This log is also available as text (215bc.txt) and as a (binary) annotation file (215bc.log).
Generated: Thursday, 23-Apr-2009 00:35:22 EDT
(All dates below are surrogates.)
id: ETT Mark/Location t0: [07:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 22cm v2: Teeth st: NotStopd id: FiO2 Set t0: [07:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 0.9 n1: 0.9 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [07:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 1:2.4 st: NotStopd id: Airway Size t0: [07:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [07:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [07:30:00 03/03/2020] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [07:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [07:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [07:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: L/min st: NotStopd id: PCV Set Insp. Press t0: [07:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: . st: NotStopd id: PEEP Set t0: [07:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Resp Rate (Spont) t0: [07:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [07:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [07:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Tank A psi. t0: [07:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 1600 n1: 1600 st: NotStopd id: Tank B psi. t0: [07:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [07:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [07:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: TCPCV Insp. Time t0: [07:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 0.8 n1: 0.8 u1: sec st: NotStopd id: Tidal Volume (Obser) t0: [07:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 700 n1: 700 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: Pressure Control st: NotStopd id: Ventilator Type t0: [07:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [07:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Art.pH t0: [07:52:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.29 n1: 7.29 rs: Final st: NotStopd id: Arterial Base Excess t0: [07:52:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: -4 n1: -4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [07:52:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 22 n1: 22 rs: Final st: NotStopd id: Arterial PaCO2 t0: [07:52:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 44 n1: 44 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [07:52:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 159 n1: 159 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [07:52:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.29 n1: 7.29 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [07:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 03/03/2020] el: 1 cg: RN cu: CCU v1: Unstbl Vent Stat st: NotStopd id: Risk for Falls t0: [07:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [07:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [07:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Parameters Checked t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Both Legs v2: 4 mm st: NotStopd id: Eye Care t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: points st: NotStopd id: HOB t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Abdominal Assessment t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v2: 22 gauge st: NotStopd id: IV #2 Insert Date t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Site/Size t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Oral Care t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [07:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [07:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [07:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Cloudy st: NotStopd id: Urine Source t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 03/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [08:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 400 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 03/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 21 vu: ml
id: Fentanyl t0: [07:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: PCV Set Insp. Press t0: [09:00:00 03/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: TCPCV Insp. Time t0: [09:00:00 03/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd
id: Urine Out Void t0: [09:00:00 03/03/2020] el: 1 cg: -1 cu: CSRU vo: 0 st: D/C'd id: Urine Out Condom Cath t0: [09:00:00 03/03/2020] el: 1 cg: -1 cu: CCU vo: 0 st: D/C'd
pi: 4380929 hi: 10078 t0: [12:00:00 03/03/2020] tf: [10:00:00 04/03/2020] mn: Calcium Acetate pt: Unit Dose st: Discontinued rt: PO fr: TID W/MEALS ds: 08, 12, 17 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4380930 hi: 10078 t0: [10:00:00 03/03/2020] tf: [07:00:00 12/03/2020] mn: Levofloxacin pt: IV Piggyback st: Discontinued rt: IV fr: Q48H dn: 0 di: Ongoing xv: 36 xu: Hours pi: 4380931 hi: 10078 t0: [10:00:00 03/03/2020] tf: [09:00:00 04/03/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml LR Bolus 1000 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [09:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [09:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 03/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [09:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 03/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml
id: Fentanyl t0: [09:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Mark/Location t0: [09:50:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 22cm v2: Teeth st: NotStopd id: FiO2 Set t0: [09:50:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 0.9 n1: 0.9 u1: torr st: NotStopd id: High Insp. Pressure t0: [09:50:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [09:50:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [09:50:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 1:2.4 st: NotStopd id: Airway Size t0: [09:50:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [09:50:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [09:50:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [09:50:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [09:50:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [09:50:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: L/min st: NotStopd id: PEEP Set t0: [09:50:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [09:50:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [09:50:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 29 n1: 29 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [09:50:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [09:50:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [09:50:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [09:50:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Tank A psi. t0: [09:50:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 1600 n1: 1600 st: NotStopd id: Tank B psi. t0: [09:50:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [09:50:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [09:50:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [09:50:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 430 n1: 430 u1: ml/B st: NotStopd id: Ventilator Type t0: [09:50:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [09:50:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [10:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [10:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [10:00:00 03/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 03/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 2.5 vu: ml nb: 1 id: Urine Out Foley t0: [10:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 03/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml
id: Fentanyl t0: [10:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: PEEP Set t0: [10:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [10:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [10:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [10:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd
id: Art.pH t0: [11:12:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.28 n1: 7.28 rs: Final st: NotStopd id: CaO2 t0: [11:12:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 11.5145 n1: 11.5145 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [11:12:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [11:12:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [11:12:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 43 n1: 43 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [11:12:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 156 n1: 156 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [11:12:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.28 n1: 7.28 rs: Final st: NotStopd id: SaO2 t0: [11:12:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [11:15:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [11:15:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 22cm v2: Teeth st: NotStopd id: FiO2 Set t0: [11:15:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 0.9 n1: 0.9 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:15:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:15:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [11:15:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 1:2.0 st: NotStopd id: Airway Size t0: [11:15:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [11:15:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [11:15:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [11:15:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [11:15:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:15:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: L/min st: NotStopd id: PEEP Set t0: [11:15:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:15:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [11:15:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [11:15:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [11:15:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [11:15:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [11:15:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Tank A psi. t0: [11:15:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 1600 n1: 1600 st: NotStopd id: Tank B psi. t0: [11:15:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [11:15:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [11:15:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:15:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [11:15:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [11:15:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:15:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [11:15:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [11:15:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [11:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [11:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 03/03/2020] el: 1 cg: RN cu: CCU v1: Unstbl Vent Stat st: NotStopd id: Risk for Falls t0: [11:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [11:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [10:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Both Legs v2: 4 mm st: NotStopd id: Edema Location/Amt#1 t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Both Legs v2: 4 mm st: NotStopd id: Eye Care t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: points st: NotStopd id: HOB t0: [11:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [11:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Abdominal Assessment t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v2: 22 gauge st: NotStopd id: IV #2 Insert Date t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Site/Size t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [11:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [11:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Oral Care t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [11:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [11:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position t0: [11:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [10:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [11:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [10:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [11:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [11:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [11:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Turn t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [11:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [11:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 03/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 0.25 vu: ml id: Urine Out Foley t0: [11:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 03/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml
id: Fentanyl t0: [11:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [12:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Lactated Ringers t0: [11:00:00 03/03/2020] el: 1 ai: 106 cg: RN cu: CCU vo: 500 vu: ml nb: 1 id: Lactated Ringers t0: [12:00:00 03/03/2020] el: 1 ai: 106 cg: RN cu: CCU vo: 500 vu: ml
id: Ectopy Frequency t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Procedures t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Cardiac Echo st: NotStopd id: Respiratory Rate t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [13:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [13:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 03/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 0.5 vu: ml id: Urine Out Foley t0: [12:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [13:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 03/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 14 vu: ml
id: Fentanyl t0: [13:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 03/03/2020] el: 2 cg: RN cu: CCU pv: 8.75 cv: 1902.25 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 03/03/2020] el: 2 cg: RN cu: CCU pv: 18.75 cv: 1952.25 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 03/03/2020] el: 2 cg: RN cu: CCU pv: 25 cv: 25 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 03/03/2020] el: 2 cg: RN cu: CCU pv: 25 cv: 757 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 03/03/2020] el: 2 cg: RN cu: CCU pv: -6.25 cv: 1195.25 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 03/03/2020] el: 2 cg: RN cu: CCU pv: -6.25 cv: 120.874 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 03/03/2020] el: 2 cg: RN cu: CCU pv: -6.25 cv: -6.25 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 03/03/2020] el: 2 cg: RN cu: CCU pv: 25 cv: 757 ac: 24 ap: none re: 0
pi: 4382252 hi: 10078 t0: [15:00:00 03/03/2020] tf: [22:00:00 06/03/2020] mn: Insulin pt: IV Piggyback st: Inactive (Due to a change order) rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label
id: Compliance (40-60ml) t0: [15:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 28.125 n1: 28.125 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [15:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 22cm v2: Teeth st: NotStopd id: FiO2 Set t0: [15:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 0.9 n1: 0.9 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [15:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 1:2.0 st: NotStopd id: Airway Size t0: [15:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [15:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [15:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [15:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [15:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [15:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [15:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 12.5 n1: 12.5 u1: L/min st: NotStopd id: PEEP Set t0: [15:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [15:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [15:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [15:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [15:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [15:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [15:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Tank A psi. t0: [15:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 1600 n1: 1600 st: NotStopd id: Tank B psi. t0: [15:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [15:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [15:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [15:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Source/Amt t0: [15:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: Suctioned v2: None st: NotStopd id: Tidal Volume (Obser) t0: [15:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 385 n1: 385 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [15:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [15:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [15:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [15:30:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Art.pH t0: [15:46:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.27 n1: 7.27 rs: Final st: NotStopd id: Arterial Base Excess t0: [15:46:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: -5 n1: -5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [15:46:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 22 n1: 22 rs: Final st: NotStopd id: Arterial PaCO2 t0: [15:46:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 46 n1: 46 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [15:46:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 158 n1: 158 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [15:46:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.27 n1: 7.27 rs: Final st: NotStopd
id: CaO2 t0: [15:46:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 11.6332 n1: 11.6332 u1: ml/dl st: NotStopd id: SaO2 t0: [15:46:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 u1: % rs: Final st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Circulation/SkinInt t0: [14:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Edema Location/Amt#1 t0: [14:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Both Legs v2: 4 mm st: NotStopd id: Edema Location/Amt#1 t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Both Legs v2: 4 mm st: NotStopd id: Position Change t0: [14:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [14:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Restraint Location t0: [14:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [14:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: BUN t0: [15:37:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 109 n1: 109 rs: Final st: NotStopd id: Chloride t0: [15:37:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine t0: [15:37:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 5 n1: 5 rs: Final st: NotStopd id: Glucose t0: [15:37:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd id: Potassium t0: [15:37:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 5 n1: 5 rs: Final st: NotStopd id: Sodium t0: [15:37:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd id: BUN (6-20) t0: [15:37:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 109 n1: 109 rs: Final st: NotStopd id: Carbon Dioxide t0: [15:37:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 19 n1: 19 rs: Final st: NotStopd id: Chloride (100-112) t0: [15:37:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [15:37:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 5 n1: 5 rs: Final st: NotStopd id: Glucose (70-105) t0: [15:37:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [15:37:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 5 n1: 5 rs: Final st: NotStopd id: Sodium (135-148) t0: [15:37:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd
id: Pain Present t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [14:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [15:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [16:00:00 03/03/2020] el: 1 cg: RN cu: CCU v1: Unstbl Vent Stat st: NotStopd id: Risk for Falls t0: [14:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [14:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [15:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: GCS Total t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: points st: NotStopd id: HOB t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [14:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v2: 22 gauge st: NotStopd id: IV #2 Insert Date t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #2 Site/Size t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Oral Cavity t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [14:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [14:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [15:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [14:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: INV#2 Cap Change t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: Therapeutic Bed t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [14:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 03/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 0.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 03/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 0.25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 03/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 14 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 03/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml
id: Fentanyl t0: [14:00:00 03/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [15:00:00 03/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:00:00 03/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 03/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 03/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 03/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Temp. Site t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temp. Site t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 35.6667 n1: 35.6667 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 35.2778 n1: 35.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 96.2 n1: 96.2 u1: Deg. F st: NotStopd id: Temperature F t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 95.5 n1: 95.5 u1: Deg. F st: NotStopd
id: Urine Out Foley t0: [14:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [16:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 25 vu: ml
id: Service Type t0: [17:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [17:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 03/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 0.25 vu: ml id: Urine Out Foley t0: [17:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 42 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 03/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml
id: Fentanyl t0: [17:00:00 03/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 03/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip