [09:00:00 03/10/2015] mn: Allopurinol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4095445 hi: 9859 t0: [22:00:00 29/09/2015] tf: [18:00:00 07/10/2015] mn: Nitrofurantoin (Macrodantin) pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4095446 hi: 9859 t0: [08:00:00 29/09/2015] tf: [18:00:00 07/10/2015] mn: Metoclopramide pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: QIDACHS ds: 08, 11, 16, 22 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 4095447 hi: 9859 t0: [01:00:00 29/09/2015] tf: [18:00:00 07/10/2015] mn: Simethicone pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: QID:PRN di: Ongoing xv: 36 xu: Hours pi: 4095493 hi: 9859 t0: [01:00:00 29/09/2015] tf: [18:00:00 07/10/2015] mn: Insulin pt: Unit Dose st: Discontinued via patient discharge rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours pi: 4095494 hi: 9859 t0: [22:00:00 29/09/2015] tf: [18:00:00 07/10/2015] mn: Insulin pt: Unit Dose st: Discontinued via patient discharge rt: SC fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4095495 hi: 9859 t0: [08:00:00 29/09/2015] tf: [18:00:00 07/10/2015] mn: Insulin pt: Unit Dose st: Discontinued via patient discharge rt: SC fr: BREAKFAST ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4095497 hi: 9859 t0: [08:00:00 29/09/2015] tf: [18:00:00 07/10/2015] mn: Fish Oil (Omega 3) pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4095498 hi: 9859 t0: [01:00:00 29/09/2015] tf: [18:00:00 07/10/2015] mn: Pantoprazole pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q24H ds: 1 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Pain Level t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 4-Mild to Mod st: NotStopd id: Pain Level t0: [21:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 4-Mild to Mod st: NotStopd id: Pain Level t0: [23:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 3-Mild to Mod st: NotStopd id: Pain Present t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Present t0: [21:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Present t0: [22:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [23:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pain Assess Method t0: [22:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Femoral st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Venous Access v2: Left Femoral st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 10 n1: 10 v2: 2 n2: 2 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Right Hand v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: LLE Temp/Color t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Angio Appearance #1 t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Hematoma st: NotStopd id: Angio Dressing #1 t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Pressure st: NotStopd id: O2 Delivery Device t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Angio Site #1 t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Arterial BP t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Pain Cause t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Cause t0: [20:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Cause t0: [21:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Cause t0: [23:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 4-Mild to Mod st: NotStopd id: Pain Level (Rest) t0: [21:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 4-Mild to Mod st: NotStopd id: Pain Level (Rest) t0: [23:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 3-Mild to Mod st: NotStopd id: Pain Management t0: [00:00:00 29/09/2015] el: 1 cg: RN cu: CCU v1: IV Push st: NotStopd id: Pain Management t0: [21:00:00 28/09/2015] el: 1 cg: RN cu: CCU v1: PO Med st: NotStopd id: Pain Management t0: [23:00:00 28/09/2015] el: 1 cg: RN cu: CCU v1: Repositioned st: NotStopd id: Pain Type t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: Pain Type t0: [20:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: Pain Type t0: [21:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: Pain Type t0: [23:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: Arterial BP Mean t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 28/09/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 28/09/2015] 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: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: Turn t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: calprevflg t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: .45% Normal Saline 1000.0ml t0: [00:00:00 29/09/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 125 vu: ml
id: Urine Out Other t0: [00:00:00 29/09/2015] el: 1 cg: RN cu: CCU vo: 40 vu: ml
pi: 4095502 hi: 9859 t0: [10:00:00 29/09/2015] tf: [18:00:00 07/10/2015] mn: Atorvastatin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4095574 hi: 9859 t0: [02:00:00 29/09/2015] tf: [14:00:00 01/10/2015] mn: Dofetilide pt: Unit Dose st: Discontinued rt: PO fr: Q12H ds: 2, 14 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Ectopy Frequency t0: [01:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [01:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [01:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 151 n1: 151 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Previous WeightF t0: [01:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: kg st: NotStopd id: Respiratory Rate t0: [01:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [01:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Dorsal PedPulse R/L t0: [02:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [02:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [02:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [02:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: LLE Temp/Color t0: [02:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Angio Appearance #1 t0: [02:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Hematoma st: NotStopd id: Angio Appearance #2 t0: [02:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Angio Dressing #1 t0: [02:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Pressure st: NotStopd id: Angio Site #1 t0: [02:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [02:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Arterial BP t0: [02:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 152 n1: 152 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [02:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Previous WeightF t0: [02:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: kg st: NotStopd id: RLE Temp/Color t0: [02:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Respiratory Rate t0: [02:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .45% Normal Saline 1000.0ml t0: [01:00:00 29/09/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 125 vu: ml id: .45% Normal Saline 1000.0ml t0: [02:00:00 29/09/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 125 vu: ml id: Urine Out Other t0: [02:00:00 29/09/2015] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Pain Present t0: [01:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [01:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Ectopy Frequency t0: [03:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [03:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [03:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 143 n1: 143 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Previous WeightF t0: [03:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: kg st: NotStopd id: Respiratory Rate t0: [03:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .45% Normal Saline 1000.0ml t0: [03:00:00 29/09/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 125 vu: ml id: Urine Out Other t0: [03:00:00 29/09/2015] el: 1 cg: RN cu: CCU vo: 35 vu: ml
id: IV Infusion In Total t0: [23:00:00 29/09/2015] el: 2 cg: RN cu: CCU cv: 2175 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 29/09/2015] el: 2 cg: RN cu: CCU cv: 2940 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 29/09/2015] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 29/09/2015] el: 2 cg: RN cu: CCU cv: 730 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 29/09/2015] el: 2 cg: RN cu: CCU cv: 2210 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 29/09/2015] el: 2 cg: RN cu: CCU cv: 2590 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 29/09/2015] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 29/09/2015] el: 2 cg: RN cu: CCU cv: 730 ac: 24 ap: none re: 0
id: Pain Present t0: [05:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [05:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [05:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [05:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [05:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [05:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Alarms t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Heart Rate t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Sinus Brady st: NotStopd id: Heart Rhythm t0: [05:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [05:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Wound Base#1 t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Foot, Left st: NotStopd id: Impaired Skin Site#2 t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Foot, Right st: NotStopd id: LLE Temp/Color t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [05:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [05:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Angio Appearance #1 t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Hematoma st: NotStopd id: Angio Appearance #2 t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Oozing st: NotStopd id: Angio Dressing #1 t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Pressure st: NotStopd id: O2 Delivery Device t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [05:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Angio Site #1 t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Angio Site #2 t0: [05:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Arterial BP t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 144 n1: 144 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: PresSoreStage/Heal#2 t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Through Dermis st: NotStopd id: PresSoreStage/Heal#3 t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Through Dermis st: NotStopd id: Press Sore Site #2 t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Gluteal, Left st: NotStopd id: PressSore Drng/Amt#2 t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: PressSore Drng/Amt#3 t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Serosanguinous st: NotStopd id: PressSoreCleansing#2 t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: PressSoreCleansing#3 t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: PressSoreTreatment#1 t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Aquacel st: NotStopd id: PressSoreTreatment#3 t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Aquacel st: NotStopd id: PressSoreWoundBase#2 t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Red st: NotStopd id: PressSoreWoundBase#3 t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: Pressure Sore Odor#2 t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Pressure Sore Odor#3 t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Pressure Sore Site#1 t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Gluteal, Right st: NotStopd id: Pressure Sore Site#3 t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Coccyx st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 29/09/2015] 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: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: kg st: NotStopd id: Previous WeightF t0: [05:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [05:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [05:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [05:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Side Rails t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Integrity t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [05:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Urine Color/Appear t0: [05:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [05:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: calprevflg t0: [04:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [05:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: .45% Normal Saline 1000.0ml t0: [04:00:00 29/09/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 125 vu: ml id: .45% Normal Saline 1000.0ml t0: [05:00:00 29/09/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 125 vu: ml id: Urine Out Other t0: [04:00:00 29/09/2015] el: 1 cg: RN cu: CCU vo: 35 vu: ml id: Urine Out Other t0: [05:00:00 29/09/2015] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: WBC (4-11,000) t0: [04:53:00 29/09/2015] el: 0 cg: 1663 cu: CCU v1: 9.6 n1: 9.6 rs: Final st: NotStopd id: WBC t0: [04:53:00 29/09/2015] el: 0 cg: 1663 cu: CCU v1: 9.6 n1: 9.6 rs: Final st: NotStopd id: Hematocrit t0: [04:53:00 29/09/2015] el: 0 cg: 1663 cu: CCU v1: 30.6 n1: 30.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:53:00 29/09/2015] el: 0 cg: 1663 cu: CCU v1: 9.9 n1: 9.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:53:00 29/09/2015] el: 0 cg: 1663 cu: CCU v1: 181 n1: 181 rs: Final st: NotStopd id: RBC t0: [04:53:00 29/09/2015] el: 0 cg: 1663 cu: CCU v1: 3.55 n1: 3.55 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:53:00 29/09/2015] el: 0 cg: 1663 cu: CCU v1: 9.6 n1: 9.6 rs: Final st: NotStopd
id: Po Intake t0: [04:00:00 29/09/2015] el: 1 ai: 103 cg: RN cu: CCU vo: 120 vu: ml id: Po Intake t0: [22:00:00 28/09/2015] el: 1 ai: 103 cg: RN cu: CCU vo: 120 vu: ml id: .45% Normal Saline 1000.0ml t0: [06:00:00 29/09/2015] el: 1 ai: 189 cg: RN cu: CCU vo: 125 vu: ml
id: PO/Gastric In Total t0: [23:00:00 28/09/2015] el: 2 cg: RN cu: CCU cv: 120 ac: 24 ap: none re: 0
id: Ectopy Frequency t0: [06:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [06:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Heart Rate t0: [06:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Previous WeightF t0: [06:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: kg st: NotStopd id: Respiratory Rate t0: [06:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [06:00:00 29/09/2015] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: BUN t0: [04:53:00 29/09/2015] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Calcium t0: [04:53:00 29/09/2015] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:53:00 29/09/2015] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 rs: Final st: NotStopd id: Creatinine t0: [04:53:00 29/09/2015] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [04:53:00 29/09/2015] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd id: Magnesium t0: [04:53:00 29/09/2015] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [04:53:00 29/09/2015] el: 0 cg: 1663 cu: CCU v1: 4.6 n1: 4.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:53:00 29/09/2015] el: 0 cg: 1663 cu: CCU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium t0: [04:53:00 29/09/2015] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd id: BUN (6-20) t0: [04:53:00 29/09/2015] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:53:00 29/09/2015] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:53:00 29/09/2015] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:53:00 29/09/2015] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:53:00 29/09/2015] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:53:00 29/09/2015] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:53:00 29/09/2015] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:53:00 29/09/2015] el: 0 cg: 1663 cu: CCU v1: 4.6 n1: 4.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:53:00 29/09/2015] el: 0 cg: 1663 cu: CCU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:53:00 29/09/2015] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd