This log is also available as text (212bc.txt) and as a (binary) annotation file (212bc.log).
Generated: Thursday, 23-Apr-2009 00:35:13 EDT
(All dates below are surrogates.)
id: Service Type t0: [05:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [05:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [05:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 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: [05:00:00 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: [05:00:00 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: [05:00:00 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: [05:00:00 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: [05:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [05:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 14.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [05:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [05:00:00 07/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 07/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [05:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 07/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Esmolol t0: [05:00:00 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: [05:00:00 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: [05:00:00 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: INV#2 WaveformAppear t0: [04:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd
id: Heparin t0: [05:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 500.0ml t0: [06:00:00 07/12/2019] el: 1 ai: 189 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Less Restrict Meas. t0: [06:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [06:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [06:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [06:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 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: [06:00:00 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: [06:00:00 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: [06:00:00 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: [06:00:00 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: [06:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [06:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [06:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [06:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [06:00:00 07/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 07/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Stool Out Stool t0: [06:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 650 vu: ml id: Urine Out Foley t0: [06:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 07/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Esmolol t0: [06:00:00 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: [06:00:00 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: [06:00:00 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: [06:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [07:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 85.7143 n1: 85.7143 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [07:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [07:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [07:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 1:3.2 st: NotStopd id: Airway Size t0: [07:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [07:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [07:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [07:00:00 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: [07:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [07:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [07:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 12.6 n1: 12.6 u1: L/min st: NotStopd id: PEEP Set t0: [07:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [07:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Pressure Support t0: [07:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [07:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [07:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [07:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [07:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [07:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 1500 n1: 1500 st: NotStopd id: Ve High t0: [07:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [07:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [07:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [07:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 610 n1: 610 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [07:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [07:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [07:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Pain Present t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [07:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: CVP t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 07/12/2019] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [07:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [07:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [07:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [08:00:00 07/12/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Arterial BP Mean t0: [07:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 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: [07:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg v2: 16 n2: 16 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 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: [07:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 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: [07:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 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: [07:00:00 07/12/2019] 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 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: [07:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 38.1111 n1: 38.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 100.6 n1: 100.6 u1: Deg. F st: NotStopd id: Untoward Effect t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: calprevflg t0: [07:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [08:00:00 07/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [07:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15.5 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [07:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [08:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [07:00:00 07/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: Tube Feeding t0: [08:00:00 07/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 07/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 07/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [08:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 110 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 07/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 07/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Esmolol t0: [07:00:00 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: Esmolol t0: [08:00:00 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: [07:00:00 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: Fentanyl t0: [08:00:00 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: [07:00:00 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: Midazolam t0: [08:00:00 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: [07:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [08:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: GI#1 Intub Site t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Invasive Lines st: NotStopd id: GI Intub #1/Site t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GU Cath Insert Date t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: GU Catheter Size t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: HOB t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3 Zero/Cal t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: INV#3 WaveformAppear t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Oral Cavity t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Position Change t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Weak Palpable st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 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: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: RLL Lung Sounds t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: Sputum Color/Consist t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Stool Color/Consist t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [08:00:00 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: [08:00:00 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: [08:00:00 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: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: Turn t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Behavior t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Oral Care t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: TF Residual t0: [08:00:00 07/12/2019] el: 2 ai: 274 cg: RN cu: CSRU vo: 5 vu: ml id: Gastric Meds t0: [08:00:00 07/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 50 vu: ml id: GT Flush t0: [08:00:00 07/12/2019] el: 2 ai: 168 cg: RN cu: CSRU vo: 25 vu: ml
pi: 4200066 hi: 8811 t0: [10:00:00 07/12/2019] tf: [09:00:00 08/12/2019] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [09:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [09:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [09:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [09:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 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: [09:00:00 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: [09:00:00 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: [09:00:00 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: [09:00:00 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: [09:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [09:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [09:00:00 07/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [09:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [09:00:00 07/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 07/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [09:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 07/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Esmolol t0: [09:00:00 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: [09:00:00 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: [09:00:00 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: [09:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: High Resp. Rate t0: [09:40:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Minute Volume(Obser) t0: [09:40:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: L/min st: NotStopd id: Pressure Support t0: [09:40:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [09:40:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Tidal Volume (Spont) t0: [09:40:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 680 n1: 680 u1: ml/B st: NotStopd id: Ventilator Mode t0: [09:40:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd
id: Service Type t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Eye Care t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Activity t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: AntiEmbDevice/Status t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Position t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 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: [10:00:00 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: [10:00:00 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: [10:00:00 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: [10:00:00 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: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Skin Care t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % st: NotStopd id: Sputum Color/Consist t0: [09:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Color/Consist t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [09:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Sputum Source/Amt t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Turn t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bath t0: [10:00:00 07/12/2019] el: 1 cg: RN cu: CSRU v1: Done
id: .9% Normal Saline 1000.0ml t0: [10:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [10:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [10:00:00 07/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 07/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [10:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 07/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Esmolol t0: [10:00:00 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: [10:00:00 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: [10:00:00 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: [10:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [11:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [11:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 7.0 mm st: NotStopd id: Airway Type t0: [11:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:00:00 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: [11:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [11:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: L/min st: NotStopd id: Apnea Time Interval t0: [11:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [11:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [11:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [11:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [11:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: 700 n1: 700 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:00:00 07/12/2019] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Art.pH t0: [11:22:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 7.41 n1: 7.41 rs: Final st: NotStopd id: Arterial Base Excess t0: [11:22:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [11:22:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd id: Arterial PaCO2 t0: [11:22:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 41 n1: 41 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [11:22:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 90 n1: 90 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [11:22:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 7.41 n1: 7.41 rs: Final st: NotStopd
id: Venous CO2(Calc) t0: [11:23:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 rs: Final st: NotStopd id: Venous PvCO2 t0: [11:23:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 49 n1: 49 u1: mmHg rs: Final st: NotStopd id: Venous PvO2 t0: [11:23:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 36 n1: 36 u1: mmHg rs: Final st: NotStopd id: Venous pH t0: [11:23:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 7.36 n1: 7.36 u1: pH rs: Final st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [11:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: CVP t0: [11:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [11:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Invasive Lines st: NotStopd id: Eye Opening t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [11:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: Heart Rate t0: [11:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Motor Response t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Arterial BP t0: [11:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [11:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 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: [11:00:00 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: [11:00:00 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: [11:00:00 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: [11:00:00 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: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [11:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Spontaneous Movement t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Support Systems t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [11:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Verbal Response t0: [08:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [11:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [10:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [11:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [11:00:00 07/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 07/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [11:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 07/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Esmolol t0: [11:00:00 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: [11:00:00 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: [11:00:00 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: [11:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 07/12/2019] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Given st: NotStopd id: Education Learner t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Invasive Lines st: NotStopd id: Education Topic #2 t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GU Cath Insert Date t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: GU Catheter Size t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Coude Catheter st: NotStopd id: HOB t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Bleeding st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#3 Zero/Cal t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Obese st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Dampened st: NotStopd id: INV#3 WaveformAppear t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [12:00:00 07/12/2019] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Arterial BP Mean t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Precautions t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 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: [12:00:00 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: [12:00:00 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: [12:00:00 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: [12:00:00 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: [12:00:00 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: [12:00:00 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: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: Stool Management t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [12:00:00 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: [12:00:00 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: [12:00:00 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: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 38.2778 n1: 38.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 100.9 n1: 100.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [12:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [12:00:00 07/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 07/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [12:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 340 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 07/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Esmolol t0: [12:00:00 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: [12:00:00 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: [12:00:00 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: [12:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PT t0: [11:16:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 20.6 n1: 20.6 rs: Final st: NotStopd id: INR t0: [11:16:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [11:16:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 2 n1: 2 rs: Final st: NotStopd id: PT(11-13.5) t0: [11:16:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 20.6 n1: 20.6 rs: Final st: NotStopd
id: PTT t0: [11:16:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 74.1 n1: 74.1 rs: Final st: NotStopd id: PTT(22-35) t0: [11:16:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 74.1 n1: 74.1 rs: Final st: NotStopd
id: Service Type t0: [13:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [13:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Heart Rate t0: [13:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Arterial BP t0: [13:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 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: [13:00:00 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: [13:00:00 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: [13:00:00 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: [13:00:00 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: [13:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [13:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [13:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: calprevflg t0: [13:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [13:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [13:00:00 07/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 07/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [13:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 600 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 07/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Esmolol t0: [13:00:00 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: [13:00:00 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: [13:00:00 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: [13:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Topic #1 t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Invasive Lines st: NotStopd id: Family Communication t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: HOB t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Activity t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Supervised st: NotStopd id: Precautions t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 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: [14:00:00 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: [14:00:00 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: [14:00:00 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: [14:00:00 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: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: BariAir st: NotStopd id: Turn t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [14:00:00 07/12/2019] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [14:00:00 07/12/2019] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 15.5 vu: ml id: D5W 250.0ml + 2500mcgkgmin Esmolol t0: [14:00:00 07/12/2019] el: 1 ai: 107 cg: RN cu: CSRU vo: 20.52 vu: ml id: Tube Feeding t0: [14:00:00 07/12/2019] el: 3 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 07/12/2019] el: 2 ai: 189 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [14:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 160 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 07/12/2019] el: 2 ai: 107 cg: RN cu: CSRU vo: 7 vu: ml
id: Esmolol t0: [14:00:00 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: [14:00:00 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: [14:00:00 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: [14:00:00 07/12/2019] el: 1 cg: RN cu: CSRU vo: 0 do: 1550 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Potassium t0: [14:03:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [14:03:00 07/12/2019] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd