This log is also available as text (212ac.txt) and as a (binary) annotation file (212ac.log).
Generated: Thursday, 23-Apr-2009 00:35:13 EDT
(All dates below are surrogates.)
id: SAPS-I t0: [00:00:00 26/11/2019] el: 0 cg: LCP cu: LCP at MIT n1: 12
pi: 4166221 hi: 8811 t0: [00:00:00 27/11/2019] tf: [04:00:00 01/12/2019] mn: Heparin pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: ONCE ds: 0 it: N ss: Y dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4166222 hi: 8811 t0: [00:00:00 27/11/2019] tf: [04:00:00 01/12/2019] mn: Heparin pt: IV Piggyback st: Discontinued rt: IV fr: ASDIR it: N ss: Y di: Ongoing xv: 36 xu: Hours
id: Levophed-k io: D5W 250.0ml + 8mcgkgmin Levophed-k el: 100 cg: RN cu: CSRU am: 8 du: mcgkgmin rt: IV Drip id: Propofol io: N/A 50.0vl + 500mcgkgmin Propofol el: 100 cg: RN cu: CSRU am: 500 du: mcgkgmin rt: IV Drip id: Heparin io: D5W 250.0ml + 25000Uhr Heparin el: 100 cg: RN cu: CSRU am: 25000 du: Uhr rt: IV Drip
id: Compliance (40-60ml) t0: [00:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 92.8571 n1: 92.8571 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 1:2.3 st: NotStopd id: Airway Size t0: [00:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 14.8 n1: 14.8 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [00:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [00:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 1500 n1: 1500 st: NotStopd id: Ve High t0: [00:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 670 n1: 670 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [01:15:00 27/11/2019] el: 1 cg: RN cu: CSRU v1: No/O2 Issues st: NotStopd id: Risk for Falls t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Readmit <48 hrs t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Diet Type t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Alarms t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Family Communication t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: GCS Total t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: Heart Rate t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1InsertDate t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Bleeding st: NotStopd id: Abdominal Assessment t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: IV #1 Insert Date t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #1 Site/Size t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #3 Site/Size t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Level of Conscious t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP Mean t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Oral Cavity t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Bleeding Gum st: NotStopd id: Orientation t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [01:15:00 27/11/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Position Change t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Reason For Restraint t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Restraint Location t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Temp. Site t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 35.8333 n1: 35.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 96.5 n1: 96.5 u1: Deg. F st: NotStopd id: Verbal Response t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd
id: Heparin t0: [01:15:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: BSA t0: [01:45:00 27/11/2019] el: 1033 cg: -1 cu: CSRU id: Admit Wt t0: [01:45:00 27/11/2019] el: 1032 cg: -1 cu: CSRU v1: 136.8 n1: 136.8 u1: kg id: Allergy 1 t0: [01:45:00 27/11/2019] el: 1020 cg: -1 cu: CSRU v1: No Known Drug Allergies id: Diagnosis/op t0: [01:45:00 27/11/2019] el: 1023 cg: -1 cu: CSRU v1: BILATERAL PULMONARY EMBOLI id: Service t0: [01:45:00 27/11/2019] el: 1026 cg: -1 cu: CSRU v1: MED id: Admit Ht t0: [01:45:00 27/11/2019] el: 1034 cg: -1 cu: CSRU id: Readmission t0: [01:45:00 27/11/2019] el: 1014 cg: -1 cu: CSRU id: Marital Status t0: [01:45:00 27/11/2019] el: 1006 cg: -1 cu: CSRU v1: M id: Religion t0: [01:45:00 27/11/2019] el: 1000 cg: -1 cu: CSRU v1: NSP id: Allergy 2 t0: [01:45:00 27/11/2019] el: 1021 cg: -1 cu: CSRU id: Ext t0: [01:45:00 27/11/2019] el: 1010 cg: -1 cu: CSRU id: Allergy 3 t0: [01:45:00 27/11/2019] el: 1022 cg: -1 cu: CSRU
id: Service Type t0: [01:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [01:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [01:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Risk for Falls t0: [01:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [01:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [01:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [01:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: No Understanding st: NotStopd id: Education Topic #1 t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Heart Rate t0: [01:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [01:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: LLL Lung Sounds t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: NBP t0: [01:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP t0: [01:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 176 n1: 176 u1: mmHg v2: 93 n2: 93 u2: mmHg st: NotStopd id: NBP Mean t0: [01:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 89.3333 n1: 89.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [01:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 120.667 n1: 120.667 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [01:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [01:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous Weight t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: Previous Weight t0: [01:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: Previous Weight t0: [01:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: Previous WeightF t0: [01:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: Previous WeightF t0: [01:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Rate t0: [01:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [01:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [01:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Urine Color/Appear t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Weight Change t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: kg st: NotStopd id: calprevflg t0: [01:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Daily Weight t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: Behavior t0: [01:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [01:15:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: N/A 50.0vl + 500mcgkgmin Propofol t0: [01:15:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Urine Out Incontinent t0: [01:30:00 27/11/2019] el: 1 cg: RN cu: CSRU vu: ml es: Medium
id: Levophed-k t0: [01:15:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Propofol t0: [01:15:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [01:30:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [01:45:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [01:30:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [01:45:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [01:50:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:50:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:50:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:50:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:50:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:50:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:50:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:50:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [01:50:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 96.6667 n1: 96.6667 u1: mmHg st: NotStopd id: Precautions t0: [01:50:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:50:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:50:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:50:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [01:50:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:50:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:50:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [01:50:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [01:50:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [01:50:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [01:50:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: FiO2 Set t0: [01:58:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 0.9 n1: 0.9 u1: torr st: NotStopd id: SpO2 t0: [01:58:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd
pi: 4166467 hi: 8811 t0: [03:00:00 27/11/2019] tf: [22:00:00 06/12/2019] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4166468 hi: 8811 t0: [03:00:00 27/11/2019] tf: [22:00:00 18/12/2019] mn: Albuterol pt: Unit Dose st: Discontinued via patient discharge rt: IH fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4166469 hi: 8811 t0: [03:00:00 27/11/2019] tf: [12:00:00 06/12/2019] mn: Pantoprazole pt: IV Piggyback st: Discontinued rt: IV fr: Q12H ds: 3, 15 dn: 2 di: Ongoing xu: Enter on Label pi: 4166470 hi: 8811 t0: [03:00:00 27/11/2019] tf: [02:00:00 27/11/2019] mn: Propofol pt: Unit Dose st: Inactive (Due to a change order) rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4166471 hi: 8811 t0: [03:00:00 27/11/2019] tf: [22:00:00 27/11/2019] mn: Propofol pt: Unit Dose st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4166488 hi: 8811 t0: [03:00:00 27/11/2019] tf: [22:00:00 27/11/2019] mn: Propofol pt: Unit Dose st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4166489 hi: 8811 t0: [03:00:00 27/11/2019] tf: [22:00:00 27/11/2019] mn: Propofol pt: Unit Dose st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [02:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [02:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [02:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [02:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 63.3333 n1: 63.3333 u1: mmHg st: NotStopd id: Precautions t0: [02:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [02:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [02:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [02:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 11.25 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [02:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 19.152 vu: ml id: Urine Out Condom Cath t0: [02:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: Propofol t0: [02:15:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [02:15:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [02:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [02:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP Mean t0: [02:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 57.3333 n1: 57.3333 u1: mmHg st: NotStopd id: Precautions t0: [02:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [02:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [02:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [02:20:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [02:20:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: FiO2 Set t0: [02:20:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 0.85 n1: 0.85 u1: torr st: NotStopd id: SpO2 t0: [02:20:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd
id: FiO2 Set t0: [02:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 0.75 n1: 0.75 u1: torr st: NotStopd id: SpO2 t0: [02:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd
id: FiO2 Set t0: [02:39:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: SpO2 t0: [02:39:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd
id: Service Type t0: [02:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [02:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Type t0: [02:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [02:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP t0: [02:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP Mean t0: [02:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 60.6667 n1: 60.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [02:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 58.6667 n1: 58.6667 u1: mmHg st: NotStopd id: Precautions t0: [02:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [02:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [02:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: Previous WeightF t0: [02:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [02:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [02:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [02:30:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [02:45:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [02:30:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [02:45:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Riker-SAS Scale t0: [02:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [02:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [02:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd
pi: 4166506 hi: 8811 t0: [04:00:00 27/11/2019] tf: [03:00:00 28/11/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 250 ml NS Bolus 250 ml Over 15 mins it: B dt: 1 di: Doses xu: Enter on Label
id: FiO2 Set t0: [03:00:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Previous Weight t0: [02:45:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 t0: [03:00:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd
id: Service Type t0: [03:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [03:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 60.6667 n1: 60.6667 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [03:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [03:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 35.568 vu: ml
id: Propofol t0: [03:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [03:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: GI Prophylaxis t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Urine Source t0: [01:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd
id: Service Type t0: [03:10:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:10:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:10:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:10:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:10:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:10:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:10:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:10:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: NBP Mean t0: [03:10:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Precautions t0: [03:10:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:10:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:10:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:10:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [03:10:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:10:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:10:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [03:10:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [03:10:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [03:10:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [03:10:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [03:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [03:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [03:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 63.3333 n1: 63.3333 u1: mmHg st: NotStopd id: Precautions t0: [03:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [03:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [03:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [03:20:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:20:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 250 vu: ml
id: Propofol t0: [03:20:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [03:20:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [03:25:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 65 n1: 65 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [03:25:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: RSBI Not Completed t0: [03:25:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: Hemodyn Instabil st: NotStopd id: ETT Mark/Location t0: [03:25:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [03:25:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:25:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:25:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [03:25:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 1:1.8 st: NotStopd id: Airway Size t0: [03:25:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [03:25:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [03:25:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: Low Exhaled Min Vol t0: [03:25:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [03:25:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:25:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 14.3 n1: 14.3 u1: L/min st: NotStopd id: PEEP Set t0: [03:25:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:25:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [03:25:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [03:25:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 5 n1: 5 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [03:25:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [03:25:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [03:25:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [03:25:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [03:25:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [03:25:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 640 n1: 640 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [03:25:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:25:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [03:25:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [03:25:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Eye Opening t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: Heart Rate t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Bleeding st: NotStopd id: Abdominal Assessment t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #3 Site/Size t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Exp Wheeze st: NotStopd id: LUL Lung Sounds t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: NBP t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Oral Cavity t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Bleeding Gum st: NotStopd id: Orientation t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position Change t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: RLL Lung Sounds t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Urine Source t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Verbal Response t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [04:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 25.992 vu: ml id: Urine Out Condom Cath t0: [04:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: Propofol t0: [04:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [04:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fentanyl io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl el: 100 cg: RN cu: CSRU am: 2500 du: mcghr rt: IV Drip id: Midazolam io: .9% Normal Saline 50.0ml + 50mghr Midazolam el: 100 cg: RN cu: CSRU am: 50 du: mghr rt: IV Drip
pi: 4166534 hi: 8811 t0: [05:00:00 27/11/2019] tf: [15:00:00 28/11/2019] mn: Fentanyl Citrate pt: IV Piggyback st: Discontinued rt: IV DRIP fr: INFUSION di: Ongoing xu: Enter on Label pi: 4166535 hi: 8811 t0: [05:00:00 27/11/2019] tf: [15:00:00 28/11/2019] mn: Midazolam HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours
id: WBC (4-11,000) t0: [03:30:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 16.4 n1: 16.4 rs: Final st: NotStopd id: WBC t0: [03:30:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 16.4 n1: 16.4 rs: Final st: NotStopd id: Hematocrit t0: [03:30:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 45.3 n1: 45.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:30:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 15.4 n1: 15.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:30:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 199 n1: 199 rs: Final st: NotStopd id: RBC t0: [03:30:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 4.99 n1: 4.99 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:30:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 16.4 n1: 16.4 rs: Final st: NotStopd
id: Service Type t0: [04:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [04:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [04:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [04:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [04:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Very Agitated st: NotStopd id: Riker-SAS Scale t0: [04:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Risk for Falls t0: [04:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [04:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [04:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [04:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [04:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [04:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 94 n2: 94 u2: mmHg st: NotStopd id: NBP t0: [04:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [04:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 112.667 n1: 112.667 u1: mmHg st: NotStopd id: NBP Mean t0: [04:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 86.6667 n1: 86.6667 u1: mmHg st: NotStopd id: Precautions t0: [04:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [04:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Previous Weight t0: [04:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [04:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: Previous WeightF t0: [04:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [04:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [04:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [04:15:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:30:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:30:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:30:00 27/11/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 0 vu: ml nb: 1
id: Fentanyl t0: [04:30:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:30:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [04:15:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [04:30:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [04:15:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [04:30:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: BUN t0: [03:30:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 18 n1: 18 rs: Final st: NotStopd id: Calcium t0: [03:30:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 7.6 n1: 7.6 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:30:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine t0: [03:30:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose t0: [03:30:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 148 n1: 148 rs: Final st: NotStopd id: Phosphorous t0: [03:30:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 u1: mEq/L rs: Final st: NotStopd id: Sodium t0: [03:30:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 136 n1: 136 rs: Final st: NotStopd id: BUN (6-20) t0: [03:30:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 18 n1: 18 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:30:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 7.6 n1: 7.6 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:30:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 19 n1: 19 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:30:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:30:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:30:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 148 n1: 148 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:30:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 u1: mEq/L rs: Final st: NotStopd id: Sodium (135-148) t0: [03:30:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 136 n1: 136 rs: Final st: NotStopd
id: PTT t0: [03:30:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 73.6 n1: 73.6 rs: Final st: NotStopd id: PTT(22-35) t0: [03:30:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 73.6 n1: 73.6 rs: Final st: NotStopd
id: PT t0: [03:30:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 13.4 n1: 13.4 rs: Final st: NotStopd id: INR t0: [03:30:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:30:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:30:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 13.4 n1: 13.4 rs: Final st: NotStopd
id: Art.pH t0: [05:21:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 7.31 n1: 7.31 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:21:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: -4 n1: -4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:21:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:21:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 44 n1: 44 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:21:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 84 n1: 84 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:21:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 7.31 n1: 7.31 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [05:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 38.2353 n1: 38.2353 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [05:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 26cm v2: Lip st: NotStopd id: ETT Position Change t0: [05:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: Done st: NotStopd id: FiO2 Set t0: [05:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [05:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [05:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [05:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 1:1.8 st: NotStopd id: Airway Size t0: [05:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [05:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [03:25:00 27/11/2019] el: 0 cg: RRts cu: CSRU u1: Deg. C st: NotStopd id: Inspired Gas Temp t0: [05:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [05:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: Low Exhaled Min Vol t0: [05:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [05:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [05:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 10.5 n1: 10.5 u1: L/min st: NotStopd id: PEEP Set t0: [05:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [05:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [05:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [05:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [05:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [05:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [05:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [05:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [05:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [05:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [05:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [05:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [05:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [05:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Ventilator Mode t0: [05:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [05:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [05:30:00 27/11/2019] el: 0 cg: RRts cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Eye Care t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Oral Care t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Position t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: Previous WeightF t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 36.2222 n1: 36.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 97.2 n1: 97.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: Back Care t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [05:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [06:00:00 27/11/2019] el: 1 cg: RN cu: CSRU v1: Done
id: .9% Normal Saline 1000.0ml t0: [06:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [06:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 77.976 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 27/11/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 3 vu: ml id: Urine Out Incontinent t0: [04:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vu: ml es: Small id: Urine Out Condom Cath t0: [06:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: Fentanyl t0: [05:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [06:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [05:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [06:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [05:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [06:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Imp Skin Cleanse #1 t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Serous v2: Small st: NotStopd id: ImpSkin Treatment #1 t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [06:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd
id: Service Type t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 59.3333 n1: 59.3333 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [07:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [07:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [07:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 41.04 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 27/11/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [07:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [07:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [07:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Bleeding st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: NBP t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: EKG st: NotStopd id: Respiratory Rate t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: INV#1 Cap Change t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: calprevflg t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [08:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 32.832 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 27/11/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 2 vu: ml
id: Fentanyl t0: [08:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [08:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [08:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Circulation/SkinInt t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Daily Wake Up t0: [08:00:00 27/11/2019] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Education Barrier t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Readiness t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: No Understanding st: NotStopd id: Education Topic #1 t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: HOB t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: Activity t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Serous v2: Small st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Motor Response t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Bleeding Gum st: NotStopd id: Orientation t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: RLL Lung Sounds t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Sputum Color/Consist t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: In-Line Sx Change t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: Verbal Response t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Bowel Sounds t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd
id: Compliance (40-60ml) t0: [08:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 38.2353 n1: 38.2353 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 1:1.8 st: NotStopd id: Airway Size t0: [08:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 10.6 n1: 10.6 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 1500 n1: 1500 st: NotStopd id: Tank B psi. t0: [08:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [08:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Follows Commands t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pupil Response R/L t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: Spontaneous Movement t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Temp. Site t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd
id: Service Type t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 60.6667 n1: 60.6667 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [09:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16.4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 27/11/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 4 vu: ml id: Urine Out Condom Cath t0: [08:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: Fentanyl t0: [09:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [09:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [09:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [08:25:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 12.7 n1: 12.7 rs: Final st: NotStopd id: WBC t0: [08:25:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 12.7 n1: 12.7 rs: Final st: NotStopd id: Hematocrit t0: [08:25:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 37.7 n1: 37.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [08:25:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 13.1 n1: 13.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [08:25:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 174 n1: 174 rs: Final st: NotStopd id: RBC t0: [08:25:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [08:25:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 12.7 n1: 12.7 rs: Final st: NotStopd
pi: 4166947 hi: 8811 t0: [10:00:00 27/11/2019] tf: [20:00:00 27/11/2019] pt: IV Large Volume st: Inactive (Due to a change order) rt: IV fr: ASDIR iv: 250 ml NS Bolus 250 ml Over 15 mins it: B dt: 1 di: Doses xu: Enter on Label
id: PT t0: [08:25:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 14.6 n1: 14.6 rs: Final st: NotStopd id: INR t0: [08:25:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [08:25:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [08:25:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 14.6 n1: 14.6 rs: Final st: NotStopd
id: PTT t0: [08:25:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 85.1 n1: 85.1 rs: Final st: NotStopd id: PTT(22-35) t0: [08:25:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 85.1 n1: 85.1 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Family Communication t0: [09:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Fam Talked to MD st: NotStopd id: Family Communication t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Fam Talked to RN st: NotStopd id: HOB t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: NBP t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 59.3333 n1: 59.3333 u1: mmHg st: NotStopd id: Oral Care t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: calprevflg t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [10:00:00 27/11/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 250 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [10:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 8.2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 27/11/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [10:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [10:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [10:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: BUN t0: [08:21:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 16 n1: 16 rs: Final st: NotStopd id: Calcium t0: [08:21:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 7.7 n1: 7.7 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [08:21:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 113 n1: 113 rs: Final st: NotStopd id: Creatinine t0: [08:21:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [08:21:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 130 n1: 130 rs: Final st: NotStopd id: Magnesium t0: [08:21:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [08:21:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [08:21:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium t0: [08:21:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd id: BUN (6-20) t0: [08:21:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 16 n1: 16 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [08:21:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 7.7 n1: 7.7 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [08:21:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Chloride (100-112) t0: [08:21:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 113 n1: 113 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [08:21:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [08:21:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 130 n1: 130 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [08:21:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [08:21:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [08:21:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [08:21:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd
id: Radiologic Study t0: [10:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd
id: Service Type t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 75.6667 n1: 75.6667 u1: mmHg st: NotStopd id: Oral Care t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Therapeutic Bed t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: In-Line Sx Change t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: calprevflg t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [11:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vu: ml st: Stopped id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 27/11/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [11:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [11:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip st: Stopped id: Heparin t0: [11:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 27/11/2019] el: 1 cg: RN cu: CSRU v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Family Communication t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Family Communication t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: HOB t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Bleeding st: NotStopd id: Abdominal Assessment t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Serous v2: Small st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 68.3333 n1: 68.3333 u1: mmHg st: NotStopd id: Oral Care t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Bleeding Gum st: NotStopd id: Orientation t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [11:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Temp. Site t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: In-Line Sx Change t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: Verbal Response t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 27/11/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 4 vu: ml id: Urine Out Incontinent t0: [11:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vu: ml es: Medium
id: Fentanyl t0: [12:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [12:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [11:45:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 72.2222 n1: 72.2222 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [11:45:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:45:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:45:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:45:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [11:45:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 1:1.8 st: NotStopd id: Airway Size t0: [11:45:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [11:45:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:45:00 27/11/2019] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [11:45:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: Low Exhaled Min Vol t0: [11:45:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [11:45:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:45:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 10.6 n1: 10.6 u1: L/min st: NotStopd id: PEEP Set t0: [11:45:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:45:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [11:45:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [11:45:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [11:45:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [11:45:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [11:45:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [11:45:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 1500 n1: 1500 st: NotStopd id: Tank B psi. t0: [11:45:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [11:45:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [11:45:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:45:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:45:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: Bloody v2: Plug st: NotStopd id: Sputum Source/Amt t0: [11:45:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [11:45:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 613 n1: 613 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [11:45:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:45:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [11:45:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [11:45:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 67.3333 n1: 67.3333 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [13:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 27/11/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 4 vu: ml id: Urine Out Incontinent t0: [13:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Fentanyl t0: [13:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [13:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Total Hourly Output t0: [23:00:00 27/11/2019] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 27/11/2019] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0 id: 24h Total Out t0: [23:00:00 27/11/2019] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
id: Less Restrict Meas. t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: HOB t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: NBP t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Oral Care t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: calprevflg t0: [14:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 27/11/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [14:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [14:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [15:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 27/11/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 4 vu: ml id: Urine Out Incontinent t0: [15:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Fentanyl t0: [15:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [15:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [16:00:00 27/11/2019] el: 1 cg: RN cu: CSRU v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Family Communication t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: HOB t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Serous v2: Small st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 67.6667 n1: 67.6667 u1: mmHg st: NotStopd id: Oral Care t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Bleeding Gum st: NotStopd id: Orientation t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Temp. Site t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: In-Line Sx Change t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: Verbal Response t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 27/11/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 4 vu: ml id: Urine Out Incontinent t0: [16:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Fentanyl t0: [16:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [16:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [16:30:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:30:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:30:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:30:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:30:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [16:30:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 1:1.8 st: NotStopd id: Airway Size t0: [16:30:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:30:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:30:00 27/11/2019] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [16:30:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: Low Exhaled Min Vol t0: [16:30:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [16:30:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:30:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 10.7 n1: 10.7 u1: L/min st: NotStopd id: PEEP Set t0: [16:30:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:30:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:30:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:30:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:30:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:30:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:30:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [16:30:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 1500 n1: 1500 st: NotStopd id: Tank B psi. t0: [16:30:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [16:30:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [16:30:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:30:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:30:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:30:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [16:30:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 317 n1: 317 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:30:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:30:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:30:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:30:00 27/11/2019] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [17:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 72.3333 n1: 72.3333 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [17:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 27/11/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [17:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: GI Intub #1/Site t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Clamped v2: Pink Tinged st: NotStopd id: HOB t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: NBP t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 70.6667 n1: 70.6667 u1: mmHg st: NotStopd id: Oral Care t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Bloody v2: Thin st: NotStopd id: Sputum Source/Amt t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: calprevflg t0: [18:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 27/11/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [18:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [17:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [18:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [19:00:00 27/11/2019] el: 1 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd id: Urine Out Condom Cath t0: [19:00:00 27/11/2019] el: 1 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Service Type t0: [19:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [19:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: CVP t0: [19:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [19:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [19:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [19:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rate t0: [19:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [19:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [19:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP t0: [19:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: NBP Mean t0: [19:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 73.3333 n1: 73.3333 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [19:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: Previous WeightF t0: [19:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [19:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [19:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:45:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [19:45:00 27/11/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 250 vu: ml
id: Fentanyl t0: [19:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [19:45:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [19:45:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [19:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [19:45:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4169482 hi: 8811 t0: [21:00:00 27/11/2019] tf: [20:00:00 28/11/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 250 ml NS Bolus 250 ml Over 15 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Compliance (40-60ml) t0: [20:00:00 27/11/2019] el: 0 cg: RRTs cu: CSRU v1: 50 n1: 50 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 27/11/2019] el: 0 cg: RRTs cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 27/11/2019] el: 0 cg: RRTs cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 27/11/2019] el: 0 cg: RRTs cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 27/11/2019] el: 0 cg: RRTs cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 27/11/2019] el: 0 cg: RRTs cu: CSRU v1: 1:1.8 st: NotStopd id: Airway Size t0: [20:00:00 27/11/2019] el: 0 cg: RRTs cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:00:00 27/11/2019] el: 0 cg: RRTs cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 27/11/2019] el: 0 cg: RRTs cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 27/11/2019] el: 0 cg: RRTs cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 27/11/2019] el: 0 cg: RRTs cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 27/11/2019] el: 0 cg: RRTs cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 27/11/2019] el: 0 cg: RRTs cu: CSRU v1: 10.6 n1: 10.6 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 27/11/2019] el: 0 cg: RRTs cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 27/11/2019] el: 0 cg: RRTs cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 27/11/2019] el: 0 cg: RRTs cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 27/11/2019] el: 0 cg: RRTs cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Pressure Support t0: [20:00:00 27/11/2019] el: 0 cg: RRTs cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 27/11/2019] el: 0 cg: RRTs cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 27/11/2019] el: 0 cg: RRTs cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 27/11/2019] el: 0 cg: RRTs cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 27/11/2019] el: 0 cg: RRTs cu: CSRU v1: 1500 n1: 1500 st: NotStopd id: Tank B psi. t0: [20:00:00 27/11/2019] el: 0 cg: RRTs cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [20:00:00 27/11/2019] el: 0 cg: RRTs cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 27/11/2019] el: 0 cg: RRTs cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 27/11/2019] el: 0 cg: RRTs cu: CSRU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 27/11/2019] el: 0 cg: RRTs cu: CSRU v1: 665 n1: 665 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 27/11/2019] el: 0 cg: RRTs cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 27/11/2019] el: 0 cg: RRTs cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 27/11/2019] el: 0 cg: RRTs cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Family Communication t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Fam Talked to MD st: NotStopd id: Follows Commands t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Guaiac/ph t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Negative v2: 3 n2: 3 st: NotStopd id: GI Intub #1/Site t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Clamped v2: Brown st: NotStopd id: HOB t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Imp Skin Cleanse #1 t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Serous v2: Scant st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Level of Conscious t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 73.3333 n1: 73.3333 u1: mmHg st: NotStopd id: Oral Care t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Bleeding Gum st: NotStopd id: Orientation t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Reason For Restraint t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Support Systems t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Temp. Site t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 38.2222 n1: 38.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 100.8 n1: 100.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: In-Line Sx Change t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: Verbal Response t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [20:00:00 27/11/2019] el: 1 cg: RN cu: CSRU v1: Done id: Behavior t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 27/11/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 8 vu: ml id: Urine Out Incontinent t0: [20:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Fentanyl t0: [20:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [20:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [21:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 63.3333 n1: 63.3333 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [21:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 27/11/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [21:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [21:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [21:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Bloody v2: Plug st: NotStopd id: Sputum Source/Amt t0: [21:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
io: Tube Feeding el: 1 cg: RN cu: CSRU ra: 10 ru: ml/hr
id: Less Restrict Meas. t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 63.6667 n1: 63.6667 u1: mmHg st: NotStopd id: Position Change t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 38.1667 n1: 38.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 100.7 n1: 100.7 u1: Deg. F st: NotStopd id: calprevflg t0: [22:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [22:00:00 27/11/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 250 vu: ml id: TF Residual t0: [20:00:00 27/11/2019] el: 1 ai: 128 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Tube Feeding t0: [22:00:00 27/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 27/11/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [22:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [22:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [23:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 60.6667 n1: 60.6667 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [23:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Bloody v2: Thin st: NotStopd id: Sputum Source/Amt t0: [23:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: calprevflg t0: [23:00:00 27/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Tube Feeding t0: [23:00:00 27/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 27/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 27/11/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [23:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [23:00:00 27/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 27/11/2019] el: 3 cg: RN cu: CSRU pv: 31.5 cv: 1915.41 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 27/11/2019] el: 3 cg: RN cu: CSRU pv: 41.5 cv: 1925.41 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 27/11/2019] el: 3 cg: RN cu: CSRU pv: 10 cv: 10 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 27/11/2019] el: 3 cg: RN cu: CSRU pv: 41.5 cv: 1925.41 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 27/11/2019] el: 3 cg: RN cu: CSRU pv: 41.5 cv: 1925.41 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 27/11/2019] el: 3 cg: RN cu: CSRU pv: 41.5 cv: 41.5 ac: 1 ap: none re: 0
id: Less Restrict Meas. t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 28/11/2019] el: 1 cg: RN cu: CSRU v1: No/Other Remarks st: NotStopd id: GI Prophylaxis t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Position Change t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Ectopy Frequency t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Brown st: NotStopd id: HOB t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #3 Site/Size t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Level of Conscious t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 68.3333 n1: 68.3333 u1: mmHg st: NotStopd id: Oral Care t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [00:00:00 28/11/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Position t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Reason For Restraint t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Temp. Site t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: In-Line Sx Change t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: Verbal Response t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [00:00:00 28/11/2019] el: 1 ai: 128 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Tube Feeding t0: [00:00:00 28/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 28/11/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [00:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [00:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PT t0: [22:00:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 14.5 n1: 14.5 rs: Final st: NotStopd id: INR t0: [22:00:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [22:00:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 62.6 n1: 62.6 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [22:00:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [22:00:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 14.5 n1: 14.5 rs: Final st: NotStopd id: PTT(22-35) t0: [22:00:00 27/11/2019] el: 0 cg: 3161 cu: CSRU v1: 62.6 n1: 62.6 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [00:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 43.3333 n1: 43.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 1:1.8 st: NotStopd id: Airway Size t0: [00:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 10.6 n1: 10.6 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Pressure Support t0: [00:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [00:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 1500 n1: 1500 st: NotStopd id: Tank B psi. t0: [00:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [00:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [00:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: Bloody v2: Thin st: NotStopd id: Sputum Source/Amt t0: [00:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 610 n1: 610 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: RAMP st: NotStopd
id: Art.pH t0: [00:22:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Arterial Base Excess t0: [00:22:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [00:22:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 28 n1: 28 rs: Final st: NotStopd id: Arterial PaCO2 t0: [00:22:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 46 n1: 46 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [00:22:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 90 n1: 90 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [00:22:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 7.37 n1: 7.37 rs: Final st: NotStopd id: Ionized Calcium t0: [00:22:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 1.16 n1: 1.16 rs: Final st: NotStopd
id: Service Type t0: [01:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Tube Feeding t0: [01:00:00 28/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 28/11/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [01:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [01:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 70.6667 n1: 70.6667 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [02:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [02:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Tube Feeding t0: [02:00:00 28/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 28/11/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 4 vu: ml id: Urine Out Incontinent t0: [02:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vu: ml es: Medium
id: Fentanyl t0: [02:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [02:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Total Hourly Output t0: [23:00:00 28/11/2019] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 28/11/2019] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0 id: 24h Total Out t0: [23:00:00 28/11/2019] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
id: Service Type t0: [02:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [02:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [02:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [02:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [02:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [02:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [02:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [02:30:00 28/11/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 250 vu: ml
id: Fentanyl t0: [02:30:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:30:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [02:30:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 61.3333 n1: 61.3333 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [03:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Tube Feeding t0: [03:00:00 28/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 28/11/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [03:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [03:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 28/11/2019] el: 3 cg: RN cu: CSRU pv: 47.124 cv: 2430.59 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 28/11/2019] el: 3 cg: RN cu: CSRU pv: 107.124 cv: 3410.59 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 28/11/2019] el: 3 cg: RN cu: CSRU pv: 60 cv: 920 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 28/11/2019] el: 3 cg: RN cu: CSRU pv: 107.124 cv: 3410.59 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 28/11/2019] el: 3 cg: RN cu: CSRU pv: 107.124 cv: 5336 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 28/11/2019] el: 3 cg: RN cu: CSRU pv: 107.124 cv: 107.124 ac: 1 ap: none re: 0
id: WBC (4-11,000) t0: [03:30:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 11.7 n1: 11.7 rs: Final st: NotStopd id: WBC t0: [03:30:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 11.7 n1: 11.7 rs: Final st: NotStopd id: Hematocrit t0: [03:30:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 33.8 n1: 33.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:30:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 11.7 n1: 11.7 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:30:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 157 n1: 157 rs: Final st: NotStopd id: RBC t0: [03:30:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 3.74 n1: 3.74 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:30:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 11.7 n1: 11.7 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Compliance (40-60ml) t0: [04:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 43.3333 n1: 43.3333 u1: ml/cmH st: NotStopd id: Riker-SAS Scale t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 28/11/2019] el: 1 cg: RN cu: CSRU v1: No/Other Remarks st: NotStopd id: GI Prophylaxis t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Mark/Location t0: [04:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 26cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Care t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: FiO2 Set t0: [04:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Follows Commands t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: High Insp. Pressure t0: [04:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 1:1.8 st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #3 Site/Size t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Imp Skin Cleanse #1 t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: Airway Size t0: [04:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: LLL Lung Sounds t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Level of Conscious t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 10.6 n1: 10.6 u1: L/min st: NotStopd id: Motor Response t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 62.3333 n1: 62.3333 u1: mmHg st: NotStopd id: Oral Care t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: PEEP Set t0: [04:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pain Location t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [04:00:00 28/11/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Position t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 26 n2: 26 st: NotStopd id: Pressure Support t0: [04:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: RLL Lung Sounds t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Reason For Restraint t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Pattern t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 20 n1: 20 st: NotStopd id: Restraint Location t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Sensitivity-Vent t0: [04:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Side Rails t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Bloody v2: Thin st: NotStopd id: Sputum Source/Amt t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Temp. Site t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: 610 n1: 610 u1: ml/B st: NotStopd id: Turn t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: In-Line Sx Change t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 26 n2: 26 st: NotStopd id: Ventilator Mode t0: [04:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Waveform-Vent t0: [04:00:00 28/11/2019] el: 0 cg: RRTs cu: CSRU v1: RAMP st: NotStopd id: calprevflg t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Fingerstick Glucose t0: [00:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 rs: Manual st: NotStopd id: Bowel Sounds t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [04:00:00 28/11/2019] el: 1 ai: 128 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Tube Feeding t0: [04:00:00 28/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 28/11/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [04:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [04:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Magnesium t0: [03:30:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:30:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd
id: Radiologic Study t0: [04:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd
id: BUN t0: [03:30:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 18 n1: 18 rs: Final st: NotStopd id: Calcium t0: [03:30:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:30:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 rs: Final st: NotStopd id: Creatinine t0: [03:30:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [03:30:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 124 n1: 124 rs: Final st: NotStopd id: Phosphorous t0: [03:30:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:30:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium t0: [03:30:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd id: BUN (6-20) t0: [03:30:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 18 n1: 18 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:30:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:30:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:30:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:30:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:30:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 124 n1: 124 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:30:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:30:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:30:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd
id: Service Type t0: [04:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [04:40:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [04:45:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [04:40:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [04:45:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [04:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [04:40:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [04:45:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [04:40:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [04:45:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [04:40:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [04:45:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [04:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:40:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:45:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: PAC's st: NotStopd id: Heart Rate t0: [04:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [04:40:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rate t0: [04:45:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:40:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [04:45:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [04:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP t0: [04:40:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP t0: [04:45:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [04:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 63.6667 n1: 63.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [04:40:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 59.6667 n1: 59.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [04:45:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 63.3333 n1: 63.3333 u1: mmHg st: NotStopd id: Precautions t0: [04:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [04:40:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [04:45:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:40:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:45:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:40:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:45:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:40:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:45:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:40:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:45:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [04:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: Previous WeightF t0: [04:40:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: Previous WeightF t0: [04:45:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:40:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:45:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [04:40:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: EKG st: NotStopd id: Respiratory Rate t0: [04:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:40:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:45:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [04:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [04:40:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [04:45:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [04:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:40:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:45:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [04:30:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [04:40:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [04:45:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:30:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [04:40:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [04:45:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [04:30:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [04:40:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [04:45:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [05:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [05:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Tube Feeding t0: [05:00:00 28/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 28/11/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [05:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [05:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [06:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 64.6667 n1: 64.6667 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [06:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Tube Feeding t0: [06:00:00 28/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 28/11/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [06:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [06:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [07:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [07:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [07:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [07:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Tube Feeding t0: [07:00:00 28/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 28/11/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [07:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [07:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [07:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [07:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [07:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [07:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 1:1.8 st: NotStopd id: Airway Size t0: [07:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [07:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [07:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [07:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: Low Exhaled Min Vol t0: [07:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [07:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 11.7 n1: 11.7 u1: L/min st: NotStopd id: PEEP Set t0: [07:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [07:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [07:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Pressure Support t0: [07:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [07:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [07:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [07:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [07:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 1500 n1: 1500 st: NotStopd id: Tank B psi. t0: [07:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [07:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [07:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [07:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [07:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Set) t0: [07:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [07:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 635 n1: 635 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [07:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [07:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Daily Wake Up t0: [08:00:00 28/11/2019] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Deferred st: NotStopd id: GI#1 Intub Site t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #3 Site/Size t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Imp Skin Cleanse #1 t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 64.3333 n1: 64.3333 u1: mmHg st: NotStopd id: Oral Care t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 26 n2: 26 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Size R/L t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Temp. Site t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: In-Line Sx Change t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 26 n2: 26 st: NotStopd id: Verbal Response t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Bowel Sounds t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [08:00:00 28/11/2019] el: 1 ai: 128 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Tube Feeding t0: [08:00:00 28/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 28/11/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 4 vu: ml id: Urine Out Incontinent t0: [08:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Fentanyl t0: [08:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [08:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: RSBI (<100) t0: [08:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 56.266 n1: 56.266 u1: units st: NotStopd id: ETT Mark/Location t0: [08:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [08:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 3.5 n1: 3.5 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 8.54 n1: 8.54 u1: L/min st: NotStopd id: Apnea Time Interval t0: [08:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: RSBI (<200) t0: [08:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 56.266 n1: 56.266 u1: units st: NotStopd id: Resp Rate (Total) t0: [08:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Ve High t0: [08:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Spon RR (Mech.) t0: [08:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [08:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 0.391 n1: 0.391 u1: L st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 402 n1: 402 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
pi: 4170703 hi: 8811 t0: [10:00:00 28/11/2019] tf: [09:00:00 29/11/2019] mn: Potassium Chloride pt: Unit Dose st: Expired rt: NG fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4170704 hi: 8811 t0: [10:00:00 28/11/2019] tf: [09:00:00 29/11/2019] mn: Magnesium Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [09:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 65.6667 n1: 65.6667 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [09:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Tube Feeding t0: [09:00:00 28/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 28/11/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [09:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [09:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Hematocrit t0: [08:37:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 33.9 n1: 33.9 u1: % rs: Final st: NotStopd
id: Venous CO2(Calc) t0: [09:36:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 rs: Final st: NotStopd id: Venous PvCO2 t0: [09:36:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 52 n1: 52 u1: mmHg rs: Final st: NotStopd id: Venous PvO2 t0: [09:36:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 42 n1: 42 u1: mmHg rs: Final st: NotStopd id: Venous pH t0: [09:36:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 7.34 n1: 7.34 u1: pH rs: Final st: NotStopd
id: Urine Color/Appear t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: NBP t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 68.6667 n1: 68.6667 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [10:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [10:00:00 28/11/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: Tube Feeding t0: [10:00:00 28/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 28/11/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [10:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [10:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4171129 hi: 8811 t0: [12:00:00 28/11/2019] tf: [22:00:00 30/11/2019] mn: Propofol pt: Unit Dose st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4171130 hi: 8811 t0: [12:00:00 28/11/2019] tf: [22:00:00 30/11/2019] mn: Propofol pt: Unit Dose st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4171131 hi: 8811 t0: [12:00:00 28/11/2019] tf: [22:00:00 30/11/2019] mn: Propofol pt: Unit Dose st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4171132 hi: 8811 t0: [12:00:00 28/11/2019] tf: [11:00:00 29/11/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 15 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [11:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [11:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [11:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [11:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 28/11/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 4 vu: ml
id: Fentanyl t0: [11:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [11:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [11:50:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:50:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:50:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:50:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [11:50:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [11:50:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:50:00 28/11/2019] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [11:50:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: Low Exhaled Min Vol t0: [11:50:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [11:50:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:50:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 11.2 n1: 11.2 u1: L/min st: NotStopd id: PEEP Set t0: [11:50:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:50:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [11:50:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:50:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Tank A psi. t0: [11:50:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 1500 n1: 1500 st: NotStopd id: Tank B psi. t0: [11:50:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [11:50:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [11:50:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:50:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:50:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:50:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [11:50:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 589 n1: 589 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:50:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:50:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 28/11/2019] el: 1 cg: RN cu: CSRU v1: No/O2 Issues st: NotStopd id: GI Prophylaxis t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GI Intub #1/Site t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Brown st: NotStopd id: HOB t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #3 Site/Size t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Imp Skin Cleanse #1 t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: NBP t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 79.6667 n1: 79.6667 u1: mmHg st: NotStopd id: Oral Care t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [12:00:00 28/11/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Position t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 26 n2: 26 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Response R/L t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Temp. Site t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Verbal Response t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [12:00:00 28/11/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml id: TF Residual t0: [12:00:00 28/11/2019] el: 1 ai: 128 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [12:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 32.6 vu: ml id: Gastric Meds t0: [12:00:00 28/11/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [11:00:00 28/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 40 vu: ml id: Tube Feeding t0: [12:00:00 28/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 28/11/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 2 vu: ml id: Urine Out Incontinent t0: [12:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vu: ml es: Medium
id: Fentanyl t0: [12:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [12:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [12:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Procedures t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Bronchoscopy st: NotStopd
id: ETT Mark/Location t0: [12:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: torr st: NotStopd id: FiO2 Set t0: [13:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [12:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [12:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [12:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: PEEP Set t0: [12:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Ventilator Type t0: [12:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [13:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: NBP t0: [13:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 69.6667 n1: 69.6667 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [13:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [13:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 32.832 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vu: ml st: Stopped id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 28/11/2019] el: 1 ai: 189 cg: RN cu: CSRU vu: ml st: Stopped
id: Fentanyl t0: [13:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped id: Midazolam t0: [13:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip st: Stopped id: Propofol t0: [13:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [13:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4171709 hi: 8811 t0: [15:00:00 28/11/2019] tf: [14:00:00 29/11/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Less Restrict Meas. t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: NBP t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 70.6667 n1: 70.6667 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [14:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 32.832 vu: ml
id: Propofol t0: [14:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [14:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Bloody v2: Thin st: NotStopd id: Sputum Source/Amt t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd
id: Compliance (40-60ml) t0: [16:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 43.3333 n1: 43.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 1:1.8 st: NotStopd id: Airway Size t0: [16:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 11.3 n1: 11.3 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 1500 n1: 1500 st: NotStopd id: Tank B psi. t0: [16:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [16:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 614 n1: 614 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 28/11/2019] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [15:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [16:00:00 28/11/2019] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [15:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [15:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GCS Total t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #3 Site/Size t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #3 t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Imp Skin Cleanse #1 t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [12:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Motor Response t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [15:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 67.3333 n1: 67.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 70.6667 n1: 70.6667 u1: mmHg st: NotStopd id: Oral Care t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 26 n2: 26 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: Previous WeightF t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [15:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Temp. Site t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: In-Line Sx Change t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 26 n2: 26 st: NotStopd id: Verbal Response t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [15:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Bowel Sounds t0: [16:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [15:00:00 28/11/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [15:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 32.832 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [16:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.624 vu: ml id: GT Flush t0: [16:00:00 28/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [13:00:00 28/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 40 vu: ml id: Tube Feeding t0: [14:00:00 28/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 40 vu: ml id: Tube Feeding t0: [15:00:00 28/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 40 vu: ml id: Tube Feeding t0: [16:00:00 28/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Incontinent t0: [15:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vu: ml es: Medium id: Urine Out Incontinent t0: [16:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vu: ml es: Medium
id: Propofol t0: [15:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [16:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [15:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [16:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 28/11/2019] el: 3 cg: RN cu: CSRU cv: 60 ac: 24 ap: none re: 0
pi: 4172213 hi: 8811 t0: [17:00:00 28/11/2019] tf: [13:00:00 01/12/2019] mn: Oxymetazoline HCl pt: Unit Dose st: Discontinued rt: NU fr: BID:PRN dt: 3 di: Days xv: 36 xu: Hours
id: Service Type t0: [17:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 74.3333 n1: 74.3333 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [17:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [17:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.624 vu: ml
id: Propofol t0: [17:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [17:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Hematocrit t0: [16:55:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 31.6 n1: 31.6 u1: % rs: Final st: NotStopd
id: Glucose t0: [16:55:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 127 n1: 127 rs: Final st: NotStopd id: Magnesium t0: [16:55:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Potassium t0: [16:55:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [16:55:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 127 n1: 127 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [16:55:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [16:55:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd
id: Ectopy Frequency t0: [13:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rhythm t0: [13:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Sputum Color/Consist t0: [17:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [17:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 28/11/2019] el: 1 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 28/11/2019] el: 1 ai: 189 cg: -1 cu: CSRU vo: 0 st: D/C'd
pi: 4172513 hi: 8811 t0: [19:00:00 28/11/2019] tf: [18:00:00 29/11/2019] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Zero/Cal t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Activity t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: NBP t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Therapeutic Bed t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [18:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [18:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.624 vu: ml id: Urine Out Incontinent t0: [18:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Propofol t0: [18:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [18:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 38.2353 n1: 38.2353 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 1:1.8 st: NotStopd id: Airway Size t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: Low Exhaled Min Vol t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 10.7 n1: 10.7 u1: L/min st: NotStopd id: PEEP Set t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 1500 n1: 1500 st: NotStopd id: Tank B psi. t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 610 n1: 610 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [19:30:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: RAMP st: NotStopd
id: GI Guaiac/ph t0: [20:00:00 28/11/2019] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Less Restrict Meas. t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 28/11/2019] el: 1 cg: RN cu: CSRU v1: Unstable Airway st: NotStopd id: GI Prophylaxis t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Education Handout t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Family Communication t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV #3 Insert Date t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #3 Site/Size t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Left Antecub v2: 18 gauge st: NotStopd id: Activity t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Imp Skin Cleanse #1 t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 84.3333 n1: 84.3333 u1: mmHg st: NotStopd id: Oral Care t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [20:00:00 28/11/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Position Change t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 26 n2: 26 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Support Systems t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Temp. Site t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 38.4444 n1: 38.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 101.2 n1: 101.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: In-Line Sx Change t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 26 n2: 26 st: NotStopd id: Verbal Response t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [20:00:00 28/11/2019] el: 1 cg: RN cu: CSRU v1: Done id: Behavior t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [20:00:00 28/11/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: TF Residual t0: [20:00:00 28/11/2019] el: 1 ai: 128 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [20:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 49.248 vu: ml id: Tube Feeding t0: [17:00:00 28/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 50 vu: ml id: Tube Feeding t0: [18:00:00 28/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 50 vu: ml id: Tube Feeding t0: [20:00:00 28/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 100 vu: ml
id: Propofol t0: [20:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [20:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Hematocrit t0: [20:00:00 28/11/2019] el: 0 cg: 3161 cu: CSRU v1: 32.3 n1: 32.3 u1: % rs: Final st: NotStopd
id: IV #3 Reason DC'D t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Infiltrated st: NotStopd id: IV Site Appear #3 t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Infiltrated st: NotStopd id: Activity Tolerance t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Urine Color/Appear t0: [20:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd
id: Urine Out Incontinent t0: [20:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Service Type t0: [21:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 81.6667 n1: 81.6667 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [21:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [21:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [21:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.624 vu: ml id: Tube Feeding t0: [21:00:00 28/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 60 vu: ml
id: Propofol t0: [21:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [21:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [22:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [22:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [22:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [22:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 76.6667 n1: 76.6667 u1: mmHg st: NotStopd id: Position Change t0: [22:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [22:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [22:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [22:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [22:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [22:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.624 vu: ml id: Tube Feeding t0: [22:00:00 28/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 60 vu: ml
id: Propofol t0: [22:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [22:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [23:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 79.3333 n1: 79.3333 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [23:00:00 28/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.624 vu: ml id: Tube Feeding t0: [23:00:00 28/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 60 vu: ml
id: Propofol t0: [23:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [23:00:00 28/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4173373 hi: 8811 t0: [00:00:00 29/11/2019] tf: [23:00:00 29/11/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 4173389 hi: 8811 t0: [08:00:00 29/11/2019] tf: [09:00:00 01/12/2019] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q 12H ds: 08, 20 dn: 2 dt: 81 di: Hours xv: 36 xu: Hours
id: Fingerstick Glucose t0: [00:00:00 29/11/2019] el: 0 cg: CoWker cu: CSRU v1: 131 n1: 131 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [23:45:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 43.3333 n1: 43.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [23:45:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [23:45:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [23:45:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:45:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [23:45:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 1:1.8 st: NotStopd id: Airway Size t0: [23:45:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [23:45:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [23:45:00 28/11/2019] el: 0 cg: RRt cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [23:45:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: Low Exhaled Min Vol t0: [23:45:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [23:45:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [23:45:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:45:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 11.4 n1: 11.4 u1: L/min st: NotStopd id: PEEP Set t0: [23:45:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [23:45:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [23:45:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [23:45:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [23:45:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [23:45:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [23:45:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [23:45:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 1500 n1: 1500 st: NotStopd id: Tank B psi. t0: [23:45:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [23:45:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [23:45:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [23:45:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [23:45:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: Bloody v2: Thick st: NotStopd id: Tidal Volume (Obser) t0: [23:45:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 630 n1: 630 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [23:45:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Ventilator Mode t0: [23:45:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [23:45:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [23:45:00 28/11/2019] el: 0 cg: RRt cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 29/11/2019] el: 1 cg: RN cu: CSRU v1: Unstable Airway st: NotStopd id: GI Prophylaxis t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Imp Skin Cleanse #1 t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 76.3333 n1: 76.3333 u1: mmHg st: NotStopd id: Oral Care t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [00:00:00 29/11/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Position Change t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 26 n2: 26 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Significant Events t0: [23:30:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd id: Skin Integrity t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Support Systems t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Temp. Site t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 38.3333 n1: 38.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: In-Line Sx Change t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 26 n2: 26 st: NotStopd id: Verbal Response t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [23:30:00 28/11/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [00:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.624 vu: ml id: Urine Out Incontinent t0: [00:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Propofol t0: [00:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [00:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Hematocrit t0: [00:01:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 31.7 n1: 31.7 u1: % rs: Final st: NotStopd
id: Service Type t0: [01:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 85.3333 n1: 85.3333 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 136.8 n1: 136.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [01:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.624 vu: ml id: Tube Feeding t0: [01:00:00 29/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 60 vu: ml
id: Propofol t0: [01:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [01:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 96.3333 n1: 96.3333 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [02:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [02:00:00 29/11/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: TF Residual t0: [00:00:00 29/11/2019] el: 1 ai: 128 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [02:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.624 vu: ml id: Tube Feeding t0: [02:00:00 29/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Incontinent t0: [02:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Propofol t0: [02:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [02:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [02:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Position Change t0: [02:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [02:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [02:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [02:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Tube Feeding t0: [00:00:00 29/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 60 vu: ml
id: Service Type t0: [03:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 79.6667 n1: 79.6667 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [03:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [03:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.624 vu: ml id: Tube Feeding t0: [03:00:00 29/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 60 vu: ml
id: Propofol t0: [03:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [03:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [03:30:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 40.625 n1: 40.625 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [03:30:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: No Spon Resp st: NotStopd id: ETT Mark/Location t0: [03:30:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [03:30:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:30:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:30:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [03:30:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 1:1.8 st: NotStopd id: Airway Size t0: [03:30:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [03:30:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [03:30:00 29/11/2019] el: 0 cg: RRt cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [03:30:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: Low Exhaled Min Vol t0: [03:30:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [03:30:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:30:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 11.5 n1: 11.5 u1: L/min st: NotStopd id: PEEP Set t0: [03:30:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:30:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [03:30:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [03:30:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [03:30:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [03:30:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [03:30:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [03:30:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 1500 n1: 1500 st: NotStopd id: Tank B psi. t0: [03:30:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [03:30:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [03:30:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [03:30:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [03:30:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [03:30:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:30:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [03:30:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [03:30:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: RAMP st: NotStopd
id: Sputum Color/Consist t0: [03:00:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:00:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
pi: 4173909 hi: 8811 t0: [05:00:00 29/11/2019] tf: [04:00:00 30/11/2019] mn: Potassium Phosphate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 5 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4173910 hi: 8811 t0: [05:00:00 29/11/2019] tf: [13:00:00 01/12/2019] mn: Acetaminophen (Liquid) pt: Unit Dose st: Discontinued rt: PO fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours
id: WBC (4-11,000) t0: [03:55:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 10.7 n1: 10.7 rs: Final st: NotStopd id: WBC t0: [03:55:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 10.7 n1: 10.7 rs: Final st: NotStopd id: Hematocrit t0: [03:55:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 31.4 n1: 31.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:55:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 10.7 n1: 10.7 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:55:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 179 n1: 179 rs: Final st: NotStopd id: RBC t0: [03:55:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 3.42 n1: 3.42 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:55:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 10.7 n1: 10.7 rs: Final st: NotStopd
id: PT t0: [03:55:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 14.1 n1: 14.1 rs: Final st: NotStopd id: INR t0: [03:55:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [03:55:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 42.6 n1: 42.6 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:55:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:55:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 14.1 n1: 14.1 rs: Final st: NotStopd id: PTT(22-35) t0: [03:55:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 42.6 n1: 42.6 rs: Final st: NotStopd
id: BUN t0: [03:55:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd id: Calcium t0: [03:55:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:55:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine t0: [03:55:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [03:55:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 125 n1: 125 rs: Final st: NotStopd id: Magnesium t0: [03:55:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [03:55:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:55:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium t0: [03:55:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd id: BUN (6-20) t0: [03:55:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:55:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:55:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:55:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:55:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:55:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 125 n1: 125 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:55:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:55:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:55:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:55:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 29/11/2019] el: 1 cg: RN cu: CSRU v1: Unstable Airway st: NotStopd id: GI Prophylaxis t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Oral Care t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [04:00:00 29/11/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Position Change t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 26 n2: 26 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Pupil Response R/L t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 28/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Support Systems t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Temp. Site t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 38.1111 n1: 38.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 100.6 n1: 100.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: In-Line Sx Change t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 26 n2: 26 st: NotStopd id: Verbal Response t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [04:00:00 29/11/2019] el: 1 ai: 128 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 12.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [04:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.624 vu: ml id: Tube Feeding t0: [04:00:00 29/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 60 vu: ml
id: Propofol t0: [04:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [04:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [04:30:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Potassium Phosphate io: .9% Normal Saline 500.0ml el: 100 cg: RN cu: CSRU am: 30 du: mEq rt: Intravenous Push
io: .9% Normal Saline 500.0ml el: 1 cg: RN cu: CSRU ra: 80 ru: ml/hr
id: Service Type t0: [05:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 95.3333 n1: 95.3333 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [05:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 13.75 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [05:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.624 vu: ml id: Tube Feeding t0: [05:00:00 29/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Incontinent t0: [05:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Propofol t0: [05:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [05:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [05:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Bloody v2: Plug st: NotStopd id: Sputum Source/Amt t0: [05:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:30:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml st: Stopped id: Gastric Meds t0: [05:30:00 29/11/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 500.0ml t0: [05:30:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: GT Flush t0: [05:30:00 29/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 30 vu: ml
id: High Insp. Pressure t0: [05:30:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd
id: Service Type t0: [05:45:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:45:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [05:45:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:45:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:45:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [05:45:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: PAC's st: NotStopd id: Heart Rate t0: [05:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rate t0: [05:45:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:45:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [05:45:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 166 n1: 166 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: NBP Mean t0: [05:45:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 112.667 n1: 112.667 u1: mmHg st: NotStopd id: Precautions t0: [05:45:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:45:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:45:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:45:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:45:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:45:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:45:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [05:45:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [05:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:45:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [05:45:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [05:45:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [06:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [06:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [06:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [06:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [06:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [06:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: PAC's st: NotStopd id: Ectopy Type t0: [06:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rate t0: [06:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [06:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [06:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 159 n1: 159 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP t0: [06:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 162 n1: 162 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 108.333 n1: 108.333 u1: mmHg st: NotStopd id: NBP Mean t0: [06:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 108.667 n1: 108.667 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [06:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [06:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [06:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [06:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [06:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 26.676 vu: ml id: .9% Normal Saline 500.0ml t0: [06:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 40 vu: ml id: Tube Feeding t0: [06:00:00 29/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 60 vu: ml
id: Propofol t0: [06:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [06:05:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 60 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [06:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [06:05:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: RSBI (<100) t0: [06:00:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 116.667 n1: 116.667 u1: units st: NotStopd id: RSBI (<200) t0: [06:00:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 116.667 n1: 116.667 u1: units st: NotStopd id: Spon RR (Mech.) t0: [06:00:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [06:00:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 0.3 n1: 0.3 u1: L st: NotStopd
id: D5W 100.0ml t0: [18:00:00 28/11/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: Compliance (40-60ml) t0: [07:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 28.2609 n1: 28.2609 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [07:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [07:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [07:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 1:2.3 st: NotStopd id: Airway Size t0: [07:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [07:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [07:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [07:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: Low Exhaled Min Vol t0: [07:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [07:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [07:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 11.4 n1: 11.4 u1: L/min st: NotStopd id: PEEP Set t0: [07:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [07:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [07:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [07:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [07:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [07:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [07:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [07:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [07:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [07:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [07:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [07:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [07:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [07:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [07:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [07:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [07:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: calprevflg t0: [07:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [07:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 60 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [07:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 29/11/2019] el: 1 cg: RN cu: CSRU v1: Unstable Airway st: NotStopd id: GI Prophylaxis t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Education Handout t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Deferred st: NotStopd id: GI#1 Intub Site t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 76.6667 n1: 76.6667 u1: mmHg st: NotStopd id: Oral Care t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 26 n2: 26 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Sputum Color/Consist t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Temp. Site t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: In-Line Sx Change t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 26 n2: 26 st: NotStopd id: Verbal Response t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [08:00:00 29/11/2019] el: 1 ai: 128 cg: RN cu: CSRU vo: 0 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [07:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [07:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 49 vu: ml id: .9% Normal Saline 500.0ml t0: [07:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 500.0ml t0: [08:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 80 vu: ml id: GT Flush t0: [08:00:00 29/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [07:00:00 29/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 60 vu: ml id: Tube Feeding t0: [08:00:00 29/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Incontinent t0: [08:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Propofol t0: [08:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [08:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [09:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 77.6667 n1: 77.6667 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [09:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [09:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.624 vu: ml id: .9% Normal Saline 500.0ml t0: [09:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 80 vu: ml id: Tube Feeding t0: [09:00:00 29/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 60 vu: ml
id: Propofol t0: [09:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [09:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [09:30:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [09:30:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [09:30:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [09:30:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [09:30:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [09:30:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [09:30:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: Low Exhaled Min Vol t0: [09:30:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 st: NotStopd id: Mean Airway Pressure t0: [09:30:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [09:30:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: L/min st: NotStopd id: PEEP Set t0: [09:30:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Pressure Support t0: [09:30:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Spont) t0: [09:30:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [09:30:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [09:30:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Ve High t0: [09:30:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [09:30:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [09:30:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [09:30:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [09:30:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [09:30:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [09:30:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 93.3333 n1: 93.3333 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [10:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.624 vu: ml id: .9% Normal Saline 500.0ml t0: [10:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 80 vu: ml
id: Propofol t0: [10:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [10:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [11:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [11:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [11:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.624 vu: ml id: .9% Normal Saline 500.0ml t0: [11:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 80 vu: ml
id: Propofol t0: [11:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [11:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1500 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 29/11/2019] el: 1 cg: RN cu: CSRU v1: Unstable Airway st: NotStopd id: GI Prophylaxis t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 99.6667 n1: 99.6667 u1: mmHg st: NotStopd id: Oral Care t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 26 n2: 26 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Sputum Color/Consist t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Temp. Site t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: In-Line Sx Change t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 26 n2: 26 st: NotStopd id: Verbal Response t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: TF Residual t0: [12:00:00 29/11/2019] el: 1 ai: 128 cg: RN cu: CSRU vo: 30 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [08:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.6 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [12:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.624 vu: ml id: .9% Normal Saline 500.0ml t0: [12:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 80 vu: ml id: GT Flush t0: [12:00:00 29/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Incontinent t0: [12:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Propofol t0: [12:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [12:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [12:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [12:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 10.8 n1: 10.8 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [12:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 470 n1: 470 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Art.pH t0: [12:29:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Arterial Base Excess t0: [12:29:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:29:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 rs: Final st: NotStopd id: Arterial PaCO2 t0: [12:29:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 45 n1: 45 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [12:29:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 87 n1: 87 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:29:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd
id: Service Type t0: [13:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [13:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml
id: Heparin t0: [13:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 500.0ml t0: [13:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vu: ml st: Stopped
id: Less Restrict Meas. t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: HOB t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: BPM st: NotStopd id: Activity t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: NBP t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 152 n1: 152 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [13:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [13:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 26 n2: 26 st: NotStopd id: calprevflg t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [14:00:00 29/11/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [13:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vu: ml st: Stopped
id: Propofol t0: [13:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip st: Stopped id: Heparin t0: [14:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4175418 hi: 8811 t0: [15:00:00 29/11/2019] tf: [14:00:00 30/11/2019] mn: Dexamethasone pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Tube Feeding t0: [10:00:00 29/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vu: ml st: Stopped id: Tube Feeding t0: [11:00:00 29/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vu: ml id: Tube Feeding t0: [12:00:00 29/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vu: ml id: Tube Feeding t0: [13:00:00 29/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vu: ml id: Tube Feeding t0: [14:00:00 29/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vu: ml
id: Tube Feeds In Total t0: [23:00:00 29/11/2019] el: 3 cg: RN cu: CSRU cv: 600 ac: 24 ap: none re: 0
id: Service Type t0: [15:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: BPM st: NotStopd id: NBP t0: [15:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 155 n1: 155 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 97.6667 n1: 97.6667 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [15:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml
id: Heparin t0: [15:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: BPM st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 80.6667 n1: 80.6667 u1: mmHg st: NotStopd id: Oral Care t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 26 n2: 26 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Temp. Site t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: In-Line Sx Change t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 26 n2: 26 st: NotStopd id: Verbal Response t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml nb: 1
id: Heparin t0: [16:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4175753 hi: 8811 t0: [17:00:00 29/11/2019] tf: [12:00:00 06/12/2019] mn: Lorazepam pt: Unit Dose st: Discontinued rt: IV fr: ONCE:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [17:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: NBP t0: [17:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [17:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [16:30:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16.3 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [17:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 32.6 vu: ml id: Urine Out Incontinent t0: [16:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large id: Urine Out Incontinent t0: [17:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Propofol t0: [16:30:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [17:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [17:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4176114 hi: 8811 t0: [18:00:00 29/11/2019] tf: [17:00:00 30/11/2019] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Compliance (40-60ml) t0: [16:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 32.5 n1: 32.5 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [14:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [16:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [14:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [14:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 640 n1: 640 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Ventilator Type t0: [16:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Cuff Pressure-Airway t0: [16:00:00 29/11/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd
id: Phosphorous t0: [16:27:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [16:27:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [16:27:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [16:27:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [19:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [19:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [19:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [19:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [19:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Topic #1 t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: NBP t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 65.3333 n1: 65.3333 u1: mmHg st: NotStopd id: Oral Care t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [19:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [19:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 26 n2: 26 st: NotStopd id: calprevflg t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [18:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [19:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [18:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 32.832 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [19:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 32.832 vu: ml
id: Propofol t0: [18:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [19:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [18:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [19:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [18:00:00 29/11/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: PTT t0: [18:23:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 35.8 n1: 35.8 rs: Final st: NotStopd id: PTT(22-35) t0: [18:23:00 29/11/2019] el: 0 cg: 3161 cu: CSRU v1: 35.8 n1: 35.8 rs: Final st: NotStopd
pi: 4176393 hi: 8811 t0: [20:00:00 29/11/2019] tf: [19:00:00 30/11/2019] mn: Metoprolol pt: Unit Dose st: Expired rt: IV fr: ONCE MR1 ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Heart Rate t0: [19:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [19:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 89.3333 n1: 89.3333 u1: mmHg st: NotStopd id: Previous WeightF t0: [14:00:00 28/11/2019] el: 0 cg: RN cu: CSRU u1: kg st: NotStopd id: Procedures t0: [19:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: EKG st: NotStopd id: calprevflg t0: [19:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heart Rhythm t0: [14:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [15:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [16:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [17:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd
id: Service Type t0: [19:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [19:10:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [19:15:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [19:20:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [19:25:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [19:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: CVP t0: [19:10:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: CVP t0: [19:15:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [19:20:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: CVP t0: [19:25:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [19:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [19:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [19:10:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [19:15:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [19:20:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [19:25:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [19:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [19:10:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [19:15:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [19:20:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [19:25:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [19:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [19:10:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [19:15:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [19:20:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [19:25:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [19:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:10:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:15:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:20:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:25:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [19:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rate t0: [19:10:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: BPM st: NotStopd id: Heart Rate t0: [19:15:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: BPM st: NotStopd id: Heart Rate t0: [19:20:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: BPM st: NotStopd id: Heart Rate t0: [19:25:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: BPM st: NotStopd id: Heart Rate t0: [19:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [19:10:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [19:15:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [19:20:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [19:25:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [19:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [19:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP t0: [19:10:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP t0: [19:20:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP t0: [19:25:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 152 n1: 152 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP t0: [19:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [19:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 93.3333 n1: 93.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [19:10:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 95.6667 n1: 95.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [19:20:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90.6667 n1: 90.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [19:25:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 99.3333 n1: 99.3333 u1: mmHg st: NotStopd id: NBP Mean t0: [19:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [19:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [19:10:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [19:15:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [19:20:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [19:25:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [19:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:10:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:15:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:20:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:25:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:10:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:15:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:20:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:25:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:10:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:15:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:20:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:25:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:10:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:15:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:20:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:25:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:10:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:15:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:20:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:25:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:10:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:15:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:20:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:25:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Significant Events t0: [19:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Dysrhythmia st: NotStopd id: SpO2 t0: [19:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [19:10:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [19:15:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [19:20:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [19:25:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [19:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [19:05:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:10:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:15:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:20:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:25:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [19:05:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [19:10:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [19:15:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [19:20:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [19:25:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [19:30:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [19:05:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [19:10:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [19:15:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [19:20:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [19:25:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [19:30:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [19:35:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [19:40:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:35:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [19:40:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [19:35:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [19:40:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:35:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [19:40:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:35:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [19:40:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:35:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:40:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [19:35:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rate t0: [19:40:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:35:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: Heart Rhythm t0: [19:40:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [19:35:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP t0: [19:40:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [19:35:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: NBP Mean t0: [19:40:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 78.3333 n1: 78.3333 u1: mmHg st: NotStopd id: Precautions t0: [19:35:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [19:40:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:35:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:40:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:35:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:40:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:35:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:40:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:35:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:40:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:35:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:40:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [19:35:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: EKG st: NotStopd id: Respiratory Rate t0: [19:35:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:40:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [19:35:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [19:40:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [19:35:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:40:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [19:35:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [19:40:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [19:35:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [19:40:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 29.5455 n1: 29.5455 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 1:2.8 st: NotStopd id: Airway Size t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU u1: Deg. C st: NotStopd id: Intubation Date t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: Low Exhaled Min Vol t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 11.9 n1: 11.9 u1: L/min st: NotStopd id: PEEP Set t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 1400 n1: 1400 st: NotStopd id: Ve High t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 640 n1: 640 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: RAMP st: NotStopd
id: Cuff Pressure-Airway t0: [19:40:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd
id: Sputum Color/Consist t0: [19:45:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: Brown v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:45:00 29/11/2019] el: 0 cg: RRt cu: CSRU v1: Suctioned v2: Small st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [20:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Very Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 29/11/2019] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Education Handout t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GI Intub #1/Site t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [20:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: Heart Rhythm t0: [20:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Pain st: NotStopd id: NBP t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP t0: [20:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: NBP Mean t0: [20:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Oral Care t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [20:00:00 29/11/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Position Change t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 26 n2: 26 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Cool v2: Dry st: NotStopd id: SpO2 t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [20:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Sputum Color/Consist t0: [20:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Temp. Site t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 38.6667 n1: 38.6667 u1: Deg. C st: NotStopd id: Therapeutic Bed t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: In-Line Sx Change t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 26 n2: 26 st: NotStopd id: Verbal Response t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:30:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [20:00:00 29/11/2019] el: 1 cg: RN cu: CSRU v1: Done id: Behavior t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [20:00:00 29/11/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: TF Residual t0: [20:00:00 29/11/2019] el: 1 ai: 128 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [20:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 32.832 vu: ml id: Gastric Meds t0: [20:00:00 29/11/2019] el: 1 ai: 112 cg: RN cu: CSRU vo: 20 vu: ml id: GT Flush t0: [20:00:00 29/11/2019] el: 1 ai: 338 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Incontinent t0: [20:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Propofol t0: [20:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [20:30:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [20:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [20:30:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 29/11/2019] el: 3 cg: RN cu: CSRU cv: 160 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 29/11/2019] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 29/11/2019] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0 id: 24h Total Out t0: [23:00:00 29/11/2019] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
pi: 4176675 hi: 8811 t0: [22:00:00 29/11/2019] tf: [21:00:00 30/11/2019] mn: CefePIME pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4176763 hi: 8811 t0: [22:00:00 29/11/2019] tf: [11:00:00 02/12/2019] mn: CefePIME pt: IV Piggyback st: Discontinued rt: IV fr: Q12H ds: 22, 10 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [21:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [21:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 70.3333 n1: 70.3333 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [21:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [21:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 32.832 vu: ml
id: Propofol t0: [21:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [21:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [22:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [22:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [22:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [22:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [22:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 82.3333 n1: 82.3333 u1: mmHg st: NotStopd id: Position Change t0: [22:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [22:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [22:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Reason For Restraint t0: [22:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [22:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [22:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [22:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [22:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 32.832 vu: ml
id: Propofol t0: [22:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [22:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [23:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [23:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 70.3333 n1: 70.3333 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [23:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [23:00:00 29/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 32.832 vu: ml
id: Propofol t0: [23:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [23:00:00 29/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 29/11/2019] el: 3 cg: RN cu: CSRU pv: 65.332 cv: 2676.16 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 29/11/2019] el: 3 cg: RN cu: CSRU pv: 65.332 cv: 3436.16 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 29/11/2019] el: 3 cg: RN cu: CSRU pv: 65.332 cv: 3436.16 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 29/11/2019] el: 3 cg: RN cu: CSRU pv: 65.332 cv: 8772.16 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 29/11/2019] el: 3 cg: RN cu: CSRU pv: 65.332 cv: 65.332 ac: 1 ap: none re: 0
id: Less Restrict Meas. t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Very Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 30/11/2019] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: ETT Position Change t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Ectopy Frequency t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GCS Total t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Motor Response t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: NBP t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 70.6667 n1: 70.6667 u1: mmHg st: NotStopd id: Oral Care t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [00:00:00 30/11/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Position t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 29/11/2019] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 26 n2: 26 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Support Systems t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Temperature C (calc) t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: In-Line Sx Change t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 26 n2: 26 st: NotStopd id: Verbal Response t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [00:00:00 30/11/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [00:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 32.832 vu: ml
id: Propofol t0: [00:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [00:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [01:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 69.3333 n1: 69.3333 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: calprevflg t0: [01:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [01:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 32.832 vu: ml
id: Propofol t0: [01:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 40 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [01:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [01:00:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 40.625 n1: 40.625 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [01:00:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [01:00:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [01:00:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [01:00:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [01:00:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 1:2.8 st: NotStopd id: Airway Size t0: [01:00:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [01:00:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [01:00:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 2 n1: 2 u1: Deg. C st: NotStopd id: Intubation Date t0: [01:00:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: Low Exhaled Min Vol t0: [01:00:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [01:00:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [01:00:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 11.3 n1: 11.3 u1: L/min st: NotStopd id: PEEP Set t0: [01:00:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [01:00:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [01:00:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [01:00:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [01:00:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [01:00:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [01:00:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [01:00:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [01:00:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 1400 n1: 1400 st: NotStopd id: Ve High t0: [01:00:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 22 n1: 22 st: NotStopd id: SpO2 t0: [01:00:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [01:00:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [01:00:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [01:00:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 660 n1: 660 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [01:00:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Ventilator Mode t0: [01:00:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [01:00:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [01:00:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [02:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 75.3333 n1: 75.3333 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [02:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [02:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Reason For Restraint t0: [02:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [02:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [02:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 32.832 vu: ml
id: Propofol t0: [02:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [02:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [03:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 70.6667 n1: 70.6667 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: calprevflg t0: [03:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [03:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.624 vu: ml
id: Propofol t0: [03:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [03:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [02:03:00 30/11/2019] el: 0 cg: 3161 cu: CSRU v1: 11.3 n1: 11.3 rs: Final st: NotStopd id: WBC t0: [02:03:00 30/11/2019] el: 0 cg: 3161 cu: CSRU v1: 11.3 n1: 11.3 rs: Final st: NotStopd id: Hematocrit t0: [02:03:00 30/11/2019] el: 0 cg: 3161 cu: CSRU v1: 30.7 n1: 30.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [02:03:00 30/11/2019] el: 0 cg: 3161 cu: CSRU v1: 10.4 n1: 10.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [02:03:00 30/11/2019] el: 0 cg: 3161 cu: CSRU v1: 192 n1: 192 rs: Final st: NotStopd id: RBC t0: [02:03:00 30/11/2019] el: 0 cg: 3161 cu: CSRU v1: 3.36 n1: 3.36 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [02:03:00 30/11/2019] el: 0 cg: 3161 cu: CSRU v1: 11.3 n1: 11.3 rs: Final st: NotStopd
id: PT t0: [02:03:00 30/11/2019] el: 0 cg: 3161 cu: CSRU v1: 16.4 n1: 16.4 rs: Final st: NotStopd id: INR t0: [02:03:00 30/11/2019] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PTT t0: [02:03:00 30/11/2019] el: 0 cg: 3161 cu: CSRU v1: 55 n1: 55 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [02:03:00 30/11/2019] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [02:03:00 30/11/2019] el: 0 cg: 3161 cu: CSRU v1: 16.4 n1: 16.4 rs: Final st: NotStopd id: PTT(22-35) t0: [02:03:00 30/11/2019] el: 0 cg: 3161 cu: CSRU v1: 55 n1: 55 rs: Final st: NotStopd
id: .9% Normal Saline 500.0ml t0: [04:00:00 30/11/2019] el: 1 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd
pi: 4177331 hi: 8811 t0: [05:00:00 30/11/2019] tf: [04:00:00 01/12/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 250 ml NS Bolus 250 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Less Restrict Meas. t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Very Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 30/11/2019] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: NBP t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 70.3333 n1: 70.3333 u1: mmHg st: NotStopd id: Oral Care t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [04:00:00 30/11/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Position t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 26 n2: 26 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Support Systems t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Temp. Site t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: In-Line Sx Change t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 26 n2: 26 st: NotStopd id: Verbal Response t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [02:00:00 30/11/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [04:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.624 vu: ml
id: Propofol t0: [04:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [04:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: BUN t0: [02:03:00 30/11/2019] el: 0 cg: 3161 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd id: Calcium t0: [02:03:00 30/11/2019] el: 0 cg: 3161 cu: CSRU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [02:03:00 30/11/2019] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine t0: [02:03:00 30/11/2019] el: 0 cg: 3161 cu: CSRU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [02:03:00 30/11/2019] el: 0 cg: 3161 cu: CSRU v1: 136 n1: 136 rs: Final st: NotStopd id: Magnesium t0: [02:03:00 30/11/2019] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [02:03:00 30/11/2019] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [02:03:00 30/11/2019] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium t0: [02:03:00 30/11/2019] el: 0 cg: 3161 cu: CSRU v1: 143 n1: 143 rs: Final st: NotStopd id: BUN (6-20) t0: [02:03:00 30/11/2019] el: 0 cg: 3161 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [02:03:00 30/11/2019] el: 0 cg: 3161 cu: CSRU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [02:03:00 30/11/2019] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Chloride (100-112) t0: [02:03:00 30/11/2019] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [02:03:00 30/11/2019] el: 0 cg: 3161 cu: CSRU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [02:03:00 30/11/2019] el: 0 cg: 3161 cu: CSRU v1: 136 n1: 136 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [02:03:00 30/11/2019] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [02:03:00 30/11/2019] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [02:03:00 30/11/2019] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [02:03:00 30/11/2019] el: 0 cg: 3161 cu: CSRU v1: 143 n1: 143 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 50 n1: 50 u1: ml/cmH st: NotStopd id: RSBI (<100) t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 51.1628 n1: 51.1628 u1: units st: NotStopd id: ETT Mark/Location t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 1:2.8 st: NotStopd id: Airway Size t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: Low Exhaled Min Vol t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 10.9 n1: 10.9 u1: L/min st: NotStopd id: PEEP Set t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: RSBI (<200) t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 51.1628 n1: 51.1628 u1: units st: NotStopd id: Resp Rate (Spont) t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 1400 n1: 1400 st: NotStopd id: Ve High t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [01:00:00 30/11/2019] el: 0 cg: RRt cu: CSRU u1: cmH2O st: NotStopd id: Sensitivity-Vent t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spon RR (Mech.) t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 0.43 n1: 0.43 u1: L st: NotStopd id: Sputum Color/Consist t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Obser) t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 680 n1: 680 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:30:00 30/11/2019] el: 0 cg: RRt cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [04:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [04:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [04:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [04:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [04:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 83.3333 n1: 83.3333 u1: mmHg st: NotStopd id: Precautions t0: [04:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: calprevflg t0: [04:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [04:30:00 30/11/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 250 vu: ml
id: Propofol t0: [04:30:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 30 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [04:30:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [05:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [05:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [05:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [05:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24.624 vu: ml
id: Propofol t0: [05:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [05:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [06:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [06:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [06:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [06:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [06:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16.416 vu: ml id: Urine Out Incontinent t0: [06:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vu: ml es: Medium
id: Propofol t0: [06:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [06:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [07:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [07:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [07:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [07:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [07:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 30/11/2019] el: 1 cg: RN cu: CSRU v1: Unstbl Vent Stat st: NotStopd id: Risk for Falls t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 72.6667 n1: 72.6667 u1: mmHg st: NotStopd id: Pain Location t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [08:00:00 30/11/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Type t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Precautions t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Temperature C (calc) t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: calprevflg t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 45 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [08:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 32.832 vu: ml
id: Propofol t0: [08:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [08:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [08:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 11.8 n1: 11.8 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [08:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 660 n1: 660 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Sputum Color/Consist t0: [08:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 26 n2: 26 st: NotStopd id: Pupil Size R/L t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLL Lung Sounds t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Color t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Pale st: NotStopd id: Skin Integrity t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: Spontaneous Movement t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Support Systems t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: Therapeutic Bed t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: In-Line Sx Change t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 26 n2: 26 st: NotStopd id: Verbal Response t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Service Type t0: [09:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [09:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 77.3333 n1: 77.3333 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [09:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [09:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16.416 vu: ml
id: Propofol t0: [09:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [09:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Temp. Site t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temp. Site t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd
id: Service Type t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [10:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16.416 vu: ml
id: Propofol t0: [10:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Heparin t0: [10:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: RSBI (<100) t0: [11:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: units st: NotStopd id: ETT Mark/Location t0: [11:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [11:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [11:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: Low Exhaled Min Vol t0: [11:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [11:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 9.1 n1: 9.1 u1: L/min st: NotStopd id: PEEP Set t0: [11:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [11:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: RSBI (<200) t0: [11:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: units st: NotStopd id: Resp Rate (Total) t0: [11:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Ve High t0: [11:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [11:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spon RR (Mech.) t0: [11:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [11:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 0.52 n1: 0.52 u1: L st: NotStopd id: Tidal Volume (Spont) t0: [11:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 580 n1: 580 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [11:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [11:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Family Communication t0: [11:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Heart Rate t0: [11:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [11:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 75.6667 n1: 75.6667 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [11:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [11:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: calprevflg t0: [11:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [11:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16.416 vu: ml
id: Propofol t0: [11:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [11:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [11:45:00 30/11/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: Less Restrict Meas. t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 30/11/2019] el: 1 cg: RN cu: CSRU v1: Unstbl Vent Stat st: NotStopd id: GI Prophylaxis t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GI#1 Intub Site t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: NBP t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 87.6667 n1: 87.6667 u1: mmHg st: NotStopd id: Oral Care t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [12:00:00 30/11/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Type t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Size R/L t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Support Systems t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: In-Line Sx Change t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 26 n2: 26 st: NotStopd id: Verbal Response t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [12:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16.416 vu: ml
id: Propofol t0: [12:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [12:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [13:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [13:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 89.3333 n1: 89.3333 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [13:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [13:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16.416 vu: ml
id: Propofol t0: [13:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [13:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rhythm t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: Activity t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: NBP t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 96.6667 n1: 96.6667 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 26 n2: 26 st: NotStopd id: Back Care t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [14:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16.416 vu: ml id: Urine Out Incontinent t0: [14:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Propofol t0: [14:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [14:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [14:00:00 30/11/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml
id: INV#1 Dsg Change t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: INV#1 Cap Change t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd
id: Service Type t0: [15:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [15:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [15:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [15:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16.416 vu: ml
id: Propofol t0: [15:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [15:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [15:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [15:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [15:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 167 n1: 167 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [15:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Precautions t0: [15:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [15:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Thick st: NotStopd id: Sputum Source/Amt t0: [14:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: calprevflg t0: [15:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [15:30:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [15:30:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Procedures t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Sputum Cx st: NotStopd id: Radiologic Study t0: [10:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd
pi: 4178642 hi: 8811 t0: [17:00:00 30/11/2019] tf: [16:00:00 01/12/2019] mn: Metoprolol pt: Unit Dose st: Expired rt: IV fr: ONCE MR1 ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:20:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: CVP t0: [16:20:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:20:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [16:00:00 30/11/2019] el: 1 cg: RN cu: CSRU v1: Unstbl Vent Stat st: NotStopd id: GI Prophylaxis t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:20:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [16:20:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:20:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: Heart Rate t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rate t0: [16:20:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: Heart Rhythm t0: [16:20:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 16 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:20:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg st: NotStopd id: NBP Mean t0: [16:20:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 97.6667 n1: 97.6667 u1: mmHg st: NotStopd id: Oral Cavity t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [16:00:00 30/11/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Type t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position Change t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [16:20:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:20:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:20:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:20:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:20:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:20:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Brisk st: NotStopd id: Pupil Response R/L t0: [12:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Brisk st: NotStopd id: Pupil Response R/L t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:20:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [16:20:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: Urine Source t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Verbal Response t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:20:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [16:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16.416 vu: ml
id: Propofol t0: [16:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [16:20:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [16:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [16:20:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PostTib. Pulses R/L t0: [16:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd
id: Service Type t0: [16:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [16:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [16:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [16:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP Mean t0: [16:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 99.6667 n1: 99.6667 u1: mmHg st: NotStopd id: Precautions t0: [16:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [16:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [16:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [16:45:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [16:45:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Cuff Pressure-Airway t0: [17:00:00 30/11/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: ETT Mark/Location t0: [17:00:00 30/11/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: ETT Position Change t0: [17:00:00 30/11/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Airway Size t0: [17:00:00 30/11/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Airway Type t0: [17:00:00 30/11/2019] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Service Type t0: [17:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [17:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 104.667 n1: 104.667 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [17:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml
id: Heparin t0: [17:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2000 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Extubation Date t0: [17:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: Intubation Date t0: [17:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 25 n2: 25 st: NotStopd id: O2 Delivery Device t0: [17:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [17:00:00 30/11/2019] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
id: Service Type t0: [17:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [17:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP Mean t0: [17:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 104.667 n1: 104.667 u1: mmHg st: NotStopd id: Precautions t0: [17:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [17:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [17:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [17:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [17:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Thick st: NotStopd id: Sputum Source/Amt t0: [17:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: calprevflg t0: [17:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [17:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip st: Stopped id: Propofol t0: [17:15:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [17:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [17:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [17:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 95.3333 n1: 95.3333 u1: mmHg st: NotStopd id: Precautions t0: [17:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [17:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [17:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [17:30:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Heparin t0: [17:15:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [17:30:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [17:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Thick st: NotStopd id: Sputum Source/Amt t0: [17:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Copious st: NotStopd
id: GI#1 Intub Site t0: [18:00:00 30/11/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: GI Intub #1/Site t0: [18:00:00 30/11/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: GI#1 Tube PlaceCheck t0: [18:00:00 30/11/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: GI#1 Tube Stat/Drain t0: [18:00:00 30/11/2019] el: 0 cg: -1 cu: CSRU st: D/C'd
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [18:00:00 30/11/2019] el: 1 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: HOB t0: [17:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Activity t0: [17:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [18:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [17:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [17:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [17:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [17:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: In-Line Sx Change t0: [17:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 26 n2: 26 st: NotStopd
id: Service Type t0: [18:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [18:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 95.3333 n1: 95.3333 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [18:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 18.125 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [17:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 14.364 vu: ml st: Stopped
id: Heparin t0: [18:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [18:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [18:55:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:55:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [18:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [18:55:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [18:55:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [18:55:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:55:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rate t0: [18:55:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: Heart Rhythm t0: [18:55:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [18:55:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP Mean t0: [18:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 108.333 n1: 108.333 u1: mmHg st: NotStopd id: NBP Mean t0: [18:55:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 106.667 n1: 106.667 u1: mmHg st: NotStopd id: Precautions t0: [18:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [18:55:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:55:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:55:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:55:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:55:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:55:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:55:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [18:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [18:55:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [18:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:55:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [18:45:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [18:55:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4179088 hi: 8811 t0: [21:00:00 30/11/2019] tf: [20:00:00 01/12/2019] mn: Metoprolol pt: Unit Dose st: Expired rt: IV fr: ONCE MR1 ds: 21 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Pain Level t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0-None st: NotStopd id: Pain Present t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [19:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 30/11/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: IV #2 Reason DC'D t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Infiltrated st: NotStopd id: Risk for Falls t0: [19:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [19:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Patient/Sig Othr st: NotStopd id: Education Method t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Education Topic #2 t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: Follows Commands t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [19:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: Heart Rhythm t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 16 gauge st: NotStopd id: IV #2 D/C Date t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: IV #2 Insert Date t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #2 Site/Size t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 18 gauge st: NotStopd id: Activity t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #2 t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Infiltrated st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: LLL Lung Sounds t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [19:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 106.667 n1: 106.667 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Level (Rest) t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0-None st: NotStopd id: Pain Location t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLL Lung Sounds t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [19:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Verbal Response t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [19:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 35 vu: ml
id: Heparin t0: [19:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [20:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4179380 hi: 8811 t0: [23:00:00 30/11/2019] tf: [22:00:00 01/12/2019] mn: Diltiazem pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4179457 hi: 8811 t0: [23:00:00 30/11/2019] tf: [22:00:00 18/12/2019] mn: Bisacodyl pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4179458 hi: 8811 t0: [23:00:00 30/11/2019] tf: [22:00:00 18/12/2019] mn: Bisacodyl pt: Unit Dose st: Discontinued via patient discharge rt: PR fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4179459 hi: 8811 t0: [23:00:00 30/11/2019] tf: [22:00:00 18/12/2019] mn: Senna pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID:PRN di: Ongoing xv: 36 xu: Hours pi: 4179460 hi: 8811 t0: [20:00:00 30/11/2019] tf: [06:00:00 01/12/2019] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4179461 hi: 8811 t0: [20:00:00 30/11/2019] tf: [10:00:00 05/12/2019] mn: Docusate Sodium pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [20:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [21:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [21:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [20:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [21:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [21:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [20:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [21:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [21:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [20:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [20:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [20:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [21:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [21:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [20:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rate t0: [20:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rate t0: [20:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [21:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: Heart Rhythm t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [20:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 174 n1: 174 u1: mmHg v2: 102 n2: 102 u2: mmHg st: NotStopd id: NBP t0: [20:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP t0: [20:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 177 n1: 177 u1: mmHg v2: 94 n2: 94 u2: mmHg st: NotStopd id: NBP t0: [21:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 177 n1: 177 u1: mmHg v2: 94 n2: 94 u2: mmHg st: NotStopd id: NBP t0: [21:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 152 n1: 152 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: NBP t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 164 n1: 164 u1: mmHg v2: 92 n2: 92 u2: mmHg st: NotStopd id: NBP Mean t0: [20:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg st: NotStopd id: NBP Mean t0: [20:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 106.333 n1: 106.333 u1: mmHg st: NotStopd id: NBP Mean t0: [20:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 121.667 n1: 121.667 u1: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 121.667 n1: 121.667 u1: mmHg st: NotStopd id: NBP Mean t0: [21:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 109.333 n1: 109.333 u1: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg st: NotStopd id: Precautions t0: [20:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [21:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [21:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [20:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [20:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [20:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [21:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [21:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Urine Source t0: [21:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: calprevflg t0: [20:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:30:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:45:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: Urine Out Void t0: [21:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Heparin t0: [20:15:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [20:30:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [20:45:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [21:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [21:15:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [22:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV #1 Reason DC'D t0: [00:00:00 01/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 D/C Date t0: [00:00:00 01/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV Site Appear #1 t0: [00:00:00 01/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Pain Level t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 0-None st: NotStopd id: Pain Present t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [23:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 01/12/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: IV #1 Reason DC'D t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Routine Change st: NotStopd id: Risk for Falls t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [23:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Eye Care t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: FiO2 Set t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: FiO2 Set t0: [23:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: FiO2 Set t0: [23:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: Follows Commands t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: HOB t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: Heart Rhythm t0: [23:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Type/Site t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1InsertDate t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 D/C Date t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: IV #1 Insert Date t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #1 Insert Date t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 16 gauge st: NotStopd id: IV #1 Site/Size t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Left Hand v2: 16 gauge st: NotStopd id: Activity t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 156 n1: 156 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 170 n1: 170 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 113.333 n1: 113.333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Delivery Device t0: [23:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Delivery Device t0: [23:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [23:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [23:15:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Orientation t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Level (Rest) t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 0-None st: NotStopd id: Pain Location t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: INV#1 Dsg Change t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Color t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Flushed st: NotStopd id: Skin Integrity t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [23:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Color/Consist t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Color/Consist t0: [21:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Color/Consist t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Color/Consist t0: [23:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [20:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Small st: NotStopd id: Sputum Source/Amt t0: [21:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Small st: NotStopd id: Sputum Source/Amt t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Small st: NotStopd id: Sputum Source/Amt t0: [23:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: Support Systems t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Cap Change t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Therapeutic Bed t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [23:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Urine Source t0: [23:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Verbal Response t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [22:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 30/11/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [22:00:00 30/11/2019] el: 1 cg: RN cu: CSRU v1: Done id: Bowel Sounds t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [00:00:00 01/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 30/11/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: Urine Out Void t0: [00:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 125 vu: ml id: Urine Out Void t0: [23:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Heparin t0: [00:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [23:00:00 30/11/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 30/11/2019] el: 3 cg: RN cu: CSRU pv: 27.5 cv: 1950.43 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 30/11/2019] el: 3 cg: RN cu: CSRU pv: 27.5 cv: 1950.43 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 30/11/2019] el: 3 cg: RN cu: CSRU pv: 100 cv: 100 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 30/11/2019] el: 3 cg: RN cu: CSRU pv: 100 cv: 300 ac: 24 ap: carryForward re: 0 id: 24h Net Body Balance t0: [23:00:00 30/11/2019] el: 3 cg: RN cu: CSRU pv: -72.5 cv: 1650.43 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 30/11/2019] el: 3 cg: RN cu: CSRU pv: -72.5 cv: 10422.6 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 30/11/2019] el: 3 cg: RN cu: CSRU pv: -72.5 cv: -72.5 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 30/11/2019] el: 3 cg: RN cu: CSRU pv: 100 cv: 300 ac: 24 ap: carryForward re: 0
id: Service Type t0: [01:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [01:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 155 n1: 155 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 105.667 n1: 105.667 u1: mmHg st: NotStopd id: Oral Care t0: [01:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [01:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [01:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml id: Urine Out Void t0: [01:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Heparin t0: [01:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PTT t0: [01:20:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 52 n1: 52 rs: Final st: NotStopd id: PTT(22-35) t0: [01:20:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 52 n1: 52 rs: Final st: NotStopd
id: Service Type t0: [02:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [02:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [02:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 17.5 vu: ml
id: Heparin t0: [02:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [02:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [02:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP Mean t0: [02:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 105.333 n1: 105.333 u1: mmHg st: NotStopd id: Precautions t0: [02:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [02:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [02:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [02:30:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4179932 hi: 8811 t0: [05:00:00 01/12/2019] tf: [11:00:00 02/12/2019] mn: Heparin pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: ASDIR it: C ss: Y di: Ongoing xv: 36 xu: Hours
id: Pain Level t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 0-None st: NotStopd id: Pain Present t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [03:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 01/12/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [02:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Diet Type t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [03:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: Follows Commands t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [03:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: Heart Rhythm t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [02:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Dozing Intermit st: NotStopd id: Level of Conscious t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Dozing Intermit st: NotStopd id: Motor Response t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [03:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 165 n1: 165 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 105.667 n1: 105.667 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 110.333 n1: 110.333 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Aerosol-Cool st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Level (Rest) t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 0-None st: NotStopd id: Pain Location t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [02:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Pattern t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Flushed st: NotStopd id: Skin Integrity t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [03:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [02:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Urine Source t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Verbal Response t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [03:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 18.25 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 19 vu: ml
id: Heparin t0: [03:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [04:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [04:28:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 12.9 n1: 12.9 rs: Final st: NotStopd id: WBC t0: [04:28:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 12.9 n1: 12.9 rs: Final st: NotStopd id: Hematocrit t0: [04:28:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 32.6 n1: 32.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:28:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 11.4 n1: 11.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:28:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 317 n1: 317 rs: Final st: NotStopd id: RBC t0: [04:28:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.65 n1: 3.65 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:28:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 12.9 n1: 12.9 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [05:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 161 n1: 161 u1: mmHg v2: 92 n2: 92 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Rate t0: [05:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [05:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 19 vu: ml
id: Heparin t0: [05:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PT t0: [04:28:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 14.9 n1: 14.9 rs: Final st: NotStopd id: INR t0: [04:28:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [04:28:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 42.6 n1: 42.6 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:28:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:28:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 14.9 n1: 14.9 rs: Final st: NotStopd id: PTT(22-35) t0: [04:28:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 42.6 n1: 42.6 rs: Final st: NotStopd
id: BUN t0: [04:28:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 16 n1: 16 rs: Final st: NotStopd id: Chloride t0: [04:28:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine t0: [04:28:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [04:28:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Magnesium t0: [04:28:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous t0: [04:28:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:28:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium t0: [04:28:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd id: BUN (6-20) t0: [04:28:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 16 n1: 16 rs: Final st: NotStopd id: Carbon Dioxide t0: [04:28:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:28:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:28:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:28:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:28:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:28:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:28:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:28:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd
pi: 4180036 hi: 8811 t0: [08:00:00 01/12/2019] tf: [09:00:00 01/12/2019] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4180059 hi: 8811 t0: [07:00:00 01/12/2019] tf: [06:00:00 02/12/2019] mn: Morphine Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4180060 hi: 8811 t0: [07:00:00 01/12/2019] tf: [06:00:00 02/12/2019] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4180061 hi: 8811 t0: [07:00:00 01/12/2019] tf: [06:00:00 02/12/2019] mn: Morphine Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4180062 hi: 8811 t0: [07:00:00 01/12/2019] tf: [06:00:00 02/12/2019] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [06:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [06:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [06:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 169 n1: 169 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: Sputum Color/Consist t0: [01:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Color/Consist t0: [02:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Color/Consist t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [01:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Small st: NotStopd id: Sputum Source/Amt t0: [02:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Small st: NotStopd id: Sputum Source/Amt t0: [04:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Small st: NotStopd id: calprevflg t0: [06:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 19 vu: ml
id: Heparin t0: [06:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [06:37:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 7.51 n1: 7.51 rs: Final st: NotStopd id: Arterial Base Excess t0: [06:37:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [06:37:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd id: Arterial PaCO2 t0: [06:37:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 33 n1: 33 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [06:37:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 61 n1: 61 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [06:37:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 7.51 n1: 7.51 rs: Final st: NotStopd
id: Service Type t0: [07:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [07:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [07:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 106.667 n1: 106.667 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [07:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: EKG st: NotStopd id: Respiratory Rate t0: [07:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [07:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [07:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 19 vu: ml id: Urine Out Incontinent t0: [05:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large id: Urine Out Incontinent t0: [07:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Heparin t0: [07:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4180088 hi: 8811 t0: [08:00:00 01/12/2019] tf: [07:00:00 02/12/2019] mn: Metoprolol pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Urine Out Void t0: [06:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 125 vu: ml
id: Pain Present t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 01/12/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: LLL Lung Sounds t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Dozing Intermit st: NotStopd id: Motor Response t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 159 n1: 159 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Non-Rebreather st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Assistance Device t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Color t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Flushed st: NotStopd id: Skin Integrity t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Bloody v2: Thick st: NotStopd id: Support Systems t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Source t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Verbal Response t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Bowel Sounds t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 19 vu: ml
id: Heparin t0: [08:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [08:00:00 01/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml
id: Service Type t0: [08:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [08:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [08:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [08:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP Mean t0: [08:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Precautions t0: [08:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [08:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Rate t0: [08:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [08:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [08:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Void t0: [08:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Incontinent t0: [08:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Small
id: Heparin t0: [08:45:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4180400 hi: 8811 t0: [14:00:00 01/12/2019] tf: [22:00:00 01/12/2019] mn: Metoprolol pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4180401 hi: 8811 t0: [10:00:00 01/12/2019] tf: [09:00:00 02/12/2019] mn: Metoprolol pt: Unit Dose st: Expired rt: IV fr: ONCE MR1 ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4180402 hi: 8811 t0: [10:00:00 01/12/2019] tf: [09:00:00 02/12/2019] mn: Metoprolol pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4180403 hi: 8811 t0: [10:00:00 01/12/2019] tf: [12:00:00 04/12/2019] mn: Nafcillin pt: IV Piggyback st: Discontinued rt: IV fr: Q6H ds: 10, 16, 22, 4 dn: 4 di: Ongoing xv: 30 xu: Hours pi: 4180404 hi: 8811 t0: [10:00:00 01/12/2019] tf: [09:00:00 02/12/2019] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: KCL io: D5W 50.0ml el: 100 cg: RN cu: CSRU am: 20 du: mEq rt: Intravenous Push
id: TF Residual t0: [10:00:00 01/12/2019] el: 1 ai: 128 cg: -1 cu: CSRU vo: 0 st: D/C'd id: Gastric Meds t0: [10:00:00 01/12/2019] el: 1 ai: 112 cg: -1 cu: CSRU vo: 0 st: D/C'd id: GT Flush t0: [10:00:00 01/12/2019] el: 1 ai: 338 cg: -1 cu: CSRU vo: 0 st: D/C'd id: Tube Feeding t0: [10:00:00 01/12/2019] el: 1 ai: 338 cg: -1 cu: CSRU vo: 0 st: D/C'd
pi: 4180432 hi: 8811 t0: [11:00:00 01/12/2019] tf: [22:00:00 18/12/2019] mn: Dolasetron Mesylate pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: Q8H:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [09:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [10:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: Heart Rhythm t0: [10:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [09:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 169 n1: 169 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 104.333 n1: 104.333 u1: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [10:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 39 n1: 39 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [10:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [09:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 50.0ml t0: [10:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 19 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 19 vu: ml id: Urine Out Incontinent t0: [09:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large id: Urine Out Incontinent t0: [10:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Heparin t0: [09:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [10:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [10:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [10:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [10:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [10:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [10:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 92.3333 n1: 92.3333 u1: mmHg st: NotStopd id: Precautions t0: [10:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [10:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [10:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Po Intake t0: [10:30:00 01/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 30 vu: ml
id: Heparin t0: [10:30:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 01/12/2019] el: 3 cg: RN cu: CSRU cv: 30 ac: 24 ap: none re: 0
id: Pain Level t0: [10:15:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to score st: NotStopd id: Pain Assess Method t0: [10:15:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [10:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [10:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [10:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: FiO2 Set t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: torr st: NotStopd id: Heart Rate t0: [10:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [10:15:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP t0: [10:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [10:15:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 102.333 n1: 102.333 u1: mmHg st: NotStopd id: NBP Mean t0: [10:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Pain Cause t0: [10:15:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [10:15:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to score st: NotStopd id: Pain Location t0: [10:15:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Abdominal st: NotStopd id: Pain Type t0: [10:15:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Intermittent st: NotStopd id: Precautions t0: [10:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:15:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [10:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [10:45:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [10:45:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [11:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [11:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [11:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.25 vu: ml
id: Heparin t0: [11:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [10:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Cough/Deep Breathe t0: [11:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Cough/Deep Breathe t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Daily Wake Up t0: [12:00:00 01/12/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Eye Care t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [09:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: Incentive Spirometry t0: [10:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Incentive Spirometry t0: [11:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Incentive Spirometry t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: LLL Lung Sounds t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 92.6667 n1: 92.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Non-Rebreather st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Color t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Flushed st: NotStopd id: Skin Integrity t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [10:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Thick st: NotStopd id: Sputum Color/Consist t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Thick st: NotStopd id: Sputum Source/Amt t0: [10:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Small st: NotStopd id: Sputum Source/Amt t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Small st: NotStopd id: Support Systems t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Light Yellow st: NotStopd id: Urine Source t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Verbal Response t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [12:00:00 01/12/2019] el: 1 cg: RN cu: CSRU v1: done id: Behavior t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Cooperative st: NotStopd id: Bowel Sounds t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24 vu: ml id: Urine Out Incontinent t0: [12:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Heparin t0: [12:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [12:00:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd id: WBC t0: [12:00:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd id: Hematocrit t0: [12:00:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 36.1 n1: 36.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [12:00:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 12.5 n1: 12.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [12:00:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 343 n1: 343 rs: Final st: NotStopd id: RBC t0: [12:00:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 4.07 n1: 4.07 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [12:00:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd
id: D5W 100.0ml t0: [12:15:00 01/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: BUN t0: [12:00:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Calcium t0: [12:00:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [12:00:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine t0: [12:00:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [12:00:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 132 n1: 132 rs: Final st: NotStopd id: Magnesium t0: [12:00:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [12:00:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [12:00:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [12:00:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 143 n1: 143 rs: Final st: NotStopd id: BUN (6-20) t0: [12:00:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 17 n1: 17 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [12:00:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [12:00:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Chloride (100-112) t0: [12:00:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [12:00:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [12:00:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 132 n1: 132 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [12:00:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [12:00:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [12:00:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [12:00:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 143 n1: 143 rs: Final st: NotStopd
id: PT t0: [12:00:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 16.5 n1: 16.5 rs: Final st: NotStopd id: INR t0: [12:00:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [12:00:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [12:00:00 01/12/2019] el: 0 cg: 3161 cu: CSRU v1: 16.5 n1: 16.5 rs: Final st: NotStopd
pi: 4180898 hi: 8811 t0: [14:00:00 01/12/2019] tf: [22:00:00 18/12/2019] mn: Acetaminophen pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [13:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [13:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [13:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [13:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [13:15:00 01/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24 vu: ml
id: Heparin t0: [13:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Cough/Deep Breathe t0: [13:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [13:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [13:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [13:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [13:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [13:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [13:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [13:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [13:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [13:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Urine Out Incontinent t0: [13:30:00 01/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Pain Level t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6-Mod to Severe st: NotStopd id: Pain Present t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Present t0: [16:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Pain Assess Method t0: [16:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [14:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [15:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: CVP t0: [15:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: CVP t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [16:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Cough/Deep Breathe t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Daily Wake Up t0: [16:00:00 01/12/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [14:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Clear Liquid st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [14:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [15:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Frequency t0: [16:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [16:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [14:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [15:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [16:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: FiO2 Set t0: [12:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: torr st: NotStopd id: FiO2 Set t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: torr st: NotStopd id: Follows Commands t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [14:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [16:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: Heart Rhythm t0: [15:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: Heart Rhythm t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: Heart Rhythm t0: [16:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: Heart Rhythm t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [14:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP t0: [15:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 u1: mmHg v2: 91 n2: 91 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP t0: [16:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 101.667 n1: 101.667 u1: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: NBP Mean t0: [16:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 95.6667 n1: 95.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 91.6667 n1: 91.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Non-Rebreather st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Cause t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6-Mod to Severe st: NotStopd id: Pain Location t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Mediastinal st: NotStopd id: Pain Location t0: [16:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Intermittent st: NotStopd id: Pain Type t0: [16:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [15:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [16:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: EKG st: NotStopd id: RLL Lung Sounds t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [14:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Color t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Flushed st: NotStopd id: Skin Integrity t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Diaphoretic st: NotStopd id: SpO2 t0: [14:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [15:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [16:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Small st: NotStopd id: Support Systems t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Source t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Verbal Response t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [14:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:30:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Anxious st: NotStopd id: Bowel Sounds t0: [16:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24 vu: ml id: Urine Out Incontinent t0: [16:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Medium
id: Heparin t0: [14:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [15:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [16:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [16:30:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [17:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4181341 hi: 8811 t0: [19:00:00 01/12/2019] tf: [09:00:00 03/12/2019] mn: Morphine Sulfate pt: Unit Dose st: Discontinued rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours
id: Pain Level t0: [18:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 5-Moderate st: NotStopd id: Pain Present t0: [18:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Assess Method t0: [18:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [18:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [18:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [18:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Pain Cause t0: [18:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [18:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 5-Moderate st: NotStopd id: Pain Location t0: [18:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Mediastinal st: NotStopd id: Pain Type t0: [18:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Intermittent st: NotStopd id: Precautions t0: [18:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [18:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24 vu: ml id: Urine Out Incontinent t0: [17:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Heparin t0: [18:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 25000Uhr Heparin t0: [18:45:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 18 vu: ml st: Stopped
id: Heparin t0: [18:45:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: D5W 100.0ml t0: [19:00:00 01/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Ectopy Frequency t0: [19:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rhythm t0: [19:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: Procedures t0: [18:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: EKG st: NotStopd
id: Service Type t0: [19:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [19:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: NBP t0: [19:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 92.6667 n1: 92.6667 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [19:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [19:30:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 01/12/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Clear Liquid st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Patient/Sig Othr st: NotStopd id: Education Method t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: FiO2 Set t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: torr st: NotStopd id: Follows Commands t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: Heart Rate t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Dozing Intermit st: NotStopd id: Motor Response t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90.6667 n1: 90.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Non-Rebreather st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Flushed st: NotStopd id: Skin Integrity t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Diaphoretic st: NotStopd id: SpO2 t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 37.9444 n1: 37.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 100.3 n1: 100.3 u1: Deg. F st: NotStopd id: Urine Source t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Verbal Response t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Anxious st: NotStopd id: Bowel Sounds t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [19:30:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml st: Restart id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 9.5 vu: ml
id: Heparin t0: [20:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: FiO2 Set t0: [21:00:00 01/12/2019] el: 0 cg: RRT cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: O2 Flow (lpm) t0: [21:00:00 01/12/2019] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: SpO2 t0: [21:00:00 01/12/2019] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd
pi: 4181668 hi: 8811 t0: [22:00:00 01/12/2019] tf: [21:00:00 02/12/2019] mn: Lactulose pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4181669 hi: 8811 t0: [22:00:00 01/12/2019] tf: [09:00:00 03/12/2019] mn: Lorazepam pt: Unit Dose st: Discontinued rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours pi: 4181670 hi: 8811 t0: [22:00:00 01/12/2019] tf: [21:00:00 02/12/2019] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [21:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [21:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [21:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [21:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 87.3333 n1: 87.3333 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: calprevflg t0: [21:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 19 vu: ml id: Urine Out Incontinent t0: [21:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Heparin t0: [21:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Total Hourly Output t0: [23:00:00 01/12/2019] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 01/12/2019] el: 3 cg: RN cu: CSRU cv: 550 ac: 24 ap: carryForward re: 0 id: 24h Total Out t0: [23:00:00 01/12/2019] el: 3 cg: RN cu: CSRU cv: 550 ac: 24 ap: carryForward re: 0
id: Cough/Deep Breathe t0: [21:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Care t0: [21:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [21:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [21:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Oral Care t0: [21:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [21:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: Off st: NotStopd id: Position t0: [21:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [21:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [21:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [21:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [21:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [21:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Bath t0: [21:00:00 01/12/2019] el: 1 cg: RN cu: CSRU v1: Done
pi: 4181696 hi: 8811 t0: [23:00:00 01/12/2019] tf: [09:00:00 03/12/2019] mn: Metoprolol pt: Unit Dose st: Discontinued rt: IV fr: Q4H ds: 23, 3, 7, 11, 15, 19 dn: 6 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [22:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [22:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [22:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [22:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [22:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: EKG st: NotStopd id: Respiratory Rate t0: [22:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [22:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [22:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [22:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 19 vu: ml
id: Pain Level t0: [22:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to score st: NotStopd id: Pain Present t0: [22:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Assess Method t0: [22:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [22:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [22:00:00 01/12/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Pain Cause t0: [22:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [22:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to score st: NotStopd id: Pain Management t0: [22:00:00 01/12/2019] el: 1 cg: RN cu: CSRU v1: IV Push st: NotStopd id: Pain Type t0: [22:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Dull st: NotStopd
id: Pain Present t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [23:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Daily Wake Up t0: [00:00:00 02/12/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Clear Liquid st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Frequency t0: [23:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [23:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [23:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: Follows Commands t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: Heart Rhythm t0: [23:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 88.6667 n1: 88.6667 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: Off st: NotStopd id: Pain Location t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Flushed st: NotStopd id: Skin Integrity t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Diaphoretic st: NotStopd id: SpO2 t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [23:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 38.0556 n1: 38.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 100.5 n1: 100.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow st: NotStopd id: Urine Source t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Verbal Response t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 01/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Anxious st: NotStopd id: Bowel Sounds t0: [00:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 19 vu: ml nb: 1 id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 01/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 19 vu: ml id: Urine Out Incontinent t0: [00:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Heparin t0: [00:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [23:00:00 01/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 01/12/2019] el: 3 cg: RN cu: CSRU pv: 29 cv: 1365 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 01/12/2019] el: 3 cg: RN cu: CSRU pv: 29 cv: 1395 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 01/12/2019] el: 3 cg: RN cu: CSRU pv: 29 cv: 845 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 01/12/2019] el: 3 cg: RN cu: CSRU pv: 29 cv: 11267.6 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 01/12/2019] el: 3 cg: RN cu: CSRU pv: 29 cv: 29 ac: 1 ap: none re: 0
id: Service Type t0: [01:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [01:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [01:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [01:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 91.3333 n1: 91.3333 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [00:00:00 02/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 19 vu: ml
id: Heparin t0: [01:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4181976 hi: 8811 t0: [02:00:00 02/12/2019] tf: [22:00:00 06/12/2019] mn: traZODONE HCl pt: Unit Dose st: Discontinued rt: PO fr: HS:PRN di: Ongoing xv: 36 xu: Hours
id: D5W 100.0ml t0: [01:00:00 02/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: PTT t0: [00:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 43.3 n1: 43.3 rs: Final st: NotStopd id: PTT(22-35) t0: [00:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 43.3 n1: 43.3 rs: Final st: NotStopd
id: Albumin t0: [00:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Total Bili t0: [00:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: ALT t0: [00:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 14 n1: 14 rs: Final st: NotStopd id: Albumin (>3.2) t0: [00:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Amylase t0: [00:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 97 n1: 97 rs: Final st: NotStopd
id: Service Type t0: [02:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [02:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [02:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [02:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 85.3333 n1: 85.3333 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [02:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 19 vu: ml
id: Heparin t0: [02:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2150 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [03:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [03:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [03:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: Activity t0: [03:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [03:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: NBP t0: [03:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 94.6667 n1: 94.6667 u1: mmHg st: NotStopd id: Oral Care t0: [03:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [03:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [03:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [03:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [03:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [03:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 21.5 vu: ml id: Urine Out Incontinent t0: [03:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Heparin t0: [03:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2150 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 02/12/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Clear Liquid st: NotStopd id: Ectopy Frequency t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: Heart Rate t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: Abdominal Assessment t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: Level of Conscious t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Oral Cavity t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Precautions t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Temp. Site t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow st: NotStopd id: Urine Source t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Verbal Response t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 21.5 vu: ml
id: Heparin t0: [04:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2150 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Stool Out Stool t0: [04:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Small id: Urine Out Incontinent t0: [04:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Dorsal PedPulse R/L t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: FiO2 Set t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: HOB t0: [05:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [05:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: O2 Delivery Device t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Position t0: [05:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [05:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: RLL Lung Sounds t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Restraint Location t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Flushed st: NotStopd id: Skin Integrity t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Diaphoretic st: NotStopd id: Support Systems t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Therapeutic Bed t0: [05:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [05:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [05:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Behavior t0: [04:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd
id: WBC (4-11,000) t0: [04:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 16.5 n1: 16.5 rs: Final st: NotStopd id: WBC t0: [04:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 16.5 n1: 16.5 rs: Final st: NotStopd id: Hematocrit t0: [04:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 33.7 n1: 33.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 11.9 n1: 11.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 351 n1: 351 rs: Final st: NotStopd id: RBC t0: [04:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.78 n1: 3.78 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 16.5 n1: 16.5 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [05:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [05:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 89.3333 n1: 89.3333 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [05:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 21.5 vu: ml
id: Heparin t0: [05:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2150 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Oral Care t0: [05:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: BUN t0: [04:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Albumin t0: [04:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Calcium t0: [04:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 8.6 n1: 8.6 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine t0: [04:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [04:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 139 n1: 139 rs: Final st: NotStopd id: Magnesium t0: [04:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous t0: [04:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 4.7 n1: 4.7 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [04:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 143 n1: 143 rs: Final st: NotStopd id: Total Bili t0: [04:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: ALT t0: [04:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 13 n1: 13 rs: Final st: NotStopd id: Albumin (>3.2) t0: [04:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Amylase t0: [04:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 91 n1: 91 rs: Final st: NotStopd id: BUN (6-20) t0: [04:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 20 n1: 20 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 8.6 n1: 8.6 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 139 n1: 139 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 4.7 n1: 4.7 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:30:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 143 n1: 143 rs: Final st: NotStopd
pi: 4182165 hi: 8811 t0: [07:00:00 02/12/2019] tf: [06:00:00 03/12/2019] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [06:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [06:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [06:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [06:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [06:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [06:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 77.3333 n1: 77.3333 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [06:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [06:00:00 02/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 21.5 vu: ml
id: Heparin t0: [06:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2150 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Stool Out Stool t0: [06:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Small id: Urine Out Incontinent t0: [06:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: HOB t0: [06:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [06:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Oral Care t0: [06:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [06:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [06:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [06:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [06:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [06:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Service Type t0: [07:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [07:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [07:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [07:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [07:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 88.6667 n1: 88.6667 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [07:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [07:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 21.5 vu: ml
id: Heparin t0: [07:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2150 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Stool Guaiac t0: [06:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd
id: FiO2 Set t0: [08:00:00 02/12/2019] el: 0 cg: RRT cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: O2 Delivery Device t0: [08:00:00 02/12/2019] el: 0 cg: RRT cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 02/12/2019] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: SpO2 t0: [08:00:00 02/12/2019] el: 0 cg: RRT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd
id: Pain Present t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 02/12/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Clear Liquid st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: Heart Rate t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Oral Cavity t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Precautions t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 4 mm v2: 4 mm st: NotStopd id: RLL Lung Sounds t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Respiratory Pattern t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Pale st: NotStopd id: Skin Integrity t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Diaphoretic st: NotStopd id: Spontaneous Movement t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow st: NotStopd id: Urine Source t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Verbal Response t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [08:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 21.5 vu: ml id: Stool Out Stool t0: [08:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Medium id: Urine Out Incontinent t0: [08:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Heparin t0: [08:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2150 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [09:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [09:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [09:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [09:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 21.5 vu: ml
id: Heparin t0: [09:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2150 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Urine Out Void t0: [10:00:00 02/12/2019] el: 1 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: PTT t0: [09:00:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 50.8 n1: 50.8 rs: Final st: NotStopd id: PTT(22-35) t0: [09:00:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 50.8 n1: 50.8 rs: Final st: NotStopd
id: Service Type t0: [10:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [10:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Family Communication t0: [10:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Heart Rate t0: [10:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [10:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: calprevflg t0: [10:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [10:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 21.5 vu: ml id: Urine Out Condom Cath t0: [10:00:00 02/12/2019] el: 2 cg: RN cu: CSRU vo: 100 vu: ml
id: Heparin t0: [10:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2150 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Cough/Deep Breathe t0: [09:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [09:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [09:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Oral Care t0: [09:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [09:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [09:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [09:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [09:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [09:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
pi: 4182713 hi: 8811 t0: [12:00:00 02/12/2019] tf: [10:00:00 03/12/2019] mn: Heparin pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: ASDIR it: C ss: Y di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [11:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [11:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [11:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 80.6667 n1: 80.6667 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [11:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 21.5 vu: ml
id: Heparin t0: [11:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: FiO2 Set t0: [12:00:00 02/12/2019] el: 0 cg: RRT cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: O2 Delivery Device t0: [12:00:00 02/12/2019] el: 0 cg: RRT cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 02/12/2019] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: SpO2 t0: [12:00:00 02/12/2019] el: 0 cg: RRT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd
id: Pain Present t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [13:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [13:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [14:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [13:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 02/12/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [13:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Clear Liquid st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Frequency t0: [13:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [13:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [13:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [14:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Education Topic #1 t0: [14:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [13:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [13:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: Impaired Skin Site#1 t0: [14:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP t0: [13:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 80.6667 n1: 80.6667 u1: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 86.6667 n1: 86.6667 u1: mmHg st: NotStopd id: Oral Cavity t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: Pain Location t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [13:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [13:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [13:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [14:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Diaphoretic st: NotStopd id: SpO2 t0: [13:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [14:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [14:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [13:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [13:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Verbal Response t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [14:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24 vu: ml id: Stool Out Stool t0: [13:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Small id: Urine Out Incontinent t0: [13:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Heparin t0: [12:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [13:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [14:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Stool Out Total t0: [23:00:00 02/12/2019] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
id: Pain Present t0: [15:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [15:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [15:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [15:00:00 02/12/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [15:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [15:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Pain Location t0: [15:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [15:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Precautions t0: [15:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [15:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24 vu: ml
id: Heparin t0: [15:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Clear Liquid st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: Follows Commands t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Precautions t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 3 mm v2: 3 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Diaphoretic st: NotStopd id: SpO2 t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Verbal Response t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24 vu: ml id: Urine Out Condom Cath t0: [16:00:00 02/12/2019] el: 2 cg: RN cu: CSRU vo: 150 vu: ml
id: Heparin t0: [16:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PTT t0: [16:28:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 57.2 n1: 57.2 rs: Final st: NotStopd id: PTT(22-35) t0: [16:28:00 02/12/2019] el: 0 cg: 3161 cu: CSRU v1: 57.2 n1: 57.2 rs: Final st: NotStopd
id: Pain Level t0: [11:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 7-Mod to Severe st: NotStopd id: Pain Level t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 7-Mod to Severe st: NotStopd id: Pain Present t0: [11:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Present t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Assess Method t0: [11:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Pain Assess Method t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [11:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: PainLevel Acceptable t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [11:00:00 02/12/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Daily Wake Up t0: [17:00:00 02/12/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: NBP t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Pain Cause t0: [11:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: At Rest st: NotStopd id: Pain Cause t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [11:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 7-Mod to Severe st: NotStopd id: Pain Level (Rest) t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 7-Mod to Severe st: NotStopd id: Pain Location t0: [11:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Chest Pain st: NotStopd id: Pain Location t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Chest Pain st: NotStopd id: Pain Type t0: [11:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Constant st: NotStopd id: Pain Type t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Constant st: NotStopd id: Position t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Therapeutic Bed t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [17:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24 vu: ml
id: Heparin t0: [17:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [18:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [18:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 24 vu: ml
id: Heparin t0: [18:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [08:00:00 02/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 100.0ml t0: [09:00:00 02/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 100.0ml t0: [12:00:00 02/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 100.0ml t0: [18:00:00 02/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: Less Restrict Meas. t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Range of Motion t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Art.pH t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Circulation/SkinInt t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Compliance (40-60ml) t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: RSBI (<100) t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: RSBI Not Completed t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: High Insp. Pressure t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: High Resp. Rate t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: I:E Ratio t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Inspired Gas Temp t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Low Exhaled Min Vol t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Mean Airway Pressure t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Minute Volume(Obser) t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: O2 Delivery Device#2 t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: O2 Flow (lpm) #2 t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: PEEP Set t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Apnea Time Interval t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Peak Insp. Pressure t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Plateau Pressure t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Position Change t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Pressure Support t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Pupil Response R/L t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Pupil Size R/L t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: RSBI (<200) t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Reason For Restraint t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Removed x 5 Mins t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Resp Rate (Spont) t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Resp Rate (Total) t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Respiratory Rate Set t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Tank A psi. t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Tank B psi. t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Ve High t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Restraint Location t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Restraint Type t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Restraints Evaluated t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Sensitivity-Vent t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Spon RR (Mech.) t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Spon. Vt (L) (Mech.) t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Tidal Volume (Obser) t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Tidal Volume (Set) t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Tidal Volume (Spont) t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: In-Line Sx Change t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Ventilator Mode t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Ventilator Type t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Waveform-Vent t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Arterial Base Excess t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Arterial CO2(Calc) t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Arterial PaCO2 t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Arterial PaO2 t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Arterial pH t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Pt./Family Informed t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Venous CO2(Calc) t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Venous PvCO2 t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Venous PvO2 t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Venous pH t0: [19:00:00 02/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Pain Present t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Assess Method t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [19:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [19:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [19:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [19:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Daily Wake Up t0: [19:30:00 02/12/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [19:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [19:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [19:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Frequency t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [19:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Patient/Family st: NotStopd id: Education Method t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [19:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Extubation Date t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: Eye Care t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: Follows Commands t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [19:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rate t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Imp Skin Cleanse #1 t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: Incentive Spirometry t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: Intubation Date t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: LLL Lung Sounds t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Level of Conscious t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [19:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP t0: [19:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: NBP Mean t0: [19:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: NBP Mean t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Pain Cause t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Pain Management t0: [19:30:00 02/12/2019] el: 1 cg: RN cu: CSRU v1: Repositioned v2: Emotional Suppor st: NotStopd id: Pain Type t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Intermittent st: NotStopd id: Position t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [19:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 30 n2: 30 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: EKG st: NotStopd id: RLL Lung Sounds t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Respiratory Pattern t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [19:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Side Rails t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Color t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [19:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [19:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Copious st: NotStopd id: Support Systems t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Verbal Response t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [19:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [19:30:00 02/12/2019] el: 1 cg: RN cu: CSRU v1: Done id: Behavior t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:30:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [19:30:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 39.75 vu: ml
id: Heparin t0: [19:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [19:15:00 02/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [19:30:00 02/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [20:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [20:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [20:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [20:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [20:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 39 n1: 39 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [20:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [20:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [20:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Assess Method t0: [20:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Pain Cause t0: [20:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Pain Location t0: [19:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Chest Pain st: NotStopd id: Pain Location t0: [20:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Chest Pain st: NotStopd id: Pain Type t0: [20:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Intermittent st: NotStopd
id: Urine Out Condom Cath t0: [21:00:00 02/12/2019] el: 2 cg: -1 cu: CSRU vo: 0 st: D/C'd
pi: 4184912 hi: 8811 t0: [22:00:00 02/12/2019] tf: [21:00:00 03/12/2019] mn: Metoprolol pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4184959 hi: 8811 t0: [22:00:00 02/12/2019] tf: [21:00:00 03/12/2019] mn: Morphine Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Pain Present t0: [21:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Assess Method t0: [21:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [21:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [21:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [21:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [21:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Urine Out Incontinent t0: [20:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Medium id: Urine Out Condom Cath t0: [19:30:00 02/12/2019] el: 2 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [21:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [21:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: NBP t0: [21:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 152 n1: 152 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [21:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [21:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: SpO2 t0: [21:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [21:15:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [21:15:00 02/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Oral Care t0: [20:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [20:30:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [21:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Service Type t0: [22:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [22:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [22:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [22:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [22:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 25 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 66.25 vu: ml id: Urine Out Incontinent t0: [22:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Heparin t0: [22:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Total Hourly Output t0: [23:00:00 02/12/2019] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 02/12/2019] el: 3 cg: RN cu: CSRU cv: 300 ac: 24 ap: carryForward re: 0 id: 24h Total Out t0: [23:00:00 02/12/2019] el: 3 cg: RN cu: CSRU cv: 300 ac: 24 ap: carryForward re: 0
id: Service Type t0: [23:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [23:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [23:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [23:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [23:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 02/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 26.5 vu: ml
id: Heparin t0: [23:00:00 02/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 02/12/2019] el: 3 cg: RN cu: CSRU pv: 36.5 cv: 1391 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 02/12/2019] el: 3 cg: RN cu: CSRU pv: 36.5 cv: 1391 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 02/12/2019] el: 3 cg: RN cu: CSRU pv: 36.5 cv: 1091 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 02/12/2019] el: 3 cg: RN cu: CSRU pv: 36.5 cv: 12387.6 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 02/12/2019] el: 3 cg: RN cu: CSRU pv: 36.5 cv: 36.5 ac: 1 ap: none re: 0
id: Pain Present t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Daily Wake Up t0: [00:00:00 03/12/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Extubation Date t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: Eye Opening t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: Follows Commands t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: Incentive Spirometry t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Intubation Date t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: LLL Lung Sounds t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Level of Conscious t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 30 n2: 30 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Respiratory Pattern t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Copious st: NotStopd id: Support Systems t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 36.2222 n1: 36.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 97.2 n1: 97.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Verbal Response t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Behavior t0: [20:00:00 02/12/2019] el: 0 cg: RN cu: CSRU v1: Anxious st: NotStopd id: Bowel Sounds t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [00:00:00 03/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 26.5 vu: ml id: Urine Out Incontinent t0: [00:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Medium
id: Heparin t0: [00:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2650 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [01:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [01:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [01:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [02:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [02:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [02:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 156 n1: 156 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [02:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 55.5 vu: ml id: Urine Out Incontinent t0: [02:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Medium
id: Heparin t0: [02:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [03:05:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 16.4 n1: 16.4 rs: Final st: NotStopd id: WBC t0: [03:05:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 16.4 n1: 16.4 rs: Final st: NotStopd id: Hematocrit t0: [03:05:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 34.8 n1: 34.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:05:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 11.9 n1: 11.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:05:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 379 n1: 379 rs: Final st: NotStopd id: RBC t0: [03:05:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.89 n1: 3.89 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:05:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 16.4 n1: 16.4 rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [03:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 03/12/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [03:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [03:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Extubation Date t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: Eye Opening t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: Follows Commands t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: Heart Rhythm t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Imp Skin Cleanse #1 t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: Intubation Date t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: LLL Lung Sounds t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Level of Conscious t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [03:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [01:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [02:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 30 n2: 30 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [03:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: RLL Lung Sounds t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Respiratory Pattern t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [03:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Side Rails t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [03:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Copious st: NotStopd id: Support Systems t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Verbal Response t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [03:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Anxious st: NotStopd id: Bowel Sounds t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 58 vu: ml id: Urine Out Incontinent t0: [04:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Heparin t0: [03:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [04:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: BUN t0: [03:05:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Calcium t0: [03:05:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 8.6 n1: 8.6 u1: mg/dl rs: Final st: NotStopd id: Glucose t0: [03:05:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 131 n1: 131 rs: Final st: NotStopd id: BUN (6-20) t0: [03:05:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:05:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 8.6 n1: 8.6 u1: mg/dl rs: Final st: NotStopd id: Glucose (70-105) t0: [03:05:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 131 n1: 131 rs: Final st: NotStopd
id: PT t0: [03:05:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 16.6 n1: 16.6 rs: Final st: NotStopd id: INR t0: [03:05:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PTT t0: [03:05:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 67.7 n1: 67.7 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:05:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:05:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 16.6 n1: 16.6 rs: Final st: NotStopd id: PTT(22-35) t0: [03:05:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 67.7 n1: 67.7 rs: Final st: NotStopd
id: Chloride t0: [03:05:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine t0: [03:05:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Potassium t0: [03:05:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Sodium t0: [03:05:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd id: Carbon Dioxide t0: [03:05:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 31 n1: 31 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:05:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:05:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:05:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:05:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd
id: Magnesium t0: [03:05:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: Phosphorous t0: [03:05:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.9 n1: 2.9 u1: mEq/L rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:05:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:05:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.9 n1: 2.9 u1: mEq/L rs: Final st: NotStopd
id: Service Type t0: [05:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [05:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [05:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [05:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4185778 hi: 8811 t0: [07:00:00 03/12/2019] tf: [06:00:00 04/12/2019] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4185808 hi: 8811 t0: [07:00:00 03/12/2019] tf: [06:00:00 04/12/2019] mn: Diltiazem pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [06:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [06:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [06:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: NBP t0: [06:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [06:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [06:00:00 03/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 58 vu: ml id: Urine Out Incontinent t0: [06:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Medium
id: Heparin t0: [06:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Heart Rhythm t0: [06:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd
id: Service Type t0: [06:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [06:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [06:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [06:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: FiO2 Set t0: [06:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: Heart Rate t0: [06:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [06:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: NBP Mean t0: [06:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [06:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: calprevflg t0: [06:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [06:30:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 50.0ml t0: [06:30:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [07:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [07:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [07:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [07:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: calprevflg t0: [07:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [07:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Extubation Date t0: [07:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: FiO2 Set t0: [07:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: torr st: NotStopd id: Intubation Date t0: [07:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: O2 Delivery Device t0: [07:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Non-Rebreather st: NotStopd id: O2 Flow (lpm) t0: [07:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
id: Art.pH t0: [07:18:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 7.49 n1: 7.49 rs: Final st: NotStopd id: Arterial Base Excess t0: [07:18:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [07:18:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 rs: Final st: NotStopd id: Arterial PaCO2 t0: [07:18:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 41 n1: 41 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [07:18:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 62 n1: 62 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [07:18:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 7.49 n1: 7.49 rs: Final st: NotStopd
id: Pain Present t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 03/12/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Extubation Date t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: Eye Opening t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: torr st: NotStopd id: Follows Commands t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: Intubation Date t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: LLL Lung Sounds t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: LUL Lung Sounds t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Level of Conscious t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Non-Rebreather st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 30 n2: 30 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Radiologic Study t0: [07:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Pattern t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Side Rails t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Copious st: NotStopd id: Support Systems t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Urine Source t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Verbal Response t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Anxious st: NotStopd id: Bowel Sounds t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 50.0ml t0: [08:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 58 vu: ml
id: Heparin t0: [08:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [09:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [09:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [08:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [08:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [09:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Activity t0: [08:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [09:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Oral Care t0: [08:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [08:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [08:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [08:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Precautions t0: [09:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Skin Care t0: [08:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [09:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [08:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [08:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [08:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 29 vu: ml id: Urine Out Incontinent t0: [08:30:00 03/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Medium
id: Heparin t0: [09:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4186232 hi: 8811 t0: [10:00:00 03/12/2019] tf: [10:00:00 03/12/2019] mn: Furosemide pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4186233 hi: 8811 t0: [10:00:00 03/12/2019] tf: [12:00:00 03/12/2019] mn: Diltiazem pt: Unit Dose st: Discontinued rt: IV BOLUS fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4186234 hi: 8811 t0: [10:00:00 03/12/2019] tf: [12:00:00 06/12/2019] mn: Diltiazem pt: IV Piggyback st: Discontinued rt: IV DRIP fr: INFUSION di: Ongoing xu: Enter on Label pi: 4186235 hi: 8811 t0: [20:00:00 03/12/2019] tf: [10:00:00 08/12/2019] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q 12H ds: 08, 20 dn: 2 dt: 23 di: Hours xv: 36 xu: Hours pi: 4186284 hi: 8811 t0: [10:00:00 03/12/2019] tf: [10:00:00 08/12/2019] mn: Meropenem pt: IV Piggyback st: Discontinued rt: IV fr: Q6H ds: 5, 11, 17, 23 dn: 4 di: Ongoing xv: 36 xu: Hours
pi: 4186291 hi: 8811 t0: [11:00:00 03/12/2019] tf: [10:00:00 03/12/2019] mn: Heparin pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: ASDIR it: C ss: Y di: Ongoing xv: 36 xu: Hours pi: 4186292 hi: 8811 t0: [11:00:00 03/12/2019] tf: [10:00:00 04/12/2019] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4186293 hi: 8811 t0: [11:00:00 03/12/2019] tf: [21:00:00 03/12/2019] mn: Heparin pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: ASDIR it: C ss: Y di: Ongoing xv: 36 xu: Hours
id: Diltiazem io: D5W 125.0ml + 125mghr Diltiazem el: 100 cg: RN cu: CSRU am: 125 du: mghr rt: IV Drip
id: Service Type t0: [10:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [11:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [11:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: CVP t0: [11:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [11:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [11:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [11:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Frequency t0: [11:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [11:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [11:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [11:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [11:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [10:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rate t0: [11:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: Heart Rhythm t0: [11:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: Heart Rhythm t0: [11:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [10:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP t0: [11:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP t0: [11:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: NBP Mean t0: [11:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [11:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [11:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [11:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [11:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [10:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 29 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 29 vu: ml
id: Heparin t0: [10:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [11:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [11:15:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Extubation Date t0: [11:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: Extubation Date t0: [11:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: FiO2 Set t0: [11:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: torr st: NotStopd id: FiO2 Set t0: [11:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: Intubation Date t0: [11:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: Intubation Date t0: [11:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: O2 Delivery Device t0: [11:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Non-Rebreather st: NotStopd id: O2 Flow (lpm) t0: [11:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [11:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
id: Service Type t0: [11:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [11:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [11:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [11:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [11:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [11:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 125.0ml + 125mghr Diltiazem t0: [11:30:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1
id: Diltiazem t0: [11:30:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Heparin t0: [11:30:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [11:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [11:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [11:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [11:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: SpO2 t0: [11:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: calprevflg t0: [11:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Diltiazem t0: [11:45:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Heparin t0: [11:45:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4186745 hi: 8811 t0: [13:00:00 03/12/2019] tf: [12:00:00 04/12/2019] mn: Esmolol pt: IV Piggyback st: Expired rt: IV BOLUS fr: ONCE ds: 13 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4186746 hi: 8811 t0: [13:00:00 03/12/2019] tf: [13:00:00 04/12/2019] mn: Esmolol pt: IV Piggyback st: Expired rt: IV DRIP fr: INFUSION dt: 24 di: Hours xv: 36 xu: Hours
id: Pain Present t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [12:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [12:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 03/12/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [12:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [12:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [12:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Extubation Date t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: Eye Opening t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [11:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: FiO2 Set t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: Follows Commands t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rate t0: [12:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: Heart Rhythm t0: [12:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: Intubation Date t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: LLL Lung Sounds t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP t0: [12:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 152 n1: 152 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [12:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 30 n2: 30 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Respiratory Pattern t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 38 n1: 38 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [12:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Urine Color/Appear t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Verbal Response t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Anxious st: NotStopd id: Bowel Sounds t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: D5W 100.0ml t0: [11:30:00 03/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 27.875 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [12:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 3.25 vu: ml id: Urine Out Incontinent t0: [11:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Diltiazem t0: [12:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Diltiazem t0: [12:15:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Heparin t0: [12:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [12:15:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [12:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [12:35:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [12:35:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:35:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [12:35:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [12:35:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [12:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [12:35:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [12:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rate t0: [12:35:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: Heart Rhythm t0: [12:35:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [12:35:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Precautions t0: [12:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [12:35:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:35:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:35:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:35:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:35:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:35:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [12:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: EKG st: NotStopd id: Respiratory Rate t0: [12:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:35:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Significant Events t0: [12:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Chest Pain st: NotStopd id: SpO2 t0: [12:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [12:35:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [12:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:35:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Diltiazem t0: [12:30:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Diltiazem t0: [12:35:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 15 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Heparin t0: [12:30:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [12:35:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Esmolol io: D5W 250.0ml + 2500mcgkgmin Esmolol el: 100 cg: RN cu: CSRU am: 2500 du: mcgkgmin rt: IV Drip
pi: 4186772 hi: 8811 t0: [10:00:00 03/12/2019] tf: [22:00:00 18/12/2019] mn: Aspirin pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: D5W 125.0ml + 125mghr Diltiazem t0: [13:26:00 03/12/2019] el: 1 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Service Type t0: [13:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [13:25:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [13:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [13:25:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [13:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [13:25:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [13:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [13:25:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [13:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [13:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [13:25:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [13:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [13:25:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [13:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [13:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rate t0: [13:25:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [13:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: Heart Rhythm t0: [13:25:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: Heart Rhythm t0: [13:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [13:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP t0: [13:25:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP t0: [13:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [13:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [13:25:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [13:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:25:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:25:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:25:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:25:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:25:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:25:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [13:25:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [13:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [13:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:25:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 27.5 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [13:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 11.75 vu: ml id: D5W 125.0ml + 125mghr Diltiazem t0: [13:25:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 6.3 vu: ml st: Stopped id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [13:25:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1
id: Diltiazem t0: [13:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 15 du: mghr so: D5W sv: 125 su: ml rt: IV Drip id: Diltiazem t0: [13:25:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 du: mghr so: D5W sv: 125 su: ml rt: IV Drip st: Stopped id: Esmolol t0: [13:25:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [13:40:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [13:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [13:25:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [13:40:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [13:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [13:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [13:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [13:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [13:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [13:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [13:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [13:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 50.0ml t0: [13:55:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 27.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [14:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 30.78 vu: ml
id: Esmolol t0: [13:50:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [13:50:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [14:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [14:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [14:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [14:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [14:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Esmolol t0: [14:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [14:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4187039 hi: 8811 t0: [15:00:00 03/12/2019] tf: [14:00:00 04/12/2019] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4187040 hi: 8811 t0: [15:00:00 03/12/2019] tf: [14:00:00 04/12/2019] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4187262 hi: 8811 t0: [16:00:00 03/12/2019] tf: [15:00:00 03/12/2019] mn: Albumin 25% (12.5 g) pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: ONCE ds: 16 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4187269 hi: 8811 t0: [16:00:00 03/12/2019] tf: [15:00:00 04/12/2019] mn: Albumin 25% (12.5 g) pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 16 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [15:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [15:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [15:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [15:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [13:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [13:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: calprevflg t0: [15:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [12:30:00 03/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 100.0ml t0: [13:00:00 03/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 27.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [15:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 61.56 vu: ml
id: Esmolol t0: [15:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [15:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Eye Care t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Care t0: [15:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: HOB t0: [15:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Activity t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [15:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Activity Tolerance t0: [15:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [15:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [15:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [15:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Assistance Device t0: [15:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Care t0: [15:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Therapeutic Bed t0: [15:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [15:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [15:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Service Type t0: [15:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [15:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [15:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [15:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [15:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [15:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: BPM st: NotStopd id: SpO2 t0: [15:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [15:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Esmolol t0: [15:40:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [15:40:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [15:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [15:55:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [15:55:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [15:55:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [15:55:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [15:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:55:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [15:55:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [15:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rate t0: [15:55:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: Heart Rhythm t0: [15:55:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [15:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP t0: [15:55:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [15:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: NBP Mean t0: [15:55:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [15:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [15:55:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:55:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:55:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:55:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:55:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:55:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:55:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [15:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [15:55:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [15:50:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:55:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Esmolol t0: [15:50:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [15:55:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [15:50:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [15:55:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Level t0: [12:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 5-Moderate st: NotStopd id: Pain Present t0: [12:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Present t0: [12:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [12:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Pain Assess Method t0: [12:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [12:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Cause t0: [12:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [12:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 5-Moderate st: NotStopd id: Pain Location t0: [12:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Mediastinal st: NotStopd id: Pain Type t0: [12:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Dull st: NotStopd id: Pain Type t0: [12:40:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd
id: Pain Present t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 03/12/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Extubation Date t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: Eye Opening t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: FiO2 Set t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: Follows Commands t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: Heart Rate t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: Intubation Date t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: LLL Lung Sounds t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 30 n2: 30 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Diaphoretic st: NotStopd id: SpO2 t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: Urine Source t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Verbal Response t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: calprevflg t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Apathy st: NotStopd id: Bowel Sounds t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: D5W 50.0ml t0: [15:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 50.0ml t0: [16:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 27.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [16:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 68.4 vu: ml id: Urine Out Incontinent t0: [13:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Esmolol t0: [16:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [16:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Albumin 25% t0: [16:45:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 100 vu: ml uu: Units
id: Colloids Total t0: [23:00:00 03/12/2019] el: 3 cg: RN cu: CSRU cv: 100 ac: 24 ap: none re: 0
id: Sputum Color/Consist t0: [10:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Thick st: NotStopd id: Sputum Color/Consist t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Thick st: NotStopd id: Sputum Color/Consist t0: [14:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Thick st: NotStopd id: Sputum Color/Consist t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Thick st: NotStopd id: Sputum Source/Amt t0: [10:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Small st: NotStopd id: Sputum Source/Amt t0: [12:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [14:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [16:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Moderate st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 27.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [17:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 82.08 vu: ml
id: Service Type t0: [16:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [16:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [16:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [16:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP Mean t0: [16:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [16:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [16:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [16:45:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Esmolol t0: [16:45:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [16:45:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [17:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [17:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [17:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Esmolol t0: [17:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [17:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [18:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [18:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [18:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Frequency t0: [18:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [18:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [18:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [18:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: HOB t0: [18:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rate t0: [18:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: Heart Rhythm t0: [18:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: Activity t0: [18:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: NBP t0: [18:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP t0: [18:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 57 n1: 57 u1: mmHg st: NotStopd id: NBP Mean t0: [18:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Oral Care t0: [18:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [18:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [18:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Precautions t0: [18:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [18:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Skin Care t0: [18:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [18:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [18:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Therapeutic Bed t0: [18:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [18:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [18:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [18:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:15:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [18:00:00 03/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 27.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [18:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 82.08 vu: ml id: Urine Out Incontinent t0: [16:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Medium id: Urine Out Incontinent t0: [18:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Esmolol t0: [18:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [18:15:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [18:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [18:15:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4188215 hi: 8811 t0: [20:00:00 03/12/2019] tf: [19:00:00 04/12/2019] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [19:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [19:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [19:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [19:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [19:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [19:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [19:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 27.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [19:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 82.08 vu: ml
id: Esmolol t0: [19:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [19:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Esmolol t0: [20:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [20:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [20:00:00 03/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 27.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [20:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 82.08 vu: ml
id: INV Line#1 Type/Site t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 30 n2: 30 st: NotStopd id: INV#1 Cap Change t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd
id: CVP t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd
id: Pain Present t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Daily Wake Up t0: [20:00:00 03/12/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Extubation Date t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: FiO2 Set t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: Intubation Date t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: O2 Delivery Device t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Pain Location t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd
id: Sputum Color/Consist t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Small st: NotStopd
id: D5W 100.0ml t0: [21:00:00 03/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 27.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [21:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 82.08 vu: ml id: Urine Out Incontinent t0: [21:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Service Type t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Education Barrier t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Anxiety st: NotStopd id: Education Handout t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Eye Care t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: Abdominal Assessment t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: Activity t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Oral Care t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Color t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Diaphoretic st: NotStopd id: SpO2 t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow st: NotStopd id: Urine Source t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Verbal Response t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [21:00:00 03/12/2019] el: 1 cg: RN cu: CSRU v1: Done id: Behavior t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Anxious st: NotStopd id: Bowel Sounds t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Esmolol t0: [21:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [21:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2750 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4188480 hi: 8811 t0: [22:00:00 03/12/2019] tf: [21:00:00 04/12/2019] mn: Lorazepam pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4188625 hi: 8811 t0: [22:00:00 03/12/2019] tf: [22:00:00 18/12/2019] mn: Heparin pt: IV Piggyback st: Discontinued via patient discharge rt: IV fr: ASDIR it: C ss: Y di: Ongoing xv: 36 xu: Hours
id: Potassium t0: [19:45:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [19:45:00 03/12/2019] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd
id: Service Type t0: [21:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [21:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [21:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [21:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [21:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [21:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [21:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [21:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:30:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:30:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 13.75 vu: ml st: Stopped id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [21:30:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 41.04 vu: ml
id: Esmolol t0: [21:30:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [21:30:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: D5W 100.0ml t0: [21:30:00 03/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [22:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [22:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [22:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [22:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [22:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [22:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 41.04 vu: ml id: Urine Out Incontinent t0: [22:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Medium
id: Esmolol t0: [22:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Total Hourly Output t0: [23:00:00 03/12/2019] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 03/12/2019] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0 id: 24h Total Out t0: [23:00:00 03/12/2019] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
id: Service Type t0: [22:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [22:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [22:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [22:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [22:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [22:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [22:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [22:30:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 25000Uhr Heparin t0: [22:30:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml st: Restart
id: Esmolol t0: [22:30:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [22:30:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4188889 hi: 8811 t0: [00:00:00 04/12/2019] tf: [23:00:00 04/12/2019] mn: Haloperidol pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 0 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [23:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [23:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [23:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [23:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [23:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [23:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 11.25 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [23:00:00 03/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 82.08 vu: ml
id: Esmolol t0: [23:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [23:00:00 03/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 03/12/2019] el: 3 cg: RN cu: CSRU pv: 103.33 cv: 2939.98 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 03/12/2019] el: 3 cg: RN cu: CSRU pv: 103.33 cv: 3039.98 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 03/12/2019] el: 3 cg: RN cu: CSRU pv: 103.33 cv: 3039.98 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 03/12/2019] el: 3 cg: RN cu: CSRU pv: 103.33 cv: 15427.6 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 03/12/2019] el: 3 cg: RN cu: CSRU pv: 103.33 cv: 103.33 ac: 1 ap: none re: 0
id: HOB t0: [22:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [22:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [22:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [22:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [22:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [22:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd
id: Pain Present t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 04/12/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Extubation Date t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: Eye Opening t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: Follows Commands t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: Heart Rate t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: Intubation Date t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: LLL Lung Sounds t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: NBP t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Pain Location t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 30 n2: 30 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Side Rails t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Diaphoretic st: NotStopd id: SpO2 t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow st: NotStopd id: Urine Source t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: calprevflg t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Bowel Sounds t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: D5W 100.0ml t0: [00:00:00 04/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [00:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 82.08 vu: ml
id: Esmolol t0: [00:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [00:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: HOB t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Oral Care t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd
id: GCS Total t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: Motor Response t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Verbal Response t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd
id: Service Type t0: [01:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [01:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [01:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [01:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Esmolol t0: [01:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [01:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [01:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [01:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 123.12 vu: ml id: Urine Out Incontinent t0: [01:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: D5W 100.0ml t0: [02:00:00 04/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [02:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 123.12 vu: ml
id: Service Type t0: [02:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [02:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [02:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [02:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [02:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Esmolol t0: [02:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [02:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [03:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [03:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [03:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [03:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [03:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [03:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Esmolol t0: [03:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [03:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [03:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [03:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 123.12 vu: ml
id: WBC (4-11,000) t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 16.3 n1: 16.3 rs: Final st: NotStopd id: WBC t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 16.3 n1: 16.3 rs: Final st: NotStopd id: Hematocrit t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 32.4 n1: 32.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 10.3 n1: 10.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 469 n1: 469 rs: Final st: NotStopd id: RBC t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.48 n1: 3.48 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 16.3 n1: 16.3 rs: Final st: NotStopd
id: Sputum Color/Consist t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Thick st: NotStopd id: Sputum Color/Consist t0: [02:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Thick st: NotStopd id: Sputum Color/Consist t0: [03:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Thick st: NotStopd id: Sputum Color/Consist t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Small st: NotStopd id: Sputum Source/Amt t0: [02:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Small st: NotStopd id: Sputum Source/Amt t0: [03:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Small st: NotStopd id: Sputum Source/Amt t0: [21:00:00 03/12/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Small st: NotStopd
id: BUN t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 28 n1: 28 rs: Final st: NotStopd id: Albumin t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.9 n1: 2.9 rs: Final st: NotStopd id: Chloride t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Magnesium t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.9 n1: 2.9 rs: Final st: NotStopd id: Potassium t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 148 n1: 148 rs: Final st: NotStopd id: Total Bili t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: ALT t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 rs: Final st: NotStopd id: Albumin (>3.2) t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.9 n1: 2.9 rs: Final st: NotStopd id: Amylase t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 55 n1: 55 rs: Final st: NotStopd id: BUN (6-20) t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 28 n1: 28 rs: Final st: NotStopd id: Carbon Dioxide t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.9 n1: 2.9 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 148 n1: 148 rs: Final st: NotStopd
id: PT t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 16.4 n1: 16.4 rs: Final st: NotStopd id: INR t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PTT t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 77.9 n1: 77.9 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 16.4 n1: 16.4 rs: Final st: NotStopd id: PTT(22-35) t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 77.9 n1: 77.9 rs: Final st: NotStopd
id: CPK/MB t0: [03:00:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd
pi: 4189430 hi: 8811 t0: [06:00:00 04/12/2019] tf: [05:00:00 05/12/2019] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Pain Present t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Daily Wake Up t0: [04:00:00 04/12/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Extubation Date t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: Eye Opening t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: Follows Commands t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: points st: NotStopd id: HOB t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: Activity t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: Intubation Date t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: LLL Lung Sounds t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 3 st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 30 n2: 30 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Side Rails t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Diaphoretic st: NotStopd id: SpO2 t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: Support Systems t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow st: NotStopd id: Urine Source t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Verbal Response t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 5 Oriented st: NotStopd id: Back Care t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [04:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [04:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 123.12 vu: ml id: Stool Out Stool t0: [04:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Small id: Urine Out Incontinent t0: [04:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Esmolol t0: [04:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [04:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [05:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [05:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [05:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [05:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [05:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [05:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 123.12 vu: ml
id: Esmolol t0: [05:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [05:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [06:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [06:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [06:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [06:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [06:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [06:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [06:00:00 04/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [06:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 123.12 vu: ml
id: Esmolol t0: [06:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [06:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [07:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [07:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [07:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [07:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [07:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [07:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [07:00:00 04/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [07:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [07:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 123.12 vu: ml
id: Esmolol t0: [07:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [07:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Urine Out Incontinent t0: [07:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Less Restrict Meas. t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Daily Wake Up t0: [08:00:00 04/12/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Type t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Extubation Date t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: Eye Opening t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: Follows Commands t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: Activity t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: Intubation Date t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: LLL Lung Sounds t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Exp Wheeze st: NotStopd id: Level of Conscious t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Pain Location t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position Change t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 30 n2: 30 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Color t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Diaphoretic st: NotStopd id: SpO2 t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow st: NotStopd id: Urine Source t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Verbal Response t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Pt./Family Informed t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [08:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 123.12 vu: ml
id: Esmolol t0: [08:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [08:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Position t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd
id: NBP Mean t0: [08:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd
id: D5W 100.0ml t0: [08:45:00 04/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [09:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 123.12 vu: ml id: Urine Out Incontinent t0: [08:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Small
id: Family Communication t0: [08:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd
pi: 4189684 hi: 8811 t0: [20:00:00 04/12/2019] tf: [10:00:00 08/12/2019] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q 12H ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [09:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [09:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [09:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [09:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [09:30:00 04/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml
id: Esmolol t0: [09:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [09:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Position Change t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: HOB t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Activity t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Supervised st: NotStopd id: Therapeutic Bed t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Turns by self st: NotStopd
id: Service Type t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP Mean t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [10:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 123.12 vu: ml
id: Esmolol t0: [10:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: NBP t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd
id: PTT t0: [09:30:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 80.9 n1: 80.9 rs: Final st: NotStopd id: PTT(22-35) t0: [09:30:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 80.9 n1: 80.9 rs: Final st: NotStopd
id: Service Type t0: [11:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [11:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [11:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [11:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 123.12 vu: ml id: Urine Out Incontinent t0: [10:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Medium
id: Esmolol t0: [11:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [11:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [11:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [11:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [11:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [11:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [11:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [11:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Esmolol t0: [11:45:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 175 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [11:45:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [11:50:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:50:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:50:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:50:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:50:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:50:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:50:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:50:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [11:50:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Precautions t0: [11:50:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:50:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:50:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:50:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:50:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:50:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:50:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [11:50:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [11:50:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Esmolol t0: [11:50:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 175 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [11:50:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 04/12/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Extubation Date t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: Eye Opening t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: FiO2 Set t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: Follows Commands t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: Heart Rate t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: Intubation Date t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: LLL Lung Sounds t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Pain Location t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position Change t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 30 n2: 30 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Urine Color/Appear t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow st: NotStopd id: Urine Source t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Verbal Response t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Pt./Family Informed t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: D5W 100.0ml t0: [12:00:00 04/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [12:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 128.25 vu: ml
id: Esmolol t0: [12:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 175 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [12:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4190346 hi: 8811 t0: [14:00:00 04/12/2019] tf: [13:00:00 05/12/2019] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [13:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [13:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Extubation Date t0: [12:30:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: FiO2 Set t0: [12:30:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Heart Rate t0: [13:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: Intubation Date t0: [12:30:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: NBP t0: [13:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:30:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [12:30:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Precautions t0: [13:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [12:30:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [13:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [13:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [13:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 143.64 vu: ml id: Urine Out Incontinent t0: [13:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vu: ml
id: Esmolol t0: [13:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 175 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [13:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4190599 hi: 8811 t0: [15:00:00 04/12/2019] tf: [10:00:00 08/12/2019] mn: Esmolol pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: TITRATE TO di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [14:30:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Cardiac Echo st: NotStopd id: Respiratory Rate t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [14:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 143.64 vu: ml id: Urine Out Incontinent t0: [12:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Esmolol t0: [14:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 175 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [14:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4190737 hi: 8811 t0: [16:00:00 04/12/2019] tf: [16:00:00 04/12/2019] mn: Potassium Phosphate pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 16 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Extubation Date t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: FiO2 Set t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Heart Rate t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: Intubation Date t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: NBP t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Precautions t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: calprevflg t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [15:00:00 04/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [15:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 143.64 vu: ml id: Urine Out Incontinent t0: [14:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Esmolol t0: [15:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 175 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [15:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Temp. Site t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Present t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Pain Assess Method t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [10:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Cough/Deep Breathe t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Cough/Deep Breathe t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Daily Wake Up t0: [15:00:00 04/12/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: Daily Wake Up t0: [16:00:00 04/12/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Education Topic #1 t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Eye Care t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: Activity t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Exp Wheeze st: NotStopd id: Level of Conscious t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Oral Care t0: [12:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: Off st: NotStopd id: Pain Location t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Location t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [15:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Pain Type t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 30 n2: 30 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Care t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Color t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Diaphoretic st: NotStopd id: SpO2 t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Therapeutic Bed t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Therapeutic Bed t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Light Yellow st: NotStopd id: Urine Source t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Verbal Response t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Back Care t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [16:00:00 04/12/2019] el: 1 cg: RN cu: CSRU v1: done id: Behavior t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Pt./Family Informed t0: [14:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [16:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 143.64 vu: ml id: Urine Out Incontinent t0: [16:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Esmolol t0: [16:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 175 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [16:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4190889 hi: 8811 t0: [17:00:00 04/12/2019] tf: [16:00:00 05/12/2019] mn: Potassium Phosphate pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: Calcium t0: [15:05:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Magnesium t0: [15:05:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.9 n1: 2.9 rs: Final st: NotStopd id: Phosphorous t0: [15:05:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [15:05:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [15:05:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [15:05:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.9 n1: 2.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [15:05:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [15:05:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd
id: Potassium Phosphate io: D5W 500.0ml el: 100 cg: RN cu: CSRU am: 30 du: mEq rt: Intravenous Push
io: D5W 500.0ml el: 1 cg: RN cu: CSRU ra: 84 ru: ml/hr
id: Service Type t0: [17:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [17:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [17:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [17:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [17:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 143.64 vu: ml id: D5W 500.0ml t0: [17:30:00 04/12/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 0 vu: ml nb: 1
id: Esmolol t0: [17:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 175 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [17:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Temperature C (calc) t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: calprevflg t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 22.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [18:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 143.64 vu: ml id: D5W 500.0ml t0: [18:00:00 04/12/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 42 vu: ml
id: Esmolol t0: [18:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 175 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [18:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2250 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: HOB t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Urine Out Incontinent t0: [18:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Less Restrict Meas. t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Position Change t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Sputum Color/Consist t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Thick st: NotStopd id: Sputum Source/Amt t0: [18:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Moderate st: NotStopd
id: Service Type t0: [18:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [18:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [18:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [18:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [18:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [18:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [18:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [18:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:30:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 11.3 vu: ml st: Stopped id: D5W 250.0ml + 25000Uhr Heparin t0: [18:45:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml st: Restart id: D5W 250.0ml + 25000Uhr Heparin t0: [19:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5.25 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [19:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 143.64 vu: ml id: D5W 500.0ml t0: [19:00:00 04/12/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 84 vu: ml
id: Esmolol t0: [18:45:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 175 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [18:30:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip st: Stopped id: Heparin t0: [18:45:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [19:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [19:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [19:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [19:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Flutter st: NotStopd id: NBP t0: [19:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Precautions t0: [19:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [19:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Esmolol t0: [19:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 175 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [19:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 04/12/2019] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Extubation Date t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: Eye Opening t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: FiO2 Set t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Follows Commands t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: Heart Rate t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: Intubation Date t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 23 n2: 23 st: NotStopd id: LLL Lung Sounds t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Pain Location t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position Change t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 30 n2: 30 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Diaphoretic st: NotStopd id: SpO2 t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Urine Source t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: calprevflg t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Pt./Family Informed t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [20:00:00 04/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 300 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 21 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [20:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 143.64 vu: ml id: D5W 500.0ml t0: [20:00:00 04/12/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 84 vu: ml
id: Esmolol t0: [20:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 175 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [20:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Fentanyl io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl el: 200 cg: RN cu: CSRU am: 2500 du: mcghr rt: IV Drip id: Midazolam io: .9% Normal Saline 50.0ml + 50mghr Midazolam el: 200 cg: RN cu: CSRU am: 50 du: mghr rt: IV Drip
pi: 4192044 hi: 8811 t0: [22:00:00 04/12/2019] tf: [11:00:00 08/12/2019] mn: Midazolam HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4192045 hi: 8811 t0: [22:00:00 04/12/2019] tf: [11:00:00 08/12/2019] mn: Fentanyl Citrate pt: IV Piggyback st: Discontinued rt: IV DRIP fr: INFUSION di: Ongoing xu: Enter on Label pi: 4192083 hi: 8811 t0: [22:00:00 04/12/2019] tf: [21:00:00 05/12/2019] mn: Aspirin pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [21:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [21:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [21:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [21:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [21:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [21:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 21 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [21:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 143.64 vu: ml id: D5W 500.0ml t0: [21:00:00 04/12/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 84 vu: ml
id: Esmolol t0: [21:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 175 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [21:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [21:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Thick st: NotStopd id: Sputum Source/Amt t0: [21:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Moderate st: NotStopd
id: Service Type t0: [21:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: NBP t0: [21:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: NBP Mean t0: [21:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [21:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 43 n1: 43 u1: BPM st: NotStopd id: SpO2 t0: [21:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % st: NotStopd id: calprevflg t0: [21:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Esmolol t0: [21:15:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 175 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [21:15:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [21:20:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [21:30:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:20:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [21:30:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:20:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [21:30:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:20:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [21:30:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:20:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 57 n1: 57 u1: BPM st: NotStopd id: Heart Rate t0: [21:30:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:20:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [21:30:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [21:20:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 91 n2: 91 u2: mmHg st: NotStopd id: NBP t0: [21:30:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: NBP Mean t0: [21:20:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: NBP Mean t0: [21:30:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [21:20:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [21:30:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:20:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:30:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:20:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:30:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:20:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:30:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:20:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:30:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:20:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:30:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:30:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [21:20:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [21:30:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [21:20:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:30:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Esmolol t0: [21:20:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 175 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [21:30:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [21:20:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [21:30:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [21:35:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [21:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:35:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [21:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:35:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [21:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:35:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [21:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:35:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: BPM st: NotStopd id: Heart Rate t0: [21:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: BPM st: NotStopd id: NBP t0: [21:35:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP t0: [21:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [21:35:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: NBP Mean t0: [21:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [21:35:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [21:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:35:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:35:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:35:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:35:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:35:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [21:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: EKG st: NotStopd id: Respiratory Rate t0: [21:35:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Significant Events t0: [21:30:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Intubated st: NotStopd id: SpO2 t0: [21:35:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: SpO2 t0: [21:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [21:35:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:15:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:45:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:15:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 5.25 vu: ml st: Stopped id: D5W 250.0ml + 25000Uhr Heparin t0: [21:45:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [21:15:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vu: ml st: Stopped id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [21:45:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: D5W 500.0ml t0: [21:15:00 04/12/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 21 vu: ml st: Stopped
id: Esmolol t0: [21:35:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [21:35:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Esmolol t0: [21:45:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [21:45:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 04/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1
pi: 4192114 hi: 8811 t0: [23:00:00 04/12/2019] tf: [12:00:00 06/12/2019] mn: Albuterol pt: Unit Dose st: Discontinued rt: IH fr: 2X dn: 0 di: Ongoing xv: 36 xu: Hours
id: Compliance (40-60ml) t0: [22:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [22:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: torr st: NotStopd id: High Insp. Pressure t0: [22:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [22:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [22:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: 1:2 st: NotStopd id: Inspired Gas Temp t0: [22:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [22:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [22:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [22:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [22:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: 16.9 n1: 16.9 u1: L/min st: NotStopd id: PEEP Set t0: [22:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [22:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [22:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [22:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: 29 n1: 29 u1: cmH2O st: NotStopd id: Tank A psi. t0: [22:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [22:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [22:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 st: NotStopd id: Sensitivity-Vent t0: [22:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [22:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Tidal Volume (Obser) t0: [22:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: 588 n1: 588 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [22:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [22:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [22:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [22:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [22:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: BPM st: NotStopd id: NBP t0: [22:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Significant Events t0: [22:05:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd id: calprevflg t0: [22:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [22:00:00 04/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 1000 vu: ml
id: Esmolol t0: [22:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [22:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [22:04:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Arterial Base Excess t0: [22:04:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [22:04:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Arterial PaCO2 t0: [22:04:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 35 n1: 35 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [22:04:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [22:04:00 04/12/2019] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd
id: Service Type t0: [22:10:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:10:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:10:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:10:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:10:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: BPM st: NotStopd id: NBP t0: [22:10:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [22:10:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [22:10:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:10:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:10:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:10:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:10:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:10:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:10:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Significant Events t0: [22:00:00 04/12/2019] el: 0 cg: RN cu: CSRU st: NotStopd id: SpO2 t0: [22:10:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [22:10:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 2.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [22:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 41.04 vu: ml st: Stopped
id: Esmolol t0: [22:10:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 04/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip st: Stopped id: Heparin t0: [22:10:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Resp Rate (Spont) t0: [22:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [22:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [22:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd
id: Service Type t0: [22:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [22:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: NBP Mean t0: [22:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [22:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [22:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Rate t0: [22:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [22:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [22:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [22:15:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Esmolol t0: [22:15:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4192320 hi: 8811 t0: [00:00:00 05/12/2019] tf: [23:00:00 05/12/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Bolus 1000 ml Over 15 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 4192321 hi: 8811 t0: [00:00:00 05/12/2019] tf: [23:00:00 05/12/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 15 mins it: B dt: 1 di: Doses xu: Enter on Label
id: ETT Mark/Location t0: [22:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: ETT Mark/Location t0: [23:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: Airway Size t0: [22:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [22:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd
id: Service Type t0: [23:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [23:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [23:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [23:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [23:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Significant Events t0: [23:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [23:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [23:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [23:00:00 04/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 04/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 26.25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 04/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Heparin t0: [23:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [22:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [22:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [23:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [22:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [23:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [23:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [23:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [23:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [23:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [23:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [23:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Activity t0: [23:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [23:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [23:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 0 n2: 0 u2: mmHg st: NotStopd id: NBP t0: [23:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [23:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: NBP Mean t0: [23:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Oral Care t0: [23:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [23:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [22:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [23:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Precautions t0: [23:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [23:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [22:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [23:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [23:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [23:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Stool Guaiac t0: [23:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Therapeutic Bed t0: [23:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [23:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [23:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [23:15:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:45:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [23:00:00 04/12/2019] el: 1 cg: RN cu: CSRU v1: done id: Pt./Family Informed t0: [22:00:00 04/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Stool Out Stool t0: [23:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Small id: Urine Out Incontinent t0: [23:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Esmolol t0: [23:00:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped id: Heparin t0: [23:15:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 2100 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip st: Stopped id: Heparin t0: [23:45:00 04/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Stool Out Total t0: [23:00:00 04/12/2019] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: estimateVol re: 0 id: Total Hourly Output t0: [23:00:00 04/12/2019] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: estimateVol re: 0 id: Urine Out Total t0: [23:00:00 04/12/2019] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: estimateVol re: 0 id: 24h Total Out t0: [23:00:00 04/12/2019] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: estimateVol re: 0
id: Less Restrict Meas. t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 05/12/2019] el: 1 cg: RN cu: CSRU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Heart Rate t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Oral Cavity t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [00:00:00 05/12/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Position Change t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 30 n2: 30 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: Temp. Site t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 38.0556 n1: 38.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 100.5 n1: 100.5 u1: Deg. F st: NotStopd id: Urine Source t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Retr Penis Pouch st: NotStopd id: Verbal Response t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.375 vu: ml id: Gastric Meds t0: [00:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 4.375 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:15:00 04/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 05/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [22:15:00 04/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:15:00 04/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [00:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 04/12/2019] el: 3 cg: RN cu: CSRU pv: 541.25 cv: 6626 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 04/12/2019] el: 3 cg: RN cu: CSRU pv: 541.25 cv: 6626 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 04/12/2019] el: 3 cg: RN cu: CSRU pv: 541.25 cv: 6626 ac: 24 ap: estimateVol re: 0 id: LOS Net Body Balance t0: [23:00:00 04/12/2019] el: 3 cg: RN cu: CSRU pv: 541.25 cv: 22053.6 ac: multiple days ap: estimateVol re: 0 id: Net Hourly Balance t0: [23:00:00 04/12/2019] el: 3 cg: RN cu: CSRU pv: 541.25 cv: 541.25 ac: 1 ap: estimateVol re: 0
id: Compliance (40-60ml) t0: [00:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: Extubation Date t0: [00:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: FiO2 Set t0: [00:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 13.7 n1: 13.7 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Pressure Support t0: [00:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Tank A psi. t0: [00:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [00:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [00:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 578 n1: 578 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
pi: 4192540 hi: 8811 t0: [02:00:00 05/12/2019] tf: [01:00:00 06/12/2019] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml LR Bolus 500 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [01:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#2 Type/Site t0: [01:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [01:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [01:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [01:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [01:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: NBP t0: [01:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [01:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: INV#2 Cap Change t0: [01:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [01:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: calprevflg t0: [01:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [01:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [01:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Arterial BP t0: [01:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 18.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 05/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Significant Events t0: [01:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd
id: D5W 100.0ml t0: [01:30:00 05/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml
id: Service Type t0: [01:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: mmHg st: NotStopd id: Code Status t0: [01:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: BPM st: NotStopd id: NBP t0: [01:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [01:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Arterial BP t0: [01:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [01:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [01:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [01:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 18.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 05/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [01:30:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [02:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:30:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [01:30:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [02:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [02:00:00 05/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: Radiologic Study t0: [02:15:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: CT scan st: NotStopd
id: Compliance (40-60ml) t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 27.2727 n1: 27.2727 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: Extubation Date t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 v2: 28 n2: 28 st: NotStopd id: FiO2 Set t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 1;2 st: NotStopd id: Airway Size t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 14.2 n1: 14.2 u1: L/min st: NotStopd id: PEEP Set t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 32 n1: 32 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Tank A psi. t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 200 n1: 200 st: NotStopd id: Ve High t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 572 n1: 572 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [03:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: SQUARE st: NotStopd
id: MDI #1 (Puff/Drug) t0: [22:00:00 04/12/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 v2: Albuterol st: NotStopd
id: Service Type t0: [03:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [03:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [03:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [03:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [03:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [03:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Precautions t0: [03:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [03:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [03:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:30:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:30:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 27.75 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:30:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 3.75 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:30:00 05/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Incontinent t0: [03:30:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: Fentanyl t0: [03:30:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:30:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [03:30:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 05/12/2019] el: 1 cg: RN cu: CSRU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Education Topic #1 t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: HOB t0: [03:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [03:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [03:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [03:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves st: NotStopd id: Arterial BP t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [04:00:00 05/12/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Arterial BP Mean t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position t0: [03:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [03:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Precautions t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [03:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Color t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: Temp. Site t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Turn t0: [03:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Retr Penis Pouch st: NotStopd id: Verbal Response t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [03:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [02:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 27.75 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 3.75 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 05/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7.5 vu: ml
id: Fentanyl t0: [04:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [04:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [05:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [05:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [05:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Incontinent t0: [04:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 170 vu: ml id: Urine Out Incontinent t0: [05:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Fentanyl t0: [05:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [05:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [05:25:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:25:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:25:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:25:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 36 n1: 36 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:25:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 100 n1: 100 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:25:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Ionized Calcium t0: [05:25:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1.11 n1: 1.11 rs: Final st: NotStopd
id: FiO2 Set t0: [05:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd
id: WBC (4-11,000) t0: [05:13:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd id: WBC t0: [05:13:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd id: Hematocrit t0: [05:13:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 28.8 n1: 28.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:13:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 9.8 n1: 9.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:13:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 436 n1: 436 rs: Final st: NotStopd id: RBC t0: [05:13:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.19 n1: 3.19 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:13:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 15 n1: 15 rs: Final st: NotStopd
id: BUN t0: [05:13:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 rs: Final st: NotStopd id: Calcium t0: [05:13:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:13:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 rs: Final st: NotStopd id: Creatinine t0: [05:13:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [05:13:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Magnesium t0: [05:13:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Phosphorous t0: [05:13:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:13:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [05:13:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd id: BUN (6-20) t0: [05:13:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:13:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:13:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:13:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:13:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:13:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:13:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:13:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:13:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:13:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd
id: PT t0: [05:13:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 15.9 n1: 15.9 rs: Final st: NotStopd id: INR t0: [05:13:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:13:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:13:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 15.9 n1: 15.9 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [06:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: CVP t0: [06:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [06:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [06:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [06:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Heart Rate t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rate t0: [06:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Impaired Skin Site#1 t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: Arterial BP t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [06:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [06:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [06:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [06:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: calprevflg t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [06:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [06:30:00 05/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 18.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 05/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Incontinent t0: [06:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [06:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [06:30:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [06:30:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [06:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [06:30:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1850 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Art.pH t0: [06:45:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: Arterial Base Excess t0: [06:45:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [06:45:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Arterial PaCO2 t0: [06:45:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 35 n1: 35 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [06:45:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 86 n1: 86 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [06:45:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 7.47 n1: 7.47 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [07:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 37.5 n1: 37.5 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [07:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [07:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [07:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 1:2.0 st: NotStopd id: Airway Size t0: [07:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [07:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [07:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [07:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [07:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [07:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [07:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 14.1 n1: 14.1 u1: L/min st: NotStopd id: PEEP Set t0: [07:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [07:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [07:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [07:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [07:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Tank A psi. t0: [07:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [07:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 1500 n1: 1500 st: NotStopd id: Ve High t0: [07:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [07:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [07:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [07:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 584 n1: 584 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [07:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [07:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [07:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
pi: 4193008 hi: 8811 t0: [08:00:00 05/12/2019] tf: [07:00:00 06/12/2019] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4193049 hi: 8811 t0: [08:00:00 05/12/2019] tf: [07:00:00 06/12/2019] mn: Amiodarone HCl pt: Unit Dose st: Expired rt: IV BOLUS fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4193050 hi: 8811 t0: [08:00:00 05/12/2019] tf: [14:00:00 05/12/2019] mn: Amiodarone HCl pt: IV Piggyback st: Expired rt: IV DRIP fr: INFUSION dt: 6 di: Hours xu: Enter on Label pi: 4193052 hi: 8811 t0: [08:00:00 05/12/2019] tf: [02:00:00 06/12/2019] mn: Amiodarone HCl pt: IV Piggyback st: Expired rt: IV DRIP fr: INFUSION dt: 18 di: Hours xu: Enter on Label
id: Service Type t0: [07:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [07:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: BPM st: NotStopd id: Arterial BP t0: [07:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: calprevflg t0: [07:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [07:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 18.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 05/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Incontinent t0: [07:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 180 vu: ml
id: Fentanyl t0: [07:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [07:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [07:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [07:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: Suctioned v2: Small st: NotStopd
id: Service Type t0: [07:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [07:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [07:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [07:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [07:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [07:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [07:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [07:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [07:30:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1
id: Esmolol t0: [07:30:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [07:30:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:30:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [07:30:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Amiodarone io: D5W 250.0ml + 600mgmin Amiodarone el: 100 cg: RN cu: CSRU am: 600 du: mgmin rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 05/12/2019] el: 1 cg: RN cu: CSRU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Education Barrier t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Bronchial st: NotStopd id: Level of Conscious t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [08:00:00 05/12/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Type t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Precautions t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Bronchial st: NotStopd id: Reason For Restraint t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: Temp. Site t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Retr Penis Pouch st: NotStopd id: Verbal Response t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [08:00:00 05/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 300 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16 vu: ml id: Gastric Meds t0: [08:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [08:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 05/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Incontinent t0: [08:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Esmolol t0: [08:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [08:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [07:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:15:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [07:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:15:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:15:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [08:15:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [08:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [08:15:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [08:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [07:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:15:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [07:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rate t0: [08:15:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rate t0: [08:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [08:15:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [08:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [07:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [08:15:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP t0: [08:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:15:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [07:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [08:15:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [08:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:15:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:15:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:15:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:15:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:15:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:15:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:15:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [07:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [08:15:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [08:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [07:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:15:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [08:30:00 05/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [08:30:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.5 vu: ml st: Stopped
id: Amiodarone t0: [08:30:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [07:45:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [08:15:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [08:30:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped id: Fentanyl t0: [07:45:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:15:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:30:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:45:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [08:15:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [08:30:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [07:45:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [08:15:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [08:30:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [09:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [09:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Arterial BP t0: [09:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [09:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [09:00:00 05/12/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 05/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Incontinent t0: [09:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: Amiodarone t0: [09:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [09:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [09:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Ectopy Frequency t0: [09:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rhythm t0: [09:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd
id: D5W 100.0ml t0: [09:00:00 05/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [09:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: mmHg st: NotStopd id: Code Status t0: [09:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [09:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Family Communication t0: [09:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Heart Rate t0: [09:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Arterial BP t0: [09:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [09:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [09:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [08:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: calprevflg t0: [09:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [09:45:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1
id: Amiodarone t0: [09:45:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [09:45:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [09:45:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:45:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [09:45:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [09:50:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:50:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: mmHg st: NotStopd id: Code Status t0: [09:50:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:50:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:50:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:50:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [09:50:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:50:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:50:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [09:50:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:50:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [09:50:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:50:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:50:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:50:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:50:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:50:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:50:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:50:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [09:50:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [09:50:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [09:50:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [09:50:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [09:50:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:50:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [09:50:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4193418 hi: 8811 t0: [20:00:00 05/12/2019] tf: [09:00:00 17/12/2019] mn: Docusate Sodium pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Family Communication t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Heart Rate t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: BPM st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: Arterial BP t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: calprevflg t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [10:00:00 05/12/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 25 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [10:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 8.55 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 05/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Incontinent t0: [10:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Amiodarone t0: [10:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [10:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [10:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [11:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 75 n1: 75 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [11:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [11:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 1:2.0 st: NotStopd id: Airway Size t0: [11:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [11:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [11:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [11:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [11:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 15.5 n1: 15.5 u1: L/min st: NotStopd id: PEEP Set t0: [11:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [11:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [11:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [11:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [11:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Ve High t0: [11:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [11:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [11:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [11:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 716 n1: 716 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [11:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [11:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [11:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [11:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: mmHg st: NotStopd id: CVP t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [11:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 05/12/2019] el: 1 cg: RN cu: CSRU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [11:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [11:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [11:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Bronchial st: NotStopd id: LUL Lung Sounds t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Bronchial st: NotStopd id: Level of Conscious t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [11:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [12:00:00 05/12/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Type t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [11:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Precautions t0: [11:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Bronchial st: NotStopd id: RUL Lung Sounds t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Bronchial st: NotStopd id: Radiologic Study t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: CT scan st: NotStopd id: Reason For Restraint t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [11:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: Temp. Site t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Retr Penis Pouch st: NotStopd id: Verbal Response t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [11:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16 vu: ml id: Gastric Meds t0: [10:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 30 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [11:00:00 05/12/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 25 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [12:00:00 05/12/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 25 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [11:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 61.56 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [12:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 41.04 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 05/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 05/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Incontinent t0: [12:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: Amiodarone t0: [11:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [12:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [11:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [12:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [12:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 25 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [11:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [12:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
io: ProBalance el: 1 cg: RN cu: CSRU ra: 10 ru: ml/hr
id: ProBalance t0: [10:00:00 05/12/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: ProBalance t0: [11:00:00 05/12/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: ProBalance t0: [12:00:00 05/12/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml
id: Service Type t0: [12:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [13:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: mmHg st: NotStopd id: CVP t0: [13:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: mmHg st: NotStopd id: Code Status t0: [12:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [13:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [13:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [13:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [13:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [12:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [13:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [12:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [13:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [12:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [12:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [13:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [12:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [13:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [12:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [13:00:00 05/12/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 25 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [13:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 41.04 vu: ml id: ProBalance t0: [13:00:00 05/12/2019] el: 1 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 3.125 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 05/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Incontinent t0: [13:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: Amiodarone t0: [12:45:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [13:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [12:45:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [13:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [12:45:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [13:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:45:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [12:45:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [13:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [13:04:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Arterial Base Excess t0: [13:04:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [13:04:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [13:04:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [13:04:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [13:04:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 7.46 n1: 7.46 rs: Final st: NotStopd
id: Hematocrit t0: [12:40:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 29.6 n1: 29.6 u1: % rs: Final st: NotStopd
id: Service Type t0: [13:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: mmHg st: NotStopd id: Code Status t0: [13:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [13:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [13:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [13:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [13:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [13:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [13:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: calprevflg t0: [13:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [13:30:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [13:30:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [13:30:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:30:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [13:30:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: BUN t0: [12:40:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 rs: Final st: NotStopd id: Calcium t0: [12:40:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [12:40:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 rs: Final st: NotStopd id: Creatinine t0: [12:40:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [12:40:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 113 n1: 113 rs: Final st: NotStopd id: Magnesium t0: [12:40:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Phosphorous t0: [12:40:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [12:40:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium t0: [12:40:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd id: BUN (6-20) t0: [12:40:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [12:40:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [12:40:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Chloride (100-112) t0: [12:40:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [12:40:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [12:40:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 113 n1: 113 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [12:40:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [12:40:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [12:40:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium (135-148) t0: [12:40:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd
id: PTT t0: [12:40:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 66.7 n1: 66.7 rs: Final st: NotStopd id: PTT(22-35) t0: [12:40:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 66.7 n1: 66.7 rs: Final st: NotStopd
id: Service Type t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [14:00:00 05/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [14:00:00 05/12/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 25 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [14:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 41.04 vu: ml id: Tube Feeding t0: [14:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 05/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Incontinent t0: [14:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 135 vu: ml
id: Amiodarone t0: [14:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [14:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [14:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [14:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [14:20:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [14:20:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Airway Size t0: [14:20:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [14:20:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [14:20:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Minute Volume(Obser) t0: [14:20:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 12.4 n1: 12.4 u1: L/min st: NotStopd id: Respiratory Rate Set t0: [14:20:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [14:20:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Set) t0: [14:20:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [14:20:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [14:20:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [14:20:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [15:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [15:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [15:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [15:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [15:00:00 05/12/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 25 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [15:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 41.04 vu: ml id: Tube Feeding t0: [15:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 05/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Incontinent t0: [15:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: Amiodarone t0: [15:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [15:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [15:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [15:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [15:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 42.8571 n1: 42.8571 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [15:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [15:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [15:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 1:2.4 st: NotStopd id: Airway Size t0: [15:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [15:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [15:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [15:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [15:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [15:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [15:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 12.2 n1: 12.2 u1: L/min st: NotStopd id: PEEP Set t0: [15:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [15:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [15:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [15:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [15:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [15:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [15:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Ve High t0: [15:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [15:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [15:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 592 n1: 592 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [15:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [15:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [15:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [15:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Art.pH t0: [15:27:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Arterial Base Excess t0: [15:27:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [15:27:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd id: Arterial PaCO2 t0: [15:27:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 37 n1: 37 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [15:27:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 100 n1: 100 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [15:27:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 7.46 n1: 7.46 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [16:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 46.1538 n1: 46.1538 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: I:E Ratio t0: [16:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 1:2.8 st: NotStopd id: Airway Size t0: [16:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [16:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 13.9 n1: 13.9 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Respiratory Rate Set t0: [16:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [16:00:00 05/12/2019] el: 1 cg: RN cu: CSRU v1: Hemodyn Instabil st: NotStopd id: Risk for Falls t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Education Barrier t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Patient/Sig Othr st: NotStopd id: Education Method t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Family Communication t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [16:00:00 05/12/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Type t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Precautions t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Color t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: Spontaneous Movement t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: Temp. Site t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 38.4444 n1: 38.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 101.2 n1: 101.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Retr Penis Pouch st: NotStopd id: Verbal Response t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [14:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [16:00:00 05/12/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 12.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [16:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 41.04 vu: ml id: Tube Feeding t0: [16:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 05/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Incontinent t0: [16:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 vu: ml
id: Amiodarone t0: [16:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [16:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 75 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [16:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Ectopy Frequency t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [11:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [11:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rhythm t0: [10:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [11:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd
id: Art.pH t0: [16:57:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Arterial Base Excess t0: [16:57:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [16:57:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 28 n1: 28 rs: Final st: NotStopd id: Arterial PaCO2 t0: [16:57:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 38 n1: 38 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [16:57:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 89 n1: 89 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [16:57:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 7.46 n1: 7.46 rs: Final st: NotStopd
id: ETT Mark/Location t0: [17:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [17:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Airway Size t0: [17:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [17:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [17:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Respiratory Rate Set t0: [17:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Ventilator Mode t0: [17:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [17:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [17:00:00 05/12/2019] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [17:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [17:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: calprevflg t0: [17:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [17:00:00 05/12/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 12.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [17:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 61.56 vu: ml id: Tube Feeding t0: [17:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 05/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Incontinent t0: [17:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 180 vu: ml
id: Amiodarone t0: [17:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [17:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [17:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [17:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [17:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: Code Status t0: [17:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [17:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [17:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [17:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [17:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [17:30:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.5 vu: ml st: Stopped
id: Amiodarone t0: [17:30:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [17:30:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped id: Fentanyl t0: [17:30:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:30:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [17:30:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [17:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [17:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [17:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [17:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [17:45:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [17:45:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [17:45:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:45:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [17:45:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
io: Tube Feeding el: 2 cg: RN cu: CSRU ra: 30 ru: ml/hr
id: Service Type t0: [18:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [18:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [18:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [18:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [18:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [18:00:00 05/12/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 12.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [18:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Tube Feeding t0: [18:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 05/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Incontinent t0: [18:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 15 vu: ml
id: Amiodarone t0: [18:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [18:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [18:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [19:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [19:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [19:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [19:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [19:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [19:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [19:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [19:00:00 05/12/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 12.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [19:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [19:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 05/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Amiodarone t0: [19:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [19:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [19:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [19:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: GU Cath Insert Date t0: [19:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: Urine Color/Appear t0: [19:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [19:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd
id: Urine Out Foley t0: [19:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 220 vu: ml id: Urine Out Incontinent t0: [19:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vu: ml
id: Urine Out Incontinent t0: [19:01:00 05/12/2019] el: 1 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Hematocrit t0: [18:44:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 29.4 n1: 29.4 u1: % rs: Final st: NotStopd
id: BUN t0: [18:44:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd id: Calcium t0: [18:44:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [18:44:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 rs: Final st: NotStopd id: Creatinine t0: [18:44:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [18:44:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 119 n1: 119 rs: Final st: NotStopd id: Magnesium t0: [18:44:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Phosphorous t0: [18:44:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [18:44:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium t0: [18:44:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd id: BUN (6-20) t0: [18:44:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [18:44:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [18:44:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [18:44:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [18:44:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [18:44:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 119 n1: 119 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [18:44:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [18:44:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [18:44:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [18:44:00 05/12/2019] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 05/12/2019] el: 1 cg: RN cu: CSRU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: GU Catheter Size t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: HOB t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves st: NotStopd id: Arterial BP t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [20:00:00 05/12/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Arterial BP Mean t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Precautions t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: Temp. Site t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 39.0556 n1: 39.0556 u1: Deg. C st: NotStopd id: Therapeutic Bed t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [20:00:00 05/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 300 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [20:00:00 05/12/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 12.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [20:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [20:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [20:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 05/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Amiodarone t0: [20:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [20:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [20:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Procedures t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Sputum Cx st: NotStopd id: Sputum Color/Consist t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Temperature F t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 102.3 n1: 102.3 u1: Deg. F st: NotStopd
pi: 4195690 hi: 8811 t0: [22:00:00 05/12/2019] tf: [12:00:00 06/12/2019] mn: Metronidazole pt: IV Piggyback st: Discontinued rt: IV fr: Q8H ds: 22, 6, 14 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [21:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [21:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [21:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [21:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [21:00:00 05/12/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 12.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [21:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [21:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [21:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 05/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Amiodarone t0: [21:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [21:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [21:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [21:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 38.8333 n1: 38.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 101.9 n1: 101.9 u1: Deg. F st: NotStopd id: calprevflg t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [22:00:00 05/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16 vu: ml id: Gastric Meds t0: [22:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 30 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [22:00:00 05/12/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 12.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [22:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [22:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [22:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 05/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Amiodarone t0: [22:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [22:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [22:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [22:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 05/12/2019] el: 3 cg: RN cu: CSRU cv: 180 ac: 24 ap: none re: 0
id: Eye Care t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: Oral Care t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves st: NotStopd id: Assistance Device t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Skin Care t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Sputum Color/Consist t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Therapeutic Bed t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Bath t0: [22:00:00 05/12/2019] el: 1 cg: RN cu: CSRU v1: done
id: Service Type t0: [23:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 26cm v2: Lip st: NotStopd id: ETT Position Change t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Ectopy Frequency t0: [23:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [23:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [23:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [23:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Airway Size t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Arterial BP t0: [23:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [23:30:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Rate t0: [23:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [23:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Sputum Color/Consist t0: [23:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Ventilator Type t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [23:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [23:00:00 05/12/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 12.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [23:00:00 05/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [23:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 05/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [23:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 05/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Amiodarone t0: [23:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [23:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 05/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [23:00:00 05/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 05/12/2019] el: 3 cg: RN cu: CSRU pv: 69.02 cv: 3204.37 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 05/12/2019] el: 3 cg: RN cu: CSRU pv: 109.02 cv: 3664.37 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 05/12/2019] el: 3 cg: RN cu: CSRU pv: 70 cv: 70 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 05/12/2019] el: 3 cg: RN cu: CSRU pv: 40 cv: 280 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 05/12/2019] el: 3 cg: RN cu: CSRU pv: 70 cv: 1760 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 05/12/2019] el: 3 cg: RN cu: CSRU pv: 39.02 cv: 1904.37 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 05/12/2019] el: 3 cg: RN cu: CSRU pv: 39.02 cv: 23957.9 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 05/12/2019] el: 3 cg: RN cu: CSRU pv: 39.02 cv: 39.02 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 05/12/2019] el: 3 cg: RN cu: CSRU pv: 70 cv: 1760 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Pain Assess Method t0: [20:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: mmHg st: NotStopd id: CVP t0: [21:00:00 05/12/2019] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 06/12/2019] el: 1 cg: RN cu: CSRU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GU Cath Insert Date t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: GU Catheter Size t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: HOB t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves st: NotStopd id: Arterial BP t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [00:00:00 06/12/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Arterial BP Mean t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: Precautions t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: Spontaneous Movement t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Nonpurposeful st: NotStopd id: Support Systems t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: Temp. Site t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 39.0556 n1: 39.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 102.3 n1: 102.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 05/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16 vu: ml id: Gastric Meds t0: [00:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 30 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [00:00:00 06/12/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 12.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [00:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [00:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [00:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 06/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Amiodarone t0: [00:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [00:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [00:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [00:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [00:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: ml/cmH st: NotStopd id: Compliance (40-60ml) t0: [20:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 23.0769 n1: 23.0769 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: FiO2 Set t0: [20:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 1:3.2 st: NotStopd id: I:E Ratio t0: [20:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 1:3.2 st: NotStopd id: Airway Size t0: [20:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [20:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [00:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Mean Airway Pressure t0: [20:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 13.3 n1: 13.3 u1: L/min st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 15.9 n1: 15.9 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: PEEP Set t0: [20:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 34 n1: 34 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 u1: BPM st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [00:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [00:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 1500 n1: 1500 st: NotStopd id: Ve High t0: [00:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sensitivity-Vent t0: [20:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [00:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 587 n1: 587 u1: ml/B st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 568 n1: 568 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Mode t0: [20:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd id: Waveform-Vent t0: [20:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [01:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [01:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [01:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [01:00:00 06/12/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 12.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [01:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [01:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [01:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 06/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Amiodarone t0: [01:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [01:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [01:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [01:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 38.7778 n1: 38.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 101.8 n1: 101.8 u1: Deg. F st: NotStopd id: calprevflg t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [02:00:00 06/12/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 12.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [02:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [02:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [02:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 06/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Amiodarone t0: [02:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [02:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [02:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [02:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [02:00:00 06/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [03:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [03:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [03:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [03:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [03:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [03:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [03:00:00 06/12/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 12.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [03:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [03:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [03:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 06/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Amiodarone t0: [03:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [03:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [03:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [03:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [04:02:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Lactic Acid t0: [04:02:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1.6 n1: 1.6 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:02:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:02:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:02:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 37 n1: 37 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:02:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 118 n1: 118 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:02:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [04:02:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1.6 n1: 1.6 rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Full Code st: NotStopd id: Compliance (40-60ml) t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: ml/cmH st: NotStopd id: Riker-SAS Scale t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 06/12/2019] el: 1 cg: RRT cu: CSRU v1: Hemodyn Instabil st: NotStopd id: Risk for Falls t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: No st: NotStopd id: FiO2 Set t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Heart Rate t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Atrial Fib st: NotStopd id: High Insp. Pressure t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 1;3.2 st: NotStopd id: Airway Size t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Inspired Gas Temp t0: [20:00:00 05/12/2019] el: 0 cg: RRT cu: CSRU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 14.9 n1: 14.9 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Arterial BP t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [04:00:00 06/12/2019] el: 1 cg: RRT cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Arterial BP Mean t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Precautions t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 1500 n1: 1500 st: NotStopd id: Ve High t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Temp. Site t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 38.7222 n1: 38.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 101.7 n1: 101.7 u1: Deg. F st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 689 n1: 689 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd id: calprevflg t0: [04:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [04:00:00 06/12/2019] el: 1 cg: RRT cu: CSRU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [04:00:00 06/12/2019] el: 1 cg: RRT cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [04:00:00 06/12/2019] el: 2 cg: RRT cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 06/12/2019] el: 2 cg: RRT cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [04:00:00 06/12/2019] el: 1 cg: RRT cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: CVP t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GU Cath Insert Date t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: GU Catheter Size t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: HOB t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: Abdominal Assessment t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: LLL Lung Sounds t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves st: NotStopd id: Position t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: RLL Lung Sounds t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: Spontaneous Movement t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: Therapeutic Bed t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [02:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16 vu: ml id: Gastric Meds t0: [04:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 30 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [04:00:00 06/12/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 12.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [04:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [04:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [04:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 06/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: WBC (4-11,000) t0: [03:49:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 18.5 n1: 18.5 rs: Final st: NotStopd id: WBC t0: [03:49:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 18.5 n1: 18.5 rs: Final st: NotStopd id: Hematocrit t0: [03:49:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 29.6 n1: 29.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:49:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 9.7 n1: 9.7 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:49:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 505 n1: 505 rs: Final st: NotStopd id: RBC t0: [03:49:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.21 n1: 3.21 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:49:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 18.5 n1: 18.5 rs: Final st: NotStopd
id: BUN t0: [03:49:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 rs: Final st: NotStopd id: Calcium t0: [03:49:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:49:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 rs: Final st: NotStopd id: Creatinine t0: [03:49:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [03:49:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 126 n1: 126 rs: Final st: NotStopd id: Magnesium t0: [03:49:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Phosphorous t0: [03:49:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:49:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium t0: [03:49:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [03:49:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:49:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:49:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:49:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:49:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:49:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 126 n1: 126 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:49:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:49:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:49:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:49:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [05:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [05:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [05:00:00 06/12/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 12.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [05:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [05:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [05:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 06/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Amiodarone t0: [05:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [05:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [05:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [05:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PT t0: [03:49:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 18.8 n1: 18.8 rs: Final st: NotStopd id: INR t0: [03:49:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:49:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 1.8 n1: 1.8 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:49:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 18.8 n1: 18.8 rs: Final st: NotStopd
id: RSBI (<100) t0: [05:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 53.1915 n1: 53.1915 u1: units st: NotStopd id: ETT Mark/Location t0: [05:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: Airway Size t0: [05:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [05:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [05:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Mean Airway Pressure t0: [05:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [05:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 16.1 n1: 16.1 u1: L/min st: NotStopd id: PEEP Set t0: [05:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Pressure Support t0: [05:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: RSBI (<200) t0: [05:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 53.1915 n1: 53.1915 u1: units st: NotStopd id: Resp Rate (Total) t0: [05:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Spon RR (Mech.) t0: [05:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [05:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 0.564 n1: 0.564 u1: L st: NotStopd id: Tidal Volume (Spont) t0: [05:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 552 n1: 552 u1: ml/B st: NotStopd id: Ventilator Mode t0: [05:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [05:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Heart Rate t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Impaired Skin Site#1 t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Facial st: NotStopd id: Arterial BP t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: calprevflg t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [06:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [06:00:00 06/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [06:00:00 06/12/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 12.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [06:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [06:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [06:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 06/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Amiodarone t0: [06:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [06:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [06:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [06:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PTT t0: [03:49:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 85.4 n1: 85.4 rs: Final st: NotStopd id: PTT(22-35) t0: [03:49:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 85.4 n1: 85.4 rs: Final st: NotStopd
id: Imp Skin Cleanse #1 t0: [08:00:00 06/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: ImpSkin Drain/Amt#1 t0: [08:00:00 06/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: ImpSkin Treatment #1 t0: [08:00:00 06/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: ImpSkin Wound Base#1 t0: [08:00:00 06/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Less Restrict Meas. t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [07:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 06/12/2019] el: 1 cg: RN cu: CSRU v1: Hemodyn Instabil st: NotStopd id: GI Prophylaxis t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [07:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [07:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GU Cath Insert Date t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: GU Catheter Size t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: HOB t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [07:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [08:00:00 06/12/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Type t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [07:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 160 n1: 160 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [07:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: Temp. Site t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 38.7222 n1: 38.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 101.7 n1: 101.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [07:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 16 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [07:00:00 06/12/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 12.5 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [08:00:00 06/12/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 12.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [07:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [08:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [07:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 50 vu: ml id: Tube Feeding t0: [08:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [08:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 06/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 06/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Amiodarone t0: [07:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [08:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [07:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [08:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [07:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [07:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [08:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [08:20:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:20:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:20:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:20:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:20:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [08:20:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [08:20:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:20:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [08:20:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:20:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [08:20:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:20:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:20:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:20:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:20:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:20:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:20:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:20:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [08:20:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [08:20:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [08:20:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [08:20:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:20:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:20:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [08:20:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Compliance (40-60ml) t0: [08:23:00 06/12/2019] el: 0 cg: MS cu: CSRU v1: 46.1538 n1: 46.1538 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:23:00 06/12/2019] el: 0 cg: MS cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:23:00 06/12/2019] el: 0 cg: MS cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:23:00 06/12/2019] el: 0 cg: MS cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:23:00 06/12/2019] el: 0 cg: MS cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [08:23:00 06/12/2019] el: 0 cg: MS cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:23:00 06/12/2019] el: 0 cg: MS cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:23:00 06/12/2019] el: 0 cg: MS cu: CSRU v1: 37.4 n1: 37.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:23:00 06/12/2019] el: 0 cg: MS cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [08:23:00 06/12/2019] el: 0 cg: MS cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [08:23:00 06/12/2019] el: 0 cg: MS cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:23:00 06/12/2019] el: 0 cg: MS cu: CSRU v1: 13.7 n1: 13.7 u1: L/min st: NotStopd id: PEEP Set t0: [08:23:00 06/12/2019] el: 0 cg: MS cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:23:00 06/12/2019] el: 0 cg: MS cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:23:00 06/12/2019] el: 0 cg: MS cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:23:00 06/12/2019] el: 0 cg: MS cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:23:00 06/12/2019] el: 0 cg: MS cu: CSRU v1: 7 n1: 7 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:23:00 06/12/2019] el: 0 cg: MS cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:23:00 06/12/2019] el: 0 cg: MS cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [08:23:00 06/12/2019] el: 0 cg: MS cu: CSRU v1: 1100 n1: 1100 st: NotStopd id: Tank B psi. t0: [08:23:00 06/12/2019] el: 0 cg: MS cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [08:23:00 06/12/2019] el: 0 cg: MS cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [08:23:00 06/12/2019] el: 0 cg: MS cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:23:00 06/12/2019] el: 0 cg: MS cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [08:23:00 06/12/2019] el: 0 cg: MS cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:23:00 06/12/2019] el: 0 cg: MS cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:23:00 06/12/2019] el: 0 cg: MS cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:23:00 06/12/2019] el: 0 cg: MS cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:23:00 06/12/2019] el: 0 cg: MS cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [08:40:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:40:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:40:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:40:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:40:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [08:40:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [08:40:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:40:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [08:40:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:40:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [08:40:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:40:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:40:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:40:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:40:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:40:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:40:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:40:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [08:40:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [08:40:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Amiodarone t0: [08:40:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [08:40:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:40:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:40:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [08:40:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [09:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [09:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [09:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [09:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15.5 vu: ml id: Gastric Meds t0: [08:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [09:00:00 06/12/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 12.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [09:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml st: Stopped id: Tube Feeding t0: [09:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [09:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 06/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Amiodarone t0: [09:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped id: Esmolol t0: [09:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [09:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [09:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [08:00:00 06/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 300 vu: ml
id: Service Type t0: [09:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [09:35:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [09:45:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [09:55:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:35:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:45:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:55:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [09:35:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [09:45:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [09:55:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [09:35:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [09:45:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [09:55:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [09:35:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [09:45:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [09:55:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [09:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [09:35:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [09:45:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [09:55:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rate t0: [09:35:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rate t0: [09:45:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rate t0: [09:55:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [09:35:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [09:45:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [09:55:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [09:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP t0: [09:35:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP t0: [09:45:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: Arterial BP t0: [09:55:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 103 n2: 103 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [09:35:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [09:45:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [09:55:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Precautions t0: [09:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [09:35:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [09:45:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [09:55:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:35:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:45:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:55:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:35:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:45:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:55:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:35:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:45:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:55:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:35:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:45:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:55:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:35:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:45:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:55:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:35:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:45:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:55:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:35:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:45:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:55:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [09:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [09:35:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [09:45:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [09:55:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [09:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:35:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:45:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:55:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 14.5 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [10:00:00 06/12/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 12.5 vu: ml id: Tube Feeding t0: [10:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [10:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 06/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Esmolol t0: [09:30:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [09:35:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [09:45:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [09:55:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [10:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [09:30:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [09:35:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [09:45:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [09:55:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:30:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 2.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [09:35:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [09:45:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [09:55:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [09:30:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [09:35:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [09:45:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [09:55:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: CVP t0: [08:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: mmHg st: NotStopd
id: Gastric Meds t0: [10:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 60 vu: ml
id: Service Type t0: [10:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [11:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [11:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [11:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [11:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [10:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [11:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [10:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [10:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [11:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [10:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [11:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [10:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temp. Site t0: [11:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [10:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 39.0556 n1: 39.0556 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [11:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 38.8333 n1: 38.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [11:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 101.9 n1: 101.9 u1: Deg. F st: NotStopd id: calprevflg t0: [10:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 14.5 vu: ml id: Gastric Meds t0: [10:30:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [11:00:00 06/12/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 12.5 vu: ml id: Tube Feeding t0: [11:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [11:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 06/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Esmolol t0: [10:30:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [11:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:30:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:30:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [10:30:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [11:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [11:15:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:15:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:15:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:15:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:15:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:15:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [11:15:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:15:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [11:15:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:15:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [11:15:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:15:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:15:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:15:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:15:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:15:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:15:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:15:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [11:15:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [11:15:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [11:15:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 38.6111 n1: 38.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [11:15:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 101.5 n1: 101.5 u1: Deg. F st: NotStopd id: calprevflg t0: [11:15:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Esmolol t0: [11:15:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:15:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:15:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [11:15:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Education Barrier t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Patient/Sig Othr st: NotStopd id: Education Method t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Family Communication t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Position Change t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Behavior t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [10:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
pi: 4197287 hi: 8811 t0: [20:00:00 06/12/2019] tf: [12:00:00 17/12/2019] mn: Lansoprazole Oral Disintegrating Tab pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4197288 hi: 8811 t0: [10:00:00 06/12/2019] tf: [22:00:00 18/12/2019] mn: Amiodarone HCl pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4197289 hi: 8811 t0: [13:00:00 06/12/2019] tf: [12:00:00 07/12/2019] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 13 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4197290 hi: 8811 t0: [14:00:00 06/12/2019] tf: [10:00:00 08/12/2019] mn: Metronidazole pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4197291 hi: 8811 t0: [13:00:00 06/12/2019] tf: [22:00:00 18/12/2019] mn: Lactulose pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q8H:PRN di: Ongoing xv: 36 xu: Hours
id: Compliance (40-60ml) t0: [12:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 42.8571 n1: 42.8571 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [12:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 639 n1: 639 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 06/12/2019] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GU Cath Insert Date t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: GU Catheter Size t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: HOB t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [12:00:00 06/12/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Type t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Position t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Color t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: Spontaneous Movement t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: Temp. Site t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 38.0556 n1: 38.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 100.5 n1: 100.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [12:00:00 06/12/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 12.5 vu: ml id: Tube Feeding t0: [12:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [12:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 06/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Esmolol t0: [12:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [12:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [12:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Service Type t0: [13:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [13:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [13:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [13:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 14.5 vu: ml st: Stopped id: D5W 250.0ml + 600mgmin Amiodarone t0: [13:00:00 06/12/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 12.5 vu: ml id: Tube Feeding t0: [13:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [13:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 06/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Esmolol t0: [13:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [13:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Family Communication t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Heart Rate t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Ultrasound st: NotStopd id: Reason For Restraint t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: calprevflg t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [14:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [14:00:00 06/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [14:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 120 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [14:00:00 06/12/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 12.5 vu: ml id: Tube Feeding t0: [14:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [14:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 06/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Esmolol t0: [14:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [14:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Urine Out Foley t0: [14:30:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 450 vu: ml
id: Heparin t0: [13:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [14:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vu: ml
id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vu: ml
id: Service Type t0: [15:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [15:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [15:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [15:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [15:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [15:00:00 06/12/2019] el: 1 ai: 304 cg: RN cu: CSRU vo: 12.5 vu: ml id: Tube Feeding t0: [15:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [15:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 450 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 06/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Esmolol t0: [15:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [15:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [16:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 46.1538 n1: 46.1538 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 16.8 n1: 16.8 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 604 n1: 604 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: D5W 250.0ml + 600mgmin Amiodarone t0: [16:00:00 06/12/2019] el: 1 ai: 304 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Sputum Color/Consist t0: [16:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 06/12/2019] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GU Cath Insert Date t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: GU Catheter Size t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: HOB t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Hot v2: Diaphoretic st: NotStopd id: Spontaneous Movement t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: Temp. Site t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 38.5 n1: 38.5 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 101.3 n1: 101.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [16:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [16:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 260 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 06/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Esmolol t0: [16:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: PT t0: [16:12:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 20.7 n1: 20.7 rs: Final st: NotStopd id: INR t0: [16:12:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: PTT t0: [16:12:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 44.1 n1: 44.1 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [16:12:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: PT(11-13.5) t0: [16:12:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 20.7 n1: 20.7 rs: Final st: NotStopd id: PTT(22-35) t0: [16:12:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 44.1 n1: 44.1 rs: Final st: NotStopd
id: Service Type t0: [17:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [17:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [17:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [17:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [17:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 60 vu: ml id: Tube Feeding t0: [17:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [17:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 06/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Esmolol t0: [17:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [17:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [18:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 60 vu: ml st: Stopped id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [18:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 160 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 06/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Esmolol t0: [18:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Position Change t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Procedures t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Line Placement st: NotStopd id: Reason For Restraint t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Type t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 38.0556 n1: 38.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 100.5 n1: 100.5 u1: Deg. F st: NotStopd id: Pt./Family Informed t0: [18:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Cough/Deep Breathe t0: [19:00:00 06/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: Incentive Spirometry t0: [19:00:00 06/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: O2 Delivery Device t0: [19:00:00 06/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: O2 Flow (lpm) t0: [19:00:00 06/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Po Intake t0: [19:00:00 06/12/2019] el: 2 ai: 189 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Service Type t0: [19:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [19:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [19:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 93 n2: 93 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 175 n2: 175 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [19:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Esmolol t0: [19:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [19:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 06/12/2019] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Method t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Invasive Lines st: NotStopd id: Education Topic #2 t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GU Cath Insert Date t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: GU Catheter Size t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: Heart Rate t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#1 D/C Date t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Left Subclavian st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 24 n2: 24 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3 Zero/Cal t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: LLL Lung Sounds t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [20:00:00 06/12/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Arterial BP Mean t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position Change t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Diff to Palpate st: NotStopd id: Precautions t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 v2: 30 n2: 30 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Flushed st: NotStopd id: Skin Integrity t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#3 Cap Change t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 38.3333 n1: 38.3333 u1: Deg. C st: NotStopd id: Untoward Effect t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Urine Color/Appear t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Orange v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [20:00:00 06/12/2019] el: 2 ai: 274 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Gastric Meds t0: [20:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 20 vu: ml id: GT Flush t0: [20:00:00 06/12/2019] el: 2 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [20:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 06/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Esmolol t0: [20:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [19:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [19:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 26cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [19:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [19:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [19:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [19:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [19:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 16.4 n1: 16.4 u1: L/min st: NotStopd id: PEEP Set t0: [19:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [19:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [19:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [19:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [19:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [19:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 578 n1: 578 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [19:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [19:00:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Tube Feeding t0: [20:00:00 06/12/2019] el: 2 ai: 189 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Service Type t0: [20:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [20:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [20:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [20:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [20:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [20:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [20:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [20:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Respiratory Rate t0: [20:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [20:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [20:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Esmolol t0: [20:30:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:30:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:30:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
io: Tube Feeding el: 3 cg: RN cu: CSRU ra: 60 ru: ml/hr
id: Albumin 25% t0: [21:00:00 06/12/2019] el: 1 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd
pi: 4198964 hi: 8811 t0: [22:00:00 06/12/2019] tf: [21:00:00 07/12/2019] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Calcium t0: [20:30:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Magnesium t0: [20:30:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Phosphorous t0: [20:30:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [20:30:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [20:30:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [20:30:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [20:30:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [20:30:00 06/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd
id: Service Type t0: [21:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [21:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [21:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Activity t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Oral Care t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [21:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 105 n2: 105 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg st: NotStopd id: Position t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: BPM st: NotStopd id: Skin Care t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [21:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: Therapeutic Bed t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [20:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [21:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [20:00:00 06/12/2019] el: 1 cg: RN cu: CSRU v1: Done
id: D5W 100.0ml t0: [21:00:00 06/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [21:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Tube Feeding t0: [21:00:00 06/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [21:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 06/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Esmolol t0: [21:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [21:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [21:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 50.0ml t0: [21:30:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 50 vu: ml
id: Stool Color/Consist t0: [21:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [21:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd
id: Stool Out Stool t0: [21:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Stool Out Total t0: [23:00:00 06/12/2019] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
id: INV Line#1 D/C Date t0: [22:00:00 06/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#1 Type/Site t0: [22:00:00 06/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#1 Zero/Cal t0: [22:00:00 06/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#1InsertDate t0: [22:00:00 06/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#1SiteAppear t0: [22:00:00 06/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#1 WaveformAppear t0: [22:00:00 06/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#1 Dsg Change t0: [22:00:00 06/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#1 Cap Change t0: [22:00:00 06/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#1 Tubing Change t0: [22:00:00 06/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd id: In-Line Sx Change t0: [22:00:00 06/12/2019] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Less Restrict Meas. t0: [22:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [22:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [21:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [22:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [21:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [22:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [22:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [21:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [22:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [22:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [21:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [22:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [21:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [22:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [21:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position Change t0: [22:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [21:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [21:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [21:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [22:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [21:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [21:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: calprevflg t0: [21:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [22:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [22:00:00 06/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 14.5 vu: ml id: Gastric Meds t0: [22:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 40 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [22:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: GT Flush t0: [22:00:00 06/12/2019] el: 2 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [22:00:00 06/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [22:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 06/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Esmolol t0: [21:30:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Esmolol t0: [22:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [21:30:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [22:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:30:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [21:30:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [22:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 06/12/2019] el: 3 cg: RN cu: CSRU cv: 540 ac: 24 ap: none re: 0
id: Airway Size t0: [22:20:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [22:20:00 06/12/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd
id: Service Type t0: [23:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [23:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [23:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [23:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [23:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:00:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 50.0ml t0: [22:30:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 14.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [23:00:00 06/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [23:00:00 06/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 06/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [23:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 06/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 5 vu: ml
id: Esmolol t0: [23:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [23:00:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 06/12/2019] el: 3 cg: RN cu: CSRU pv: 105.02 cv: 2158.24 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 06/12/2019] el: 3 cg: RN cu: CSRU pv: 165.02 cv: 3838.24 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 06/12/2019] el: 3 cg: RN cu: CSRU pv: 30 cv: 30 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 06/12/2019] el: 3 cg: RN cu: CSRU pv: 60 cv: 1140 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 06/12/2019] el: 3 cg: RN cu: CSRU pv: 30 cv: 2715 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 06/12/2019] el: 3 cg: RN cu: CSRU pv: 135.02 cv: 1123.24 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 06/12/2019] el: 3 cg: RN cu: CSRU pv: 135.02 cv: 25081.2 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 06/12/2019] el: 3 cg: RN cu: CSRU pv: 135.02 cv: 135.02 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 06/12/2019] el: 3 cg: RN cu: CSRU pv: 30 cv: 2715 ac: 24 ap: carryForward re: 0
id: Service Type t0: [23:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [23:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [23:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [23:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [23:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [23:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [23:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [23:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [23:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: calprevflg t0: [23:30:00 06/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Esmolol t0: [23:30:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:30:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:30:00 06/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [23:30:00 06/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 07/12/2019] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GU Cath Insert Date t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: GU Catheter Size t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: HOB t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3 Zero/Cal t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#3 WaveformAppear t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [00:00:00 07/12/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Arterial BP Mean t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Diff to Palpate st: NotStopd id: Precautions t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Flushed st: NotStopd id: Skin Integrity t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#3 Cap Change t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 38.4444 n1: 38.4444 u1: Deg. C st: NotStopd id: Therapeutic Bed t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [00:00:00 07/12/2019] el: 2 ai: 274 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 14.5 vu: ml id: Gastric Meds t0: [00:00:00 07/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [00:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: GT Flush t0: [00:00:00 07/12/2019] el: 2 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [00:00:00 07/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 07/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 6.25 vu: ml id: Urine Out Foley t0: [00:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 07/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 6 vu: ml
id: Esmolol t0: [00:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [00:00:00 07/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 07/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [00:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [00:30:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 60 n1: 60 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [00:30:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [00:30:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:30:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:30:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:30:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:30:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 1:3.2 st: NotStopd id: Airway Size t0: [00:30:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:30:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:30:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:30:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [00:30:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:30:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [00:30:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:30:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 12.5 n1: 12.5 u1: L/min st: NotStopd id: PEEP Set t0: [00:30:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:30:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:30:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:30:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:30:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:30:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:30:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [00:30:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [00:30:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:30:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [00:30:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 616 n1: 616 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:30:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [00:30:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:30:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:30:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:30:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [01:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [01:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [01:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [01:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 14.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [01:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [01:00:00 07/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 07/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [01:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 07/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Esmolol t0: [01:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [01:00:00 07/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 07/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [01:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [02:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [02:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [02:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [02:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [02:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [02:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [02:00:00 07/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 14.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [02:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [02:00:00 07/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 07/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [02:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 07/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Esmolol t0: [02:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [02:00:00 07/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 07/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [02:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [03:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [03:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [03:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [03:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [03:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Respiratory Rate t0: [03:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [03:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 14.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [03:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [03:00:00 07/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 07/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [03:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 07/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Esmolol t0: [03:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [03:00:00 07/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 07/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [03:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [03:12:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:12:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:12:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 30 n1: 30 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:12:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 46 n1: 46 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:12:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 97 n1: 97 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:12:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [03:00:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 18.1 n1: 18.1 rs: Final st: NotStopd id: WBC t0: [03:00:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 18.1 n1: 18.1 rs: Final st: NotStopd id: Hematocrit t0: [03:00:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 29.9 n1: 29.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:00:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 9.7 n1: 9.7 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:00:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 413 n1: 413 rs: Final st: NotStopd id: RBC t0: [03:00:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:00:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 18.1 n1: 18.1 rs: Final st: NotStopd
id: BUN t0: [03:00:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 31 n1: 31 rs: Final st: NotStopd id: Albumin t0: [03:00:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Calcium t0: [03:00:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:00:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 113 n1: 113 rs: Final st: NotStopd id: Creatinine t0: [03:00:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [03:00:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Magnesium t0: [03:00:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous t0: [03:00:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:00:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium t0: [03:00:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 148 n1: 148 rs: Final st: NotStopd id: Total Bili t0: [03:00:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: ALT t0: [03:00:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 16 n1: 16 rs: Final st: NotStopd id: Albumin (>3.2) t0: [03:00:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: BUN (6-20) t0: [03:00:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 31 n1: 31 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:00:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:00:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:00:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 113 n1: 113 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:00:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:00:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:00:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:00:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:00:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:00:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 148 n1: 148 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 07/12/2019] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Opening t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GU Cath Insert Date t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: GU Catheter Size t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: HOB t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3 Zero/Cal t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#3 WaveformAppear t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [04:00:00 07/12/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Arterial BP Mean t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Position t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Flushed st: NotStopd id: Skin Integrity t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Stool Color/Consist t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV#3 Cap Change t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 38.6667 n1: 38.6667 u1: Deg. C st: NotStopd id: Therapeutic Bed t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [04:00:00 07/12/2019] el: 2 ai: 274 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 14.5 vu: ml id: Gastric Meds t0: [04:00:00 07/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 30 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [04:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: GT Flush t0: [04:00:00 07/12/2019] el: 2 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding t0: [04:00:00 07/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 07/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [04:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 07/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Esmolol t0: [04:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 25 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [04:00:00 07/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 75 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 07/12/2019] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [04:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1450 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [04:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 60 n1: 60 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [04:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 1:3.2 st: NotStopd id: Airway Size t0: [04:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 36.6 n1: 36.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [04:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 12.6 n1: 12.6 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [04:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 1500 n1: 1500 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 0.436 n1: 0.436 u1: L st: NotStopd id: Sputum Color/Consist t0: [01:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [01:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 581 n1: 581 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Ve High t0: [04:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd